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� <br /> 1- /YTh I2—y. 24 ' L}f. �_.,,,�J�+.�..� 11— '. '- - ' � I:� �, <br /> \V.D.I'orm a -tGOU—F..P.Co.-6-:G26 <br /> City of Everett�Water Department <br /> APPLICATION FOR WATE� �� <br /> All Ll.mlcy'inusl be tilled in or crossed out � <br /> r�•orcu,..........._//�3�..`�...............................1s2...._ 1 <br /> TO 77SE SUPERI\TP1DI'sN'C OR Ttlk: \1'ATF.R DEPART.IIGN'C: I <br /> CITI' OP EVERGTT: <br /> I Lereby npply fnr the use uf teater in r.ecordence �cilh the ivks nnd regu- <br /> Intiuns of the Nnter llep:�rtmmit, fur pm'poses nnd fix�ures st:rted Uclotv. I <br /> lluring thc timc thnt any ot lhc �c:dcr mnins mny bc taAcn u�i by rcason 1 <br /> of ang imprucements aul;�orized by lhe Citp oC Ecerelt, in or of any s6reet cr T <br /> ullcy in NI11CI1 �he,r• msy hace bcen In�d, Lhc City e'ill mt bc rnquirnd to furnisL � <br /> wuter dm�ing the pro�ress of such impreveu.cnts to any consmuer whose supply , <br /> mny thus 6e cul oft, or be linlilc tor any damnges tur its failure so to do. <br /> ry Q f /�,�. <br /> Appiicntion No...S...........c?.._.._...._..... <br /> Blodc q .....� 1�yyr� ./I ot .....�: f�, /. ..._.. ... Add..�.. .... ._. . ...._.. _...... _... <br /> No......d..�D�l... Cv..-._. .'�<_rft�'�"/ ......Strcet <br /> _.. ........_...._. ....._...............�.�.....__..... ...........'.. .I. .../...._.._ _.._.. .. .......... ........... <br /> Tlm �vork lo be executed by.....�/�/c.C/f ' <br /> . �.. .... ...........11mnber <br /> State sizc of tap. <br /> ..�y...Tnp ta be inserteJ in the m�in. <br /> .._�..........\Vnter doset <br /> ...�...........Bnth . . <br /> ................Urinnl <br /> ...,�.:._.....Plniu fnucet iu,idc <br /> ........_......Side �cnik �r•nshcr <br /> ......L........Siosc Lib outsidc � :.� . <br /> ................Huse UiU tar 6uilding rurposes ,__r- . <br /> ................ilose bib inside �'� �/� <br /> ...............Bib for staUle containing....................slall............_`....� / . . �� .�. <br /> .� <br /> ................Numbcr uf persons in family , <br /> ..._�.....Num6cr of rooms in building � <br /> Thc premises nre to be used �s a. .... �' L'�.�.-/��G� C� -`�T �.'� <br /> __../ . ......:._...:__ ._..�._.. <br /> 1'hc o�cncr uf the premises is...__.. ...r. _C-.G2L-<G:'.�.G�....._..........._....... <br /> T' ❑gen? is................_... � . <br /> . ... ..................._...._.............................._......................... <br /> applic:�tion, althuug i signed, clinll not be Linding upon the City, until <br /> �acp. Ly the Superintendent of lJic Nnter�D/epartment. <br /> 4igned..x........................u�:..1.1.:.\tV.S�'!1.1A�y... pplicnnt <br /> . <br /> _......./1...�/3•....10?� Br..: ... . ... .�'� <br /> / <br /> ���.................... <br /> '---��t.�rmtendent <br /> � � <br /> , - .,..���' -- - <br />