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\S. O. (� ��rn� �-1 Goi�- li. CC.,.—L-�fi.2J <br />City af Everett�—Water Dep�rtment <br />AI'PLICATION FOR WATER <br />All bl;mks mnsl 'ne filled in or crusacd uuL <br />— i � <br />�� � ._17���_. <br />Eccrclt� ................................................_._.._.... _....._. <br />'PO TllC SUPliRINTENDEA`7' OP' TIIP•, APATP'�F2 DPPARTniG\T: <br />CITY OF TVGItCTT: <br />I 1mreLy aPRS fnr the v�se uf �enter in accordance wilh tlie rules and Tcgu- <br />lutions oC ti�c AVatcr Departmmit, fur purpuses :ind fistures stated �m1ow. <br />Um�ing thc Limc thnt nuy of thc ��'.^.tcr mains may Le takcn uP Ly reasou <br />of nny� imDroerments authm•izcd b}• lliu Cit�� ot leerett, in or ot any ntreet ��r <br />nlley in �chirh lhey may hnce bern laid, the City will noL Ue rrquired to furnish <br />�cnter dm�ing the progress uf sucli improvements io nny cmismner whose su?�pl,c <br />m:�y thus 6c aut of[, ot be liuLlc Lor nny damaSes for its fuilure so to do. <br />APplicnlion No..._._...,�?.n / I <br />...... _ ................. <br />Bluck ... ., . .. . Add.. .__...__. _..._. . - <br />. ...... _ , Lot ..._.. .. _...... . <br />10..... H�..+�.,5 ...._�7'�-�}/� ..... .Street <br />/1 <br />._.__ _.....__............_ ........... .. . <br />.. L� . . . .... ...........__ _____...._ _.....__.... <br />Thc work to be executed hY-... . --. .- ..-. . -.......--.. ---.-.... -...Plumber <br />Stntc�Eize nf top. . <br />a <br />'�%'� �l/.�...Tnp to be inserted in tUe main. � /' ' y <br />........... '(�„ �� ��-' ,� <br />._..\Vnter doset <br />...............11nil� � 3'�” i . . <br />................Urinnl � (� � `-`u � <br />..........__...Plnin fnncet insidc `.�,1��� /�� <br />................Side �calk �cn,6er � �� p' <br />....Iiosc Uib oul+ide t , <br />�� <br />..__....Hosc Uib for building Purposes � ,,/� " � �� <br />�J <br />.... ......__Ilose bib inside �p ........... Y <br />..........Bib Jor stnble cuntnining ....................stall....... � �' <br />................Numbcr ot Fmrsons in fnmily <br />................Number of rooms in building , <br />The Premises are to Ue used as a...� -S=`.-- �:..:�... '�.-.�^..� ...................... <br />The o�vncr of the prrmises is �J1..'i.:9._'..:_�.-_-..�.�E..t-.a�-e-���- <br />Tl�e agent is ................................................................................................._................... <br />This npplicntion, nithough aigneJ, chnll not Ue binding upon tlie City, until <br />nccepted Uy the Superintendent ot the \Vnter Department. <br />SiCned................ _._.................._.............. ...._......_.. ........_.._....._.._APplicnr.t <br />Acrepted . ........_... . ....1p2_._. II}•.. .. ... . ._ _ .... .. .. .... . <br />_ ___. <br />. ... . Superinlendent <br />