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„ ,-� � _rr�6”. :i — _ _ <br />. . . � �—�.�s� w;� 5 .. -- i : —: <br />\V. D. Form a-1600—E.P.Co.-5-YF21 <br />City of Everett�--•Water Department <br />��PPLICATIOI� �OR WATER <br />All blan};s must Ue filled in or crossed out <br />Everett,....._--........_....._�� ....102_�.. <br />.. ............................. . <br />PO TI{� SUPERINTPND�NT OF TIIE NATPR DEPAIiT1IGN'C: <br />C1TY OF EVi:RLTT: <br />I Lereby npnly for the use of �vater in accardance with tlm ru!rs and regu- <br />lationa of the \V:tter Depnrtnter.t, for nurposes :md fis;ures shitcd Loln�c. <br />During the timc that any of the �valtr mains mny be ta]<en up Ly rcason <br />oC nn� improvements authorizc� by ihe City of I?verett, in or of any sh�ect or <br />allep in which ,hcy may hn��e Ucen Inid, thc City will nut Uc mquired to futnish <br />u^rter during the progress af such imnrovements tu nny consumer whose suPP�� <br />m::s� thus Ue cut off, or pbe fliaUle for :my damages for its fnilure so to do. <br />A�nlication No..._.0....O...J.._�-........ 7��7 <br />P.lock........._ ..................._....._ Lot.........._...... ... Add�..`'�'' ��� L�`-p'�-�r�--s-..o4. <br />(� �/ \ .aX�.. . .. <br />\o..........._.Q..�_....... /.' �._..�:�-�l....._........ Street <br />...._..._.... <br />/ / . <br />.._. _._ ..........................__................................ ............ . <br />...._......_......._...... _.........._ ............... <br />Tiie �vork to he executed by ........... .. .._......PlumUcr <br />_..n <br />Stat/e size of tnp. �� 3,`J= ���.N�+a7• �✓.�. <br />3 ��.�.�:..Tap to be inserted in the mai � �'�y^'r .1 t �.,1 � <br />.�. ..3�'utcr closet � � �'`' ' <br />��� <br />........�......Unth ,, r�.,�� - � �'� )., �,.�� <br />......_-....._Urinal Ci7Y GF e'+Lt� .. . , :. �. '; <br />...._� Plain fuucet inside � �- �������---� � �� <br />-._......�..:ide �calk washcr <br />.�__..-..1.....Hose bib outsidc <br />.._....... _Hose UiU fo^ bnilding purpos�... <br />.........-...FIose bib inaide <br />..._..—....Bib for staLle containing........._.........stall._......... <br />....._.........Numbcr of persons in fumily <br />.-....�t......NumUcr of rooms in building /y�-�-� <br />Tlie p;emises are to be used as n........ _.�J."..(<5.-:.J...:... <br />............................... <br />The owncr af the premises is..../ ..........�.._......_ ...... ... <br />Thcogent is....._...._ ...................................._......_...._.............................. � <br />. . .......... ._... <br />T���s oPP��ca[ion, although signed, ;hall not be binding upon the Ci , until <br />accepted by the Superintendent of the \ ter Depnrtment. <br />Signed./._'......�.I....�.'......%�,Q�!L��. . PPlicant <br />.. . . .._.. ... . <br />. .. .......... ' <br />�92...... By.;o-e--7F��.F:.../..- ......................___� <br />