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;.��-.. g�1µ;�t5-rr c��-c� '7-.2 3- %-�r-�- <br /> W.U.F'orm�—IG00—E.P.Co:L-:6-21 <br /> City of Everett-�Water Department <br /> APPLICATION FOR WATER � <br /> i � All blanl;s must be filled in or crossed out <br /> ���«cc.....:............... .................... ...�.�..............isz8...• <br /> TO TI�E SUPERiNTENDENI' OI' THP `.\' F.R DEPA .TiliEnT: <br /> CITY OF EV ETT: <br /> I hereby npply for the use of water in accordonco with thc rules nnd rega- <br /> Intions of the Wnter De nrtment, tor purpn=es and fix'ures stntcd Lclow. <br /> Dnring 'he time tRnt nny of the �vntcr mnins mny be taken uP liY rensan <br /> o[ nny improvements nuthorized by the City of G�•erett, in or of imy stree6 or <br /> nlley in which they mny hn�•e Leen lnid, the City will nut bc required to furnish <br /> water during the Progress of surh improvements to nny consumer whuse supply <br /> muy tlms Lc cut off, or be linb�le7 f/ry� any damnges for its fnilure so to do. <br /> Appticntion No........�..�..C� `� . 73'{'S • <br /> . ................. � <br /> Nlock_.�....�'0.6,_-��.:�..i.... Lot.......:_...:!..._................... Add'..._..................._.._..._.__ .. <br /> !�. ..�../}��.L.�-5�-.�t................Strect <br /> .............................................................. r...................................... ..................................... <br /> �. �I_ 1 <br /> The work to be exe�wted by.�.-:"_'.:'."�.:-o-`:---.-..��.-..�..cu-.�.d<e�'umber� �� <br /> St te size of tnp. FI e ° , <br /> �.��.....Tnp to be inserted in the mnin. �f�U'--�' I ' � <br /> �, <br /> 3u " �� . <br /> ..... ........Rntcr doset � <br /> r i � '� <br /> ....1....._.....Bn[h ✓U�, i . <br /> ....._..-....Urinal 1 l- I !�. �-,. � �, �' <br /> �� i �.��,.,;> '-' - ��..� <br /> .�".�......Plnin fnucet inside � . .: (,�:� ,� ���4, <br /> ' �� ,.•� �'� .i ... _� .,'. <br /> `.—'.-'....Side n�nik wusher � � . ".��� <br /> . �:.......Hose bib outsidc � �,����'���� ' ' . <br /> —'---�- .Hose bib for building Purposus � II <br /> '_::-�:_�..Hose bib inside !. \ <br /> -.::..-.......Bib Lor stsble containing...................stnll................._. <br /> —- <br /> ................A'umUcr of persans in fnmily <br /> �............NumLer af rooma in 6uilding //�� <br /> The Premises are to be used ns n.... _ ....1...�.._A..B.J�-�� ��� �� � <br /> .. . .. .... . ..... <br /> Tlie owner of the premises is.......�...� . X ..' <br /> �,�.,,�,,(�, •'—`�--Ztr"LX 4 <br /> Thcngent is..........................................................................V............._......................... • <br /> -- - <br /> Thie npplicntian, elihbugh s' � d; Il not be binding e City, until <br /> ncce�ted Uy the Su�rA�ntendent aler Depnrtme�yt� <br /> Signed .......... ..._. ... ................ ..:LI...../.. ............... �Pli nt <br /> .. .. <br /> / 1 <br /> Accepted.......�::�.:�..�............192� . BY.....�.�G`...�i..� .. .��........... <br /> Sagtt�! �ndent <br />. .._ . , . -.... :,_, .. .. . --n�--.�..._-.«�.--� <br /> . �.- -� - � .,-,. .,. �.:.. . ....- . . . . . <br /> ..: . .,_ . . .;._..,. . _ . . . . . . .""`.2,��_��r"�" :�.,::�. <br />