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t�v=�.,_ . __ , – .- .. - . - . . , . �v�� .._ � , , - . . <br />\1'. D. Farm 4-1oU0—'B.P.Cc.--L-ZG 94 <br />City of Everett��jater Department �- ?� <br />APPLICATION FOR WA�'� R <br />A.11 6lanks must bc filled in nr crossed out <br />Y' .. . /._ Z...._...._........1971�. <br />Bve r c t t......... _. _.. _. _ ............. <br />TO THE SUPliRINTI�:NDliNCITY OF PV'TIZ�T1'.ULPARTIIlihT: <br />I hereby npP�Y for tlm aee of v:uLer in aecordance �vith the �vles and regu- <br />Iatinns of the ��'ntcr DeP�r'ment, fnr purPu`es und fi��iu'es stated beloc.�. <br />IIuripg ihc 6ime thnt nny of the �vater mn�r�s may b� �rkot ss i� �aLr et o�r <br />uC any improvements authorixed by the City af rcerett, Y <br />ulley in �vh�ch lhey may hace Ueen laid, lhe City «'��� not Uc rer�uired to furni=h <br />�.rater during the progress of such improvements to any Consunter �vliose supply <br />m:;y thus Lc cc'. off, or 17e ljab�� Lor any dmnagca �r its failure so to do. <br />Applicntion No...(�L_G' `J.._ ............. ^ i � � <br />.._ Lot__.._. __._...._..... Add.. _ ... .. . . ....... <br />l;locl:...._ .................. . _.. .. <br />_... _ . . <br />� ^ <br />�o..__.e%.�.�!_�..._ ......... ........._ ___..._.........._.Street <br />. ..... __.._.__... . . .._.._.. <br />.___. . . ..... . .._ ...._. <br />7he ��a�'k Lo be e�ecuted bl - // .- PlwuLcr f <br />'/ .. _ � ��c� v��� � �' / G, rj � � , <br />(/ <br />Stnte size of tap 7' <br />__��.:...TaP to be inscrted in thc mnin. <br />�.._,R�atcr closet <br />._._.�/_....Cath <br />.._.. ...-..L'rinal <br />.,.._2.....Plnin fnucet inside <br />..� °ide �calk �cn.:hcr <br />� <br />...._.�.......IIosc bib ou[side <br />.,_.._.�..Hosc biL for buildin6 Purpo=cs <br />...—._ IIose biU inside <br />.�:...BiU for stnblc containin stnll._._........__. <br />.... F ................ ..: <br />_.... / ., numUcr of persons in �nmily <br />..(p.....Numbcr o: romns in bui!�iin6 <br />Che �11'CI1115CY arc to bc used ns n � ���� �--��' <br />� u�� . -� ;l: �' ' � //jJ <br />1hi o�cner nf the premises ig,.,. . �� � � � <br />Thc agent is ....................._..._.................._.........._._....._.... <br />.........._..........__.Y�......__ L <br />'Chis nPP��cntion, nithough signed, sh�ill not be UindinF upon the Cit until <br />accepted by the Superintendcnt of th� N1im• /D partment. <br />SiBned�...7�. ��� �,�.,/ X��G!/L. . ......./. ..AP 'can: <br />//P'"._._(�`�`�]� � -- <br />o _ �? �/ ._.. <br />Ac<cPl�d _./�. �i... .. -_.1D..�. By . .i r� /' cu� ndrndrnt �,. <br />/ . . <br />