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Gr�'17 �t_.F. }4-! / _ ... . ._ <br />, -'��in1--.� — I o - a'� - '1�l� /�'r✓V <br />W. D. i'orm.—I:�OU—F..S'.Co.—L-26�24 <br />City of Everett��3Tater Department <br />APPLICA`rION FOR `VATER <br />All binnks must be filled in or crossed out <br />C�-erett�........' ..................._� �/2 �........_...........1�J2�.�...� <br />PO TIiE SUPEI21�.�'1tiNDPTT OR TIIP•, �,VATGR D�PARTBtENT: ' <br />C1TY OF �VEP,I?.TT_; ' <br />I hereb}� npply for the use of �eater in acco�vl�mce ���ith dic rules n�d regu- • <br />Intions of thc Watcr DepnrUnent, tor purposes and"fistures stnted bclow. <br />During tLe time that m�y nt thc �r�tcr mnins may Ue tnken up by tensot� <br />of nny iripruecmunts nuthoriced by thc City nC EcerMt, in or of any street or <br />ullcy in which they may hnve been Inid, th�: City ���ill not be m�uired to furnish <br />water dm•ing the pro�ress uf nuch improvemants to nny consu» mr whose supply <br />m:iy thus bv cut off, or be ]hiLle for any damn�es for its tnilure so to do. <br />Application No ................._...........�......_.. . <br />61uck........n....:�.'�_�..�y.�........... Lot................__........._..__. Add._...._...__._.._. ........ .. <br />No...��p.(_oL..._P�..'�l� _Street <br />... .. ..... _ _......... <br />....... ...._......__... ._ .... ...................................._ _..... ...__......_. ....._._. ....._. ..........._............... <br />The work lo be esecuted Up....... _._........ ._... _..._ __. _.......... _.....Plum6er <br />State size of tup. � <br />�.�.-�....,_..Tap to Ue inscrtad in lhe mnin. � • <br />.......�..—:.\1'nler closet �j J�� • <br />� �i � . . <br />i <br />.....:......—Bach y <br />......—.:'...Urinnl � . <br />� <br />.._�..-......Plnin fnucet in,ide � <br />................Sidc �vall: ��•nsher � <br />-- <br />...............Flosc LiU outsidc � :. ' <br />�..._.Aosc biL for buildin • mr oses i' \ <br />.......... 6 1 P j <br />...._� .....Iiosc bi6 inside � � <br />.. . ......Bib for staUle wntnining..........-_.......stnll .................... <br />.... ........Numbcr af persons in fnmily ' <br />..... �......NumUer of romns in building . <br />The Premises nre to bc used ns o ,(L/.(���7% Q_2�4t,�c.�. _. .. <br />The owncr of the prei�iises is .. /� �/:0�-�-��t�r/y� : <br />The agent is.. ... �.._ . � <br />......_.. . ... ............__........._ ..................._... <br />T'hi: �nplication, nithough si�ned, sh:�1f net be bindin� upon the City, until <br />-'-� t1�Superinte dent gt tl�e'h'ntc- Depnrtment. <br />,igned...... .��!.,:.f.:�...L_:....<":��.... . � plicant <br />� � .?-E'` :....... .... <br />1D....:2..5'.is� nl-.. <br />�i���i�/�'.. ... . . .... <br />intendent <br />