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r�`'c'Ce':.-7�o-�c, .��-- �<,rY�l1�.s_„U_.�u- r <br />\P. D. Pmm 1-1600-E.CCu.-�L-:c-21 <br />City of Everett�Watei� Depai�tment <br />APPLICATION F4R �WATER <br />All binnks must bc filled in ur crassed o�` <br />E�•erecc............�%.lT ....... ...... �. .i�.............. ...lss. �..rn. <br />YO Tli� SUPERINTENDENT OF TIiF. NATSR EPARTMENT: <br />CITY OF EVEI26TT: <br />i hereby ntiply for the use of wnler in accordance �ritii tl�e rules nnd tegu- <br />Intions ot thc Nater Depnrtment, for nurposes nnd fis'ures stnted bele:�•. <br />During lhe timc thnt any of the �vater mnins mny bc tnken up bY reason <br />of nny im���o� �ments nuthorized by thc City ot E��crett, in or of nn}• strect or <br />alley iu �ehicL they mny hnce Leen Inid, the City �cill not bn required to :umish <br />wnter during the progrecs of sbuch improvements to nny r;nsumer �vho=e suoiilp <br />A licntion ;�0�_.�4..�...`.'3.........�';cc/ /o2Io37it.t.E-�.�.. du. <br />may qms Le cut oft, or be lia le for any dmm�ges for its fnilure so to <br />PP _lr'... }.... ot....� ....... .... ........ . Add.................._( _� <br />. <br />-A..�i.�� ., . <br />n:J............... ' 1 /�l �r . <br />'/7.. ............. . .I.n-_`_. .. <br />No.......i-..7 /-.�. .. .-K.�L. �LLl.�.....�(......Strnet ( <br />� <br />.. _ ..._.....__..._ ..........................._................................................... .................................. <br />_. . / <br />The �eork lo be executed by.._ .,�e,..�4-..'7/�<Ge.�Lt,.._..._ ___. _.....PlumUer <br />i. _!.'-z �—_" <br />State size of •'ap. /2 �`� <br />...��Z-...Tap tu ��c inserted in the roain. <br />......�.......JPntcr clueet � <br />.__�.........Bath � •� <br />......-.--...._Urinal ��. . <br />......Z.....Plnin Jnucet insidc <br />.......t..:.....Sidc «�nll: �vnshcr <br />....../........Hose,bib outside <br />......:.::......Hose bib for building purposes <br />.....::.-.......FIoee bib inside <br />...... .......Bib for stnUlc rmtaining....................stall.................... <br />....... .....Nmnbcr of persons in fnmily <br />...._�....Number of romns in building /' <br />The premises nre to be used ns U.�� �,..._... .. <br />. _._.. .. _..... .. <br />The o��•ner of the premiscs i�� �< <-� ... �G L,.::YZ 9 <br />.__... .. __ . <br />Tlic ngent is ...................................... <br />................................... _.............. _........................... <br />This npplicntion, nithoug6 signed, shnll not be binding upon the City, until <br />nccepted by lhe Superint ndent of the \ r Ueonrtment. <br />Signed�.�� ... ....... .... .. .. ......... nt <br />� . . ....._. ...APPI' a <br />Aecepted.....•J.�.:+..��..-.a�1�...... B}QA2Q.%.-.i/ O <br />.�l <br />» ndent <br />