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�C,y�i��_ "t-L�- �'.' � '. . '�N`I.��_?] i - � � ' .. . . . <br />'. <br />�:. U. Foren 4-- If,UO—E.P.Cu.—G-:G :1 <br />City of Everett��`�ater Departm�nt <br />ApPLICATI�N FOR �T1�TER, <br />:lll hl:i,iks me=t lro filled in or crossed ouc <br />�/ �7 <br />Lccrett�-...........__ .................f... �.... _. ._.............1!)3.�... <br />1'0'iliP•. SUP�RINTI:I2P�NT OI� THP \BATi:R DliPART9ih:N'f: <br />CITP OP EVG321iTT; <br />I hereby .�pply for the use ot n'atcr in acrurdance �vith thc rules , n�l regu- <br />latiais ot the R'ai,er Department, for put-���n,ee nnd fix:ures stated bclow. <br />During tLc timc thnt .my of thc �catcr mains may bc ta}:en up Up rca:�on <br />of an,y iniproremenLs nv.tho.izcd by the Cit}� of licerett, ir, ur of any strect or <br />alley in tahich thcy m�y liavc Ueen laid, the City �vill noL be requireA tn fi�rni:jh <br />�vutcr dm�i�g Uic proqress of such iwn:nvements to any r.nnsumcr wl°.osc supply <br />m:iy thus bc cut oSf, urCb/c ]inLlc cfo�r :ntl' d; mnges for ils inilure so tu do. <br />Appiicalion To._._..D.� .��..._..1...�__... _... ..__.�l n S t <br />Plocl ...... � .__. Iot ...� ��/ . Add._. . . � <br />:�o �.�� O � ..._..�G. ...._. .�trce• .. __.... . .. <br />i_ .; _ _ ..... <br />Thc �vm�k to be executed by....._ ���q�t„� .._.__.Plumber <br />St. te size of tap. 4 <br />.�,,h _......Ta, to Ue inscrted in the mnin. � 0� ,."�; t.. <br />. \Vuter closet `� /- � ( � ��, <br />......�_.......Bath ���' s� <br />---:tirinal � <br />............... <br />._`.-.._.Plain funccl ineiJc <br />...__.........Sicic t��nll: «:i:hcr <br />c.--, <br />_._..._......Hn�c 6ib outsidc <br />.._.--�...._Hose bib fnr Luii iir.g perpuses <br />_._�—.-.-....iIosc biU inside <br />.._.--.—...Bib for stable containing ....................stall._.../......_... <br />---..._—..—humLcr ut persons in f:m�ily i! � <br />l� <br />....�_..NnmUcr of roon�s in Uuildiu � ' <br />'1'he prmnises nro to be uned os a. __...... j'� .. Ln L-{ ...... <br />7'he owner of the pre�+iises is.. ...�2....(i! ..,%Q—�T�-c��- <br />The ngent is ............................._..__...........� �/..... <br />� <br />............. _ _. ........._.. _......... ....................... <br />Thi:i npplication, nithough sigued, �hFdl not 6e binding upon the Cit}�, unCil <br />arceptcd Uy lhe 5uper'�i r,ndoyt of the R'ntrr Depnrtrc,�r�t. <br />ll � (�� /p� <br />Signed. _ . t ( .. .:L�Y"T�ll.c.`.a .. . ._ . . n �Q ..Ap� icnnt <br />C f_ <br />A:ccr;tc� �..��.— 1��_ By_. � .��/�%� ..... ..._ .. <br />��� y Superinlmdent � <br />� l, L ,� <br />� <br />