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�«r_d ,,_��_z'7—lr c,..._)-�_-_,��.k :�_ ic- . <br />t1'- U. Fnrm J IJ4u—L:.P.Cn.—C.26�^_! <br />City of Everett�-Water Departinent <br />APPLICATION FOR WATER <br />:111 blanks must be filled in or crossed out <br />1:vcrett,.._ ................/......... ..� �...................._..._1 p7.� <br />"CO 7IIE SUI'lil;lP:1'I:Nll1:A'C OP TI4C R'ATP•.R llEPARTnfENT: <br />C1TY OR IsVI;BETT: <br />I hereby ntiplp for the use of �vater in accorc�nce with the reles and regu- <br />Intions of [hc �Vater Department, for purposn= nn;l fixLeres s:;ded Lelow. <br />During the time that any of .he �t�uCcr mninr nmy be taken up by re,�son <br />of nny improcements au[horized by Lhc City of �•:crett, in or nf any ctreet or <br />:ill��p in which thep may hncc bcen laid, thc City �;ill not Uc mquired to furnish <br />�r.:ter dm�iug the progress uC such improt•emonts t��, nny consunter wLo;c supply <br />n-;,y thus Le cut off, oGr bc l'ia/ble for :iny danmges tor its failure so to do. <br />AnplicntionI�o...Q 7Y� — 7.�_���� . ,� , . . <br />�,i,��i: .. 1.�.� Lot �"� �aa. �_._ <br />�[� _. _ __. <br />su.. ..(�d� _.L. ..../� . ._........ atreet <br />�.. . <br />... _.__.._...____.._ ........................_..................__..._........._._.. .. <br />'1':ie work to be esecuted bY/- �`�"���, �-,-�i�'.T`—�t�r7 ..... I lumber <br />�t:it� =izc of tnP. d`� �' �" 1�' 'uJ � -� �S Z <br />--��_.Tnp to bc insc.ted in lLe wain. <br />.__..I........Nntcr closet <br />...._.i.._...P,nth � <br />__. �..Urinal � <br />.._2c_...Plnin faucet insidc <br />.._ _.._-....Sidc �valk washcr � <br />_.L.._._Hosc hiL aut�ide . <br />..__... .._Iiosc bib for building purposcc <br />. __.._�_Hose bib insidc <br />_.......�..Bib for stablc containiag.....___.___.staP.._........ <br />_.._. <br />...... .._Numbcr of persons in familt� <br />l <br />..�.....Number of rooms in Umldmg ��'] � <br />: smises nrc to bc used as a /`1/-!� � <br />. ..... _. .... <br />o�cner of the prcr.iises is_ _ . _ �_. ,� .� U�U,� �.J ..._ <br />:�Sent is....._....._ ......................................................_...� l.......... <br />. ........................... <br />npplicntion, althougli signed, ;hnll not Ue binding uPon the City, until <br />by tlie Superintendcnt ot/ �the ��r Depnrtment. <br />Signedv....... �7..... / J..!..... ... .�.... ..... _ ..............Applicant <br />��.,.ce�nca 'O._-- _�`�?Z. L �_. i� �.._.. <br />} _.. .. _ .�Pi . p9 <br />...��-" , �.. .:...._Ruperintenden[.... M <br />. � <br />