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a <br /> > m^R7-1q._,�� � . . �o ' <br /> _ . -+�k.-d l9/ w. r..->.1J <br /> c•.n.ro-�,a-icoo-e.r.co.�z��i <br /> rity of Everett�W�..�ter De1�ai�tinent <br /> APPLICAT�C�l� POR ��A,T��k. <br /> :111 blanAs must be fiiled i:� or crossed .ut <br /> ---/— � <br /> l:em�ett�..........._./�����..�.�.f..................172..._. <br /> 1'0 TIIE SUl'ERINTENDP•.NT Or TIIE N:1TGH DEl'AltTliliNT: <br /> , CITY OF ��'LP.ETT: <br /> 1 hcreby upply fo* the u�c uf ��vtcr in ::crcrd•mcc u•ilh tlm rutrs nrJ rcgu- <br /> lations nt thc Nnter Department, 1'm• purpunes nnd fix��m�es stat�•d bclew, <br /> During the time thnt nny ot Nu ��•nter mnins mny� 6c tnken up L}• renson <br /> of any iniprocrments nutLo.ized Uy the City of Bceret[, jn m• uf nny atreet or <br /> alley in �vhirh �hep may hni•e bcen Inid, thc City i��ilt not br re�nired to furnish <br /> �cnter d:iring Ihe progress ot such improvements to nny cansumer �chose supply <br /> m:�y qius bc cut off, o(n c� liabl,c/for ::ny dumnges for its failure so to do. <br /> Applicnlion No.....�7..�.,�.r..H. <br /> , � J�... <br /> Qlucl;. ,.,�.i..-...� ........ Lat �? _�L . . Add._ . <br /> . ... ..... ...._ . <br /> _..... ._ _._ . __. <br /> ho...../�.0 ..�.. _ _. . _CU�e Gr... . .......Street <br /> ._ . . _ .. ... ____ ................... <br /> __.............._.... ...................... <br /> ,�,[ .... .................................... <br /> The �vork lo Ue executed by... _. ___. . riL;.i/ , ._.....Plumber <br /> . _ "-/ ... _ . . _.._ ...... <br /> Stntc/s�i/�c of tap. <br /> ...--�.j.(..'!.Tnp ta Ue iuserted ' e main. <br /> ....../.......{5'utcr elaset o`� <br /> _....f.......Qnth �� � G � � <br /> . lirinul � a ' I-I- <br /> ._..��...�.Plnin tar.cet insidc n <br /> r- <br /> ._.,�...Sidc n�alk �enxhrr <br /> .....�.......liosc Lib outaide <br /> ......,�......IIoe.e bib tor 6uil:ling purposes � <br /> __...... ....Hose bib inside � � <br /> ..... . .....BiL for staLle contnining....................stnll............._..... I <br /> .. Number o[ persons in family � <br /> ���---.�Q.....A`umUer of rooms in building � � <br /> The premi=es are to Le used ns a ��Q <br /> .. . ..._ . ..__...... ....... <br /> �'he owner o[ the premises ��. , ..... ' <br /> The ngent is............. . ... �i .. .. .. / . <br /> . _.... ....... .. _ .._........................................ <br /> �s npplicatian, although si�ned, �hi�ll not inding upon the City, dil <br /> by the Superintendfe�r t ot t/h/f \\'n!cr Depnrtment. <br /> �igneJ.�...-/../.�,(,//R Ll-,��i`�j... <br /> ^_ � � /^��.. B�`.... ._..... _ �pplican <br /> // <br /> r�..%'..-��' ✓1 X/.. ����j�2 ' / <br /> % 7 ... ............... <br /> tendent <br />