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`fir`�_j„y.�.l� 10 -' v�'-YJ fiirl <br />'C...�'a". ii -4- �5 rJ� . , <br />\\'. U. Perm J._l:ew-ti.I' Co.-+:G 2a <br />City of Everett�Water Department <br />APPLICATION FOR WATER <br />All blunks must Lc filled in or crossed out <br />�% � � <br />Eccret t .................................. ..1975... <br />..................................... <br />TO TIIG SUP7iR1NTENDli�C1TY OF ���GI;GTT;DEPAIiTnIENT: <br />I hereby npl>�Y for the use of �valer in accordance �viUi thc rulcs nnd 1'egu- <br />lations of the R'nter llep�rtment, for Purpo=es �md fixtures stnted bcloe•. <br />During the lime thnt ang o[ the ��•a'er mnins mn�• Uc laken uP Ly renaon <br />of nny improcements authoriud Up tlie Cily af lic�rett, in or of nny street ar <br />¢Iley in �vhicU �hey mny liace Ueen Inid, tlie City will not be required lo furnish <br />�vatcr during Uie prugress oC such improvements to nny consumcr �vhose�supplY <br />may thus Uc cut off, or be li�ble fur uuy d:imnges far its fnilure so to do. <br />Applicntion A`o............g.....�2..:.... <br />� . �...._ Lot.........:. ......... Add..:�._....._..__.__.__......_..... <br />B l o ck........... � .................. .. ........ _.......... <br />No.......�.�..0 � ...... .... . _...........• ......... ....._Street � <br />� ........................ ...................... .............. <br />_ ............................_.........................._... � <br />Tlu work to be executed b <br />y....__........_. . _._ ....... ....................... ` Ucr <br />5 � size of tnP� ----�.Plum <br />� <br />,.. .t�_�...Tnp to be inscricd in tUc mnin. i; .-� <br />--_��'ntcr closet I� A <br />�� <br />...._° .—:...Bath <br />.......—....Urinnl <br />.,..,,. �Plnin fnucet insidc <br />...._--.-....Sidc wnik �enshcr � <br />_�:.-�.....IIosc bib out=idc � .. <br />,.,.-.........Iiose bib for building purpuses � � <br />...._!�...Iiose biU inside . . ,� � <br />.....—.......BiL for stable containing ....................slnll............_....... � <br />,.,,,,.�:-....T'umbcr of persons in fnnily , <br />.,,,�:. .....NumLer of rooms in building • <br />The premises orc to bc used ns n..._ �-���-�-�--�-�����""�"` <br />1'4c a�vner of the premises is........�...�. S._��Ze*-*--tJZ-E_.- .................. <br />. ..SenL is .............................................. . �....__........................._.--�-�---.. <br />......... ..... <br />, �plicntion, nithou6�� signed, ahnll not be binding upon the City, until <br />by Lhe,Superintenden� of the �Vnler Depnrhnent. � <br />�'�,/ <br />5igned......... ?...r..:'2.^::.-. ....................._Applicn <br />L_1'.'��.. �•• ..............'.. <br />� .......1�J2...... BY .................................................................. <br />ciL ....:........._....:....-' . �Superintend t <br />