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r.,,--J,.ni„v, •.- ;-'�'•: t.- ,.. <br />�.r , y� If" • ' <br />R'. D. Form d-1600—E.7'.Co.--6-2G•2d <br />City of Everett--�Water Department <br />^ �p- ` �ATION FOR WATER <br />All binnks must he fillcl in or crossed out <br />Ecerett.•...•..... .3 ...132...,g <br />........... � ............................................. <br />TV '.._ i SUPERINTENDENCITY OF EV�liETT;DEPART\fENT: <br />I hrreby nPP�Y for the use of �c;�ter in nccordimce «•ith tUe ivles nnd regu- <br />Intions of the ��'nter Depurtment, for purpo�es :md fistures stated bcloa�. <br />During thc time thnt nny of the µ'nter mains mnY bn orkof nn}bstrect9or <br />of xny imprcvements nuU�orixed by Lhe City of Eccrett, <br />ulley in which they m�y hnve been 1¢id, the City will no6 bc required to furnish <br />n ay thus��be cut oft o,r/bc vlinUle for nny dan nges�for �ts�fn'lure�so'to do.UPP�Y <br />ppplication No.....C.2...Q... �...�.. -- % �. �o S <br />� ��� � � - �'� .. Add... • <br />� s_ �.. _.x.-�.ot..lY .....��...., ...... _ . _.... . <br />Block ............... . <br />_ ..................... <br />.............................................. _... _ _ ...........---- <br />i <br />; � . . �- �— . „�n..Plumlaer <br />� Thc work lo be executed br-�fG'�.`��'��+•-�r����l't' �� - • � <br />A � �`� '� -i 4��-. 7 �4 4.~.. . Y.i�-� <br />Stnte eize of tnp. � ^` �� �- `. � I , , <br />�,..� :,• I:-icr�6 <br />...��L.Tnp to be inserted in the tiiam., ., `�. <br />..i . , -., �,75] '`.. <br />.......r.......Nnter closet CI7�' pf [4GiiE ' �F'A�i�R UEF"T <br />......L........Bath . •,- �� <br />. ..... .......... .. ............ <br />. . ...__'-_ <br />........ .....1 rmn: <br />.... Z.....Plnin fnucet inside � <br />........ ...:ide �vnll: w•¢shcr <br />....... (.......Aose bib outside <br />—.._Aose uib for building Purposes <br />_.�,,,.-.—....Hose bib inside <br />�...Bib for stnLle containing ....................stall.................... <br />,...,_... .Numbcr of persons in fnmily <br />,.._�...Number of rooms in building <br />• . ................. <br />The premisra are to be used n a.........__...... ... �.�_..__.��;�� ������������-�� <br />. . 0 / I-s.<. - ........... <br />TLe o�a��er of the Prem�ses �s.... -c-.tn���������•��4^���`� <br />. . �� .............................. <br />Thengent is ................................ ................................................ . <br />This npplicntiou, elthough signed, ah¢Il not be binding upon the City, until <br />acceP� Ly the Superintendent of the Nater Depn�r.t..m!ent. <br />� /� / �� .�L- ppplicent <br />Signed.....:�'�._GLQ--m!f *.... ��.. .-,�/..G//..,� .._.. �....... <br />l/ <br />—......10?� HY... ...... ........ <br />.. ... . ........... .. <br />AccePted.....�:-....3.... � � ' <br />� f � - uFerintendent <br />� <br />