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;. <br /> �-�.S�u-.4 (.-t6_ ��6 �',-,-. .z r -k- 1 LI—' �Jc - ')1c !�'>�>I <br /> C-r�X.AJ..C.Q <br /> N'.D.Form�_.I60D—E.P.Ca--G-".6-41 <br /> City of Everett--Water Department <br /> APPLICATION FUP, WATER <br /> All blanks must be tilled in or crossed out <br /> �vcrett..................l..l./.f',L,,:Z.:�e:��-� 1�2_�f <br /> ...... <br /> TO TIIR SUPERINTENDEN7' OR TllG l�'AT[�R DEI'.11:T.1f6IdT: <br /> CITY OR �VERGTT: <br /> I hereLy npply for the u�e ot o•:�ter in nccord:mce �ritL the rules and regu- <br /> lations of thc Nuter Der�artment, for pmposes �md iix'uras sLded Lclu�v. <br /> UurinF tFe time thnt nny oC thc tt•nlcr mnins nmy be tnken up bY reason <br /> ot nny im irocements nuthorized 67 Lhe City ot F.verett, in or u[ nny strect or <br /> nlley in w�ich thcy may hnve bcen lnid, the City will nut Ue reqnired to furnish <br /> tvnter durinq thc progress of such improecments to eny cunsmner whose supply <br /> may thus be cut uff, oryr`be/1'nble fm� nny dmunges far its fnilure so to do. <br /> APPlicnlion Nq....Q...7..��................ <br /> Q <br /> Block............��....!1..............�Lot.........�....__.............__. Add._._...... <br /> . .._................ . .. <br /> No..._.�G�.U:S -�.�:c..:c.r�cs...f._f�..._.....Street <br /> .. ___.... . . .................. ..... .....__-�.... _._... <br /> The wml. to 6e esecuted by... .�_Gc� ._.� P]umUcr <br /> _ <br /> S tc s�zc of fip. � ��'Ga � �i - ' �� <br /> �r /L <br /> -- /�._"� .......Tap to 6c inserteJ in thc mnin. ��� � ����; .� ���S <br /> l' __ . .., , _.� � 7 ; � <br /> � Nnter closet ���' '-`��IJiy � . '� <br /> ................ "� i� c. � ; <br /> �, i.i � <br /> ......�........Dach �.. ..... .. ...� . <br /> ...... ..... <br /> � ............... <br /> ....._�......Urmnl <br /> ......2.-.....Plnin fnucet inside � <br /> _..._-......Side wnik n•nshcr <br /> ....._�.......Ilose biL outcide <br /> ...... .......Ilose bib for UuilJinq purp�se� <br /> ..-�.:..._Hose bib inside <br /> . .....:..:....._.Bib for stablc contnining._......_..._....stn!I....._......... <br /> _. <br /> ....... .....Number o[ pc:sons in fnmily <br /> . �.......Number of roams in bwlding <br /> The premises nrc lo bc used ns n _. .. Cnr_ � <br /> _ . / � <br /> Thr oaTcr o[ thc ptcr.iises is„�(�C�� �,R `� - , <br /> "� ' -:^nt is......................................._.....__................... . ��'�""'f� <br /> . .................._....................._.... <br /> r.pplicntian, nithough signed shnl! not Le binding upon the Ci , until <br /> �. ` -� lhe Superinteyxtent o �/�y�'tcr Depn ent. <br /> ,� f:..��s...�- <br /> Signed�.L-L�: . _��.-..-_............�rnu e <br /> r:r.._....�...._.......iB2./.. Hy�,.. � . <br /> .. <br /> . � O - -�«� /� upennten�Cnt.. <br /> , <br /> w <br /> • • <br />