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5.�.�:t.� _._._i ', - `S- -, (' �n. . , <br /> \Y.D.1 orm i�-IL00—F..P.I'o.—G:G24 <br /> City of Everett�Water Department <br /> APPLICATI�N FOR WATER <br /> All blanl:s must 6c filled in or crossed ouc <br /> r•.�•�r��c,........ ' �..�.�1......�......................i�a.4. <br /> 7'0 TIIP SUPLRINTEI�UliN'CITY OT' PV�T:CTT; PYARTti[liN'C: <br /> I herrby nPP!Y forp the use of�c:LLer in �ccordance �ciUi the ivlc� nnd tegu- <br /> IationsDuriug lhcttimc thit�nnY �f thc u�:ltcr maiu�s mnyrbe l:Wl en����b� renson <br /> o( nny improvements nuthorized by the Cily of Eccrctt, in or of any street or <br /> ulley in whieh they ntn}' Uncn. Ucen ln�d, qic City will not bc requ:red to furnish <br /> �crter Jurin6 the prugress of such iwprocemeuts lo any cousumer ���hose su�,pl;. <br /> mny thus Lc cut otC, a`r/6c IinLleQfm• :•n}' damn6es for ile Inilure so to do. <br /> Applicntion No .i �.. � �u ....... / . <br /> � ............ Add... _... .... <br /> ... ..... Lut ... �._. �? ....... <br /> Block..................�. ... � .. .... <br /> No..._.4�J�..�Lp ��7..l1.2�L.Cr''t.__.........._SVect <br /> .... ...... �G.n- . <br /> .._ _.........__............. <br /> __. . . ......... .... .. .. _ <br /> .._... . . _� <br /> �G . . .. ......PlmnbcrU <br /> Thc a�orlc to be esecuted by.__...._. '1 �. � � <br /> Statc sizc o[ tnP. d`�_— � 1 /� <br /> �� d,0 <br /> .!!.?�...TuP to bc inscrted in thc mniu. <br /> / <br /> 1..,,,_.\Vntcr closet <br /> ...._ . Bnth . � <br /> r....... . ... <br /> ......":�2.._Urinal '" <br /> . .,.�.e....Plnin fnucet insidc <br /> — <br /> .._............Side w:dk w•nshcr <br /> ..._..I. ...Ho=_e bib outsidc <br /> -- <br /> .._-:........_Iiose bib fot bm �tng �mrposce <br /> _...�._.....SIuse bib insidc � <br /> --- .. .slall........._... <br /> ...__......_.Bib for staUlc contalvng_.........._. . . ..... <br /> ,.......,_....A`umbcr ut persons in fnniilp <br /> _...�..Number of rooms in building <br /> Tlm Premises arc to be used ns a / � --����� � �"'���"���'���` <br /> ._ . ......... .... <br /> Thc owncr of the Prer.iises/i�s:::�Gl��� �•�Y�"'""�""��� <br /> `.__. . . _L. ._ .. <br /> . ` . L�r.l.[!\... ' ........................... <br /> I�.e ngent is...................._.� .... .. ......_..._....... . <br /> ;qin npplication, aithough si�.�J, shnll not 6c binding upon the City, until <br /> . ��d by the SuperintendeJn(J/.�ot �he \VnterP epnrhn nt., <br /> Signed.:'..... .Cl�l. i�........"'......................... . ....._ A plicant � <br /> . ...... ...................... <br /> �.. <br /> 2..i;�� nY..... ............... <br /> .pt��_.._. .......�'... ... ' .. ._. .._ .. ..tf� er�ntendent 1 <br />