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.�- -. ry ,v . , „, �-r�.lt,t<�vi ?_ `-•/- } % !s'�'% <br />a�. u. r��m �-�cao-r_r.co.-s-zos� <br />City of Everett�Water Depai�tment <br />'�: PPT.TCATION FOR WATER <br />All binnks musl 6e Si;led in or crossed ouL <br />I������«.........,_ .............. ..._�..g...............--.......��z..� <br />TO Tfil SUPGRINTGNDEhT OF TIiP RAT�PAP.T\fENT: <br />CITY OF EVERCTT: <br />I hereUy npply for the use oC «'ater in accordnnce with the tvles nnd regu- <br />lations of thc Wafer Depnrtment, for purposes and fiztm�es stnted below. <br />During the time that any of the �sater mains mny be tnl:en up Uy rcason <br />of nny improvements authorized by the City oL P•.cerMt, in or of any st.rect or <br />nllcy in which theS moy hnce been laid, the City will not be required to furnish <br />mater during lhe progress of such improvemenls to nny consumer whose supply <br />nt�y thus be rut aff, or �b)c liablc for any dmmr���g�es for its fnilure so to do. <br />APPliention Nu..._..../J..�c�...�.._.......--23$'f� <br /><_,�c . - <br />Block ...................................... Lot......_........_...................... AJd.._.....__ ...... _._..��.�/ <br />No....�]..Cl...�......_: ..._ ...... .... .. .......y ...................3trnet <br />....._...._ ...............� s-,�� ��. .. c: <br />! `' � S <br />The �eork to be executed by .............._...... <br />..�St size of tap. <br />_...TxP to Ue inscrled in Lhe :�inin, <br />................n�at�T �i�s�t <br />..:....—.....Bnth <br />......:...:.....Urinal <br />--.-.:.r:::....Plnin faucet inside <br />._ _ _.. . _..._. _ _.... _..._ ............._Plumber <br />-.....- .—.:..Side �rnik trnshcr <br />. ............:...:Aosc Uib oulside � <br />--_ <br />................Iiose bib for building purposes � <br />— -- 1 <br />................fIose 6iL insi�lc � <br />�::.:..-.........Bib for staLle wntaining ................��stqll.................... <br />— — -- <br />................rumbcr of persons in tnttiily <br />................Number of rooms in building <br />The premises nra to bc uecd ns a........_� ..._,,� .. ......._.........._ ............................... <br />Thc owner of the premises �S...t�F`.{;C1......-�-:�'�-(�--�'-��� -12i <br />_ .. ......................................_...... <br />Thcngent is ...................................................................................................................... <br />This npplicntion, nitl�orgh signed, ^,hall not be binding uPon the City, until <br />nccepted Uy lhe Superin[rr;lent o[ the /Nnter Depnrtment. <br />Signed.....�...�...�.....�..L'"C..:: {:?�.t9?,:-�3. �.-:......._............_..........Applicnnt <br />Accepted................................_...102...... By........................................... .................... / <br />Supermtendent <br />