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�A-L.� �q-:-�-y-rr <br />w. r, v��-�„ a—irao- t:.r.co.—c.zs-x� �' <br />'�'`-- -r Everett�—Watei� Department <br />'` � ,. .1C1�TION FOR WAT�.P� <br />� All Ulnnk:� must Le filled in or crossed out <br />G� r/ <br />Et�cretL,...._� .... � . . . a�.........�.._........_........_'J:.O.. <br />TO 'CII� SUPERINTENDF.NT O T- R'ATF,R DEPARTJ[ENT: <br />C1T , EVGIiETT: <br />I l�creby npply for the use of w:�ter in r.ccardance with the rules nnd regu- <br />lalim�s of tUc Nater Depnrtment, for purposes :md Cis;Ures stnled bclow. <br />During the time thnt any of thc water mnins mny Ue tnken uP bp renson <br />oC nny im�n�ovements nuthorized by 1Le Citp of Ecerett, in or of nny street or <br />c1lcy in ��•hich they mny hn�•e becn Inid, the City wi)1 not be mquired to furnish <br />�c:iter during lhe progress of such improveIDents to nny eonsumer whose supPlY <br />may thus bc cut ofC, or be lioble for any �d7mnoqges tor its failure so lo do. <br />Applicntion No....�:.......__U � / � ��3Sn <br />_�.___�_.__ Lot... <br />Add..........._ _. _......_...._..... ..... <br />,Io........,J.:-3......_/.T....,GUL�._�._ .............__....�.....Str� e�t ,� p <br />............ J..........._ ..................................._.�.�....�.�..:��.�..._C.��.cc�„L.__........................... <br />Thc �vork.to be executed by......... `.. . .. .�.......__.........:_.....PlumUer <br />s�:,c 5�:� o: toP. �/y���� /� <br />�,�'�._Tnp to Lc inscrtcd in the r.•nin. � �tiC_��-Q-�-.� Z-`t-L�-> <br />....Z- �Vntcr closet _ 4 <br />_ ........ lii.c.�u_.a;.' `� <br />.......�......B¢th • ' � . <br />......-........Urinal <br />_...�......Plnin fn��cet insido <br />_..?:.....Side ��•alk wnshcr <br />_... .........Iiose bib outsidc <br />..... ....._Hosc bib for building purpcses <br />..... .......FIose bib inside <br />................BiL for stnLle contnining....................slall.................... <br />_...___......Numbcr of persons in fnmily <br />.....�........NumLer of raoms in Uuildi�ig y� p <br />The premises nrc to be used us a... ....C'Z'. .CC'���A.-......'..J"�Ce ..�.......... <br />` <br />'Phc o�vner of the premises is .................. _........_........_...........................�......._.. <br />'Phc ngent is....... <br />This npplicntion, <br />accepted by the Sup� <br />Amc ptcd.....!l�..-�..: <br />not be binding upon thc City, <br />�r Depnrtment. <br />