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_. . � . i. . .. �/\IT� �:- . _� �j " _ , <br /> \\'.U.Pnnr a !St�O—E.P.Co.—&2G.1 <br /> City of Everett�W�ter Depnrtinent <br /> �,pPLICATION FOR WATER <br /> A11 bl;:nks must bc fillc;l in or crossed out <br /> '' / ...192..J.. � <br /> Y. . ....�.'Y.............. <br /> .cc rett.......................................... <br /> TJ T71P SUP�IiINTLA'DP•.NCITY OR EVGlti'sTT;DPPAI?^_'NENC: <br /> I Lc:�eLy npplS' tor the usc oC tcatcr i» acrcrdance ��:th LUc rules nnd ��cgu- <br /> IALIO[13 OC tI1C R':iter Ucpartment, for pmTas�3 <<nd fi.rurec st:ited bclo�v. <br /> During the Lime thnt :my oC thc �vatcr mnins mny be taken up Ly reneon <br /> ot anp imP�'�'��cuicnts nuthorized Uy the Cit}• of I':cerett, in ar af nny slreet or <br /> alley in «'hich thcy� m�y hnce 6een Inid, the City n'ill not be rcquired to furnisi� <br /> m�y�thus�Uc�t��toff urUe�lt�ble'for,�inY�+����1°F;es�for�ils�lailurcrsu,lusdou��P�Y <br /> a\};plicution No... ._.$.�..�..3.._......... _ � <br /> i.oc.3_.-.H...._ . aa��-=°<c.,� y�._._�_��. <br /> Qio�x...._..�...._ _..._. . � <br /> � <br /> n•o.._�.<So�J ...... _. __.. .............._.._...........__sc���� <br /> ' ._.._. ..._.._._..._....... <br /> ._. ._ . . ...._. <br /> . .. . ......_ <br /> ._.._..... . ._ .... .. <br /> Chc uor:: to he c::ecuted by . ._._. q.,.:e..[Li ..._ . ... . . _..... _....Plumber <br /> � e <br /> State eize of tnp. � 3 S�� <br /> //�J..:........Tnp to be inserted in thc mnin. L�- <br /> �i ��- <br /> ....�_......_�\'nter clnsct ��Y <br /> ._�.._._...Bach <br /> _....... .. ...Urinnl <br /> ,_._._........1'!nin fnucet inside <br /> _._..........SiJe �vnik ��•nshcr � <br /> __..........1Ia<e bib ovtside <br /> ... .__.......Hose biU far building pmposes ��'� <br /> \ <br /> ................}Iosc bib insidc � ' � <br /> .__...........IIib for stnblc co�t�ining...................stnll....................' . <br /> ................Aumber of persons in Smuily <br /> ,,...�.-....NumUer of romns in building • <br /> The Premises are to Le used as n._ . .... ......__ ........._.__....___. ..._.. ._............... <br /> TLc o�cncr of the Premises is........._.... ... ....... _ . . .._.._...._..._..... _._.__ ._._.. <br /> Thc agent is......_............._.._. _................._...._............_..................... <br /> . ....__._._..._... <br /> "'his npl�iicntian, nitlmugh signed, shnll not be binding upon tUe City, imtil <br /> .^d Ly lhc Superintaidcnt af tjlc \\/yyr D , tmc t. <br /> l / . / �, <br /> �j���CLf /�.. ..... ... . i!//�07.?....Applic¢nt � <br /> �gigncd......�.... . ...._.. ............. n._./...'...... <br /> - � " <br /> � -� ' D°...... ..�.. . ,/ .. ...._.................._.... <br /> ��'�� , �� � -Superintendent, <br /> v r v' <br />