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� <br />.��,r :f_6_z, _,,,� <br />15'. Il. Torm b-1 �0� �t.P.Co: b."6.2� <br />�.-�"-4� 3. i 7- ;- l� f�-r,-v <br />City of Everett�Water Department <br />APPLICATION FOR WATER <br />.411 blanks must be filled in or crossed out <br />—�—__- <br />Evcrett ............................ �/ 7 ^7 <br />PO TIiE SUl`E � � � ���••102-.L.. <br />RIVTL•'NDENT OF 1HE �PqTI;P, llEPAP.ThIlNT: <br />t C1TY OR EV�ItE:CT: <br />. I Lereby npp�S• forp thc u,e of w�ter in nccordonce with thc rulca nnd regu- <br />IutionsDuru�g hc Lime thntt ny�afftha u�atcremn nafmnu�es stated Uclow. <br />°f n��3' �mprovements authorized by thc City ot Ererntt, in or of nny strect or <br />Y be take�i uP by renson <br />nlley in which they mny hn��e bcen laid, thc City �y(�� na� �e required to furnish <br />�vater during the progress of such im7irovements Lo nnp cauumer whose aupp]y <br />mny thus be cut off, or be liuble for nny �n����iges for its f:iilure so to do. <br />+�PF��cntion No ..............y� J 7 � rz � <br />. ........../..—..... <br />Block..........�c_�..5_..... .... Lot..........._._._......._.... �/� �� , n <br />. � . Add..._�v,t.<S(`. �-1� <br />No....a�.�n.0..�..... ... . . ... .............. <br />. ..... L.-.Q.<t ..................5tmet <br />.................................. . <br />. ............................... <br />................... <br />TLe work to be executed b ___...__. .. __........._ .......................... <br />y..._ <br />Stn/tc size of top. .........-- .............Plwnher <br />.-�f�..��._Tap to bc inscrted in U�e r.min. � • <br />�-� �-....Wntcr doset '�I 15�� <br />..._�.....11nth <br />... � <br />, _� \� <br />• �......-�.....Unnnl <br />................Plnin faucet inside <br />�`.....�.......Side wnik wnsher � <br />���������......,Hose bib outsidc <br />� ����:.....Hose bib for buildin � <br />� 6 D���'Poses <br />................I1ose 5ib inside <br />................Bib for s;e61e containin �. <br />__" <br />�........_..........S�A�I.......� � � <br />...Number uf y r..._."'..t� <br />........ persons in famil ! i <br />��....Number of rooms in huilding ' � � <br />Thn premises arc to be used ny n,..___._ <br />....... . . .._ _... ....'� <br />'Che owner of the prernises is....._..... <br />...... _\ . ........... . <br />. ............... <br />� _:�_,.. _..... <br />The ngent is ................. ..... ........ • <br />. ........_....... <br />.................................... . . . .... .... . . . . <br />his npplicntion, nithough signed cUnll not be bindin .... . <br />. . . . . .... ......................... <br />nccepted Ly the Superintendent of the R'nt�I7�pn me ts u on the Cit <br />� P Y, until <br />�Signed..._.....� i.:.�j........... � <br />.. ...�� ........ .. ......................................APPlicnnt <br />Accc pt ed .............................. . <br />. .... _ 192...... B <br />y.. � .............. .................... Superintendent <br />