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1C.0.', .u. l:,Lo—f1C.C�-��:r,.?1 <br />City o£ Everett�--�ti�J�ter Dep�i�tment <br />��.�'�'�,�C �T�ON FOR �TAT'ER <br />F.II LI..��L= u;nst bc tillcd in or croesed out <br />. <br />I l30 _......I:N�_.� <br />�.rcrctt� ................... _............................................ <br />Tl�'l�i'ii �Ui'P;RIS:7 ci:;:`.�:A'7' nF Tf[E IPATCR UEPA32TASENT: <br />C1TY OL' liVli::liTT: <br />1 lierehy anp!p Lor the use oi �va6er in necordaneo :vith the :cles :u�.d regu- <br />I:Liuns of the �Pxter Department, for pm�poses nnd fi�lm�ea sl:rtrd Leloa:. <br />During thc time thnt anp of thc tvatcr mnins mny Uc laken up Lp rcasan <br />af :ml' i�»Procements authurired by the City at Eeeret!, in or uf uny street or <br />::llcy in whicL ihey may Imce bcen la'd, thc City will not bc required to furnis]i <br />e:uter dm�ing the progress of such imprm'unents to nny cons•�mer whose su;ipip <br />r.::�r thus be cut uff, or bc liable for any dnmage, for its fnilure sa to do. <br />Appticntion No........d�.3...(....�/.._..._.... <br />i;lo�k ........ .. _ _.._ Lo�t n_ ..._. .. Add. . . <br />....... ..... . <br />\o .. _.Jr.�. �. _.�-�T-'�-�'� ..!�-� "`'"���-...Strcet <br />T!ir rvork to be executed UY..--. - -... -. ...-. . -. . . . ._.P!muLcr <br />, ''t .tc size of tap. <br />., ✓ <br />� �/ i to Ue inscrted in the mnin. �j'_` ,�-m I <br />.a� <br />- ........_Wntcr closet ,.iY`� u `� �e�`� . <br />. __..._ .� P.�"n'I <br />....._...._.Bath � �/ �J- 0 ' �:. <br />. L., � ^, <br />. .._.........Urmal % . . <br />_._........Plnin faucet in.^,i:lc . . <br />. _.........Side �cullc a'aslicr , �, %� . <br />.. .........._FIose l�ib oulsidc � <br />. .._._...._I3ose bib for Uui?ding Purpuses <br />. _......._Hosc biU inside <br />.. __.........Bib for stablc contnining ....................ctall........._. _. . <br />._ ..._.......Number uI persons in family <br />_............NumUer of raoms in 6uiiding ///�_ ��. p � � <br />'i �m premises m�e to be nsed as a...........1 `-��`^r �=.....`- .�".:. �:..`-.. �.. <br />9'sc owner of the premises 's.... `� . "_�._ -f�RJ�?ui ... ... .. <br />7 �.,c ngent is ........... . ........ . _ . . .._ .. ...... . .. .................... t.•... _.... . . <br />1 <br />� .. ................. ..... <br />9'�..iis nPplication, n1N�uugh signed, ;hnll not be hinding upon the City, until <br />.:,�•rp�.rd Uy lhe Superintendcnt ut the R'uter Depnrtment. <br />Signed..._..___._..._._.._...._..__... _._....__..._........__......_........__.APplicnnt <br />:1�,,�i��did . .. ..._. ._. 1?'_' .. I;c. . _ . <br />�up�.-ri:rtvnden(.." <br />