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F_�Y�;� - �—.::. . . <br />r-�-T U /� _i,.,- . <br />W. 0. Form � i 50o J-1- I] C. P. , ~ <br />CITV OF EVERCTT==Water Department <br />1�pplication for Water <br />Ail bl.:nks must 6c Glled in nr crossed uut <br />/ � '/ � �/ <br />Everett.-�"�C/..�`� _______.19Y___�_ <br />TO 'I'l1E SUPIiRINTENDI�K'I' OG TNl NATER-L'IiPAR'P:1fi3N7', <br />Cl7Y OF H`/IiRP"'r: <br />I h� rehy app�y {��r the use of �vatrr in accurdance �cilh the mles and regula- <br />Iinns n( "Chr- W;rter 0.partm �nl. (nr purposes nnd fiztures slated bclow. <br />Du-inF [Le timc �ha[ uny ot the wa[er mains mny'�e Inken up by rensun of <br />nnY impruv.,mer.Ls �utlmrized bc tl�e Ci�p a( Lverelt. in of o( any st[ce� ur alle}' in <br />�.ehicL• lhry miY have been laid, tlic Ci[q �vill nnt be requned ", hirni=h �c:rtur durin�; <br />U�e pru�;ics= of sudi unprovements tu any tonsumei c.h�.ise sn-�pl� nr�g thus bc iut <br />nQ or bc li ible (or anp damag�s (ur its failur� so In do. <br />Applicntinn No.___ _" J . <br />� �� � <br />t3�.�k --.-,�-1-- � - % <br />-- <br />--- �,,., —' 'h' '—'—`/ .�aa <br />Vn.-G==' '" """"�' ..`_�Strecl <br />� <br />� 6 - ---- - - - <br />"fhe wnrk tu bs ezecuted by. __ _"_'__' .__ Plumber <br />'__..___.__________. <br />Smtr sizC uf tap. <br />./Z"_ Pap to 6c inFerfed in the Inain. d <br />� � ,/� U <br />._. _.P:atcrclosel �`P /�_� <br />--. _ � _.I3aLI1 <br />___.__. �:Ufint�l— <br />-.._-�":__Plain faucetinsidc <br />..--'_Sidett'alk washiT <br />-. -. � . _Husc bih oulsidc <br />_'____"Ilose bib (orbuilding-p'viar.:es �� <br />-. . _ . _-� Hi�vc bib- inridr—� ' <br />-Rib-(�>r-stable-evnroini�xy�.—., _ _ . _ _ _ sLdl. _. _ .. _ _' � � <br />-.. Numbcr of persnns in familr '� <br />.. _�- _.._ r I <br />Nwnbcr nf rooms in 6uil � �� /l � � A <br />"Chc premises are tn be used as ;� (i��� `/�/ ��^ � . _ <br />7'he owner ni Ihe premises is � � �K% / <br />__'_"'_""__'_ _ __'_'. <br />_..'_ <br />_ <br />Theagentis ___._ _ ,_ <br />TI�'s applicaliur�, :Jthough signed, shall not b^ binding upnn thc City, mllil ao <br />:rPted by The Superinicndent uf the \V�itcr Ueparimrnt. <br />�:.�? <br />.:'.-. SiFned _ .. .' ""?='LrP!/'� <br />� �� -•---�----- —'---��—APPlicant <br />-��� Accepted__':-:�.._. -i!1�_... Bc . ., � ." : <br />. — . - — _— —== —`-- -- ._ 1 <br />s���-.���r��.�,: � <br />�--:..._. <br />