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I' nr . �r I L- �-f-2.}�:�, �w�.lw�--o� ��� v c .r. /:��✓ <br /> N'.b.Funa�—V•an—E.P.Ca.—fi-9C-:7 � .. , <br /> City of Everett--Water Deplrtment <br /> 1�PPLICATIOi� FOR WATER <br /> .1ll bl:mks musL Lc filled in or crossed out <br /> EVerolt,........(....�-....D...............__.................102_:... <br /> 1'0 TIIP Sl'PEPINTI:ND1'sNT OF TIIG R':\TF.R DEPell:T\IL\9': <br /> CITY OR 13VLItLTT: <br /> I I:creby upply fm• the use uC�e:der in nccord:mce �cith the ivles nnd rebu- <br /> lalions of the 1i'nter Dapnrtme��t, fur �nu•pu:;es :md [ix'ures stated Lclu�c. <br /> Dm•ing thc lime that nn}• of the tcaler m�iins nmp be tnken up b}' rensuu <br /> of nny ;mprureme:its authorized by tl�e Gty oC Ecerett, in or oC :m)' strcet or <br /> nllry in ���hich �he}� ntny hnce bcen Inid, lhe Citp o•ill not Ue rrquired lo farnisli <br /> �cater dmir.t; the proRre.;s of suc6 inr,irocemcnts ta nny eon�umer �chnse suPPl}' <br /> m�p� LLus 6c cut o:f, oGr be^l�iable for :my dama6es for its failnru so lo do. <br /> Applicntiun A�o....Q..�..1...�.............. <br /> Plock..............:::....�. � ._.�._.. �I.ut.. .� 1 . .... Add... ..._. . .. .. ._ .. . _ . .. <br /> r <br /> !.�.....!. / .� /..........._...._......... <br /> Vo......�U.. �..�!>._.....(..=✓..�-S.�J..-�.�._..._.. ._.Strect <br /> ...__ . .....__._._......._._................................._.. ..._ .__......_........_..... _____..........._...._....._. <br /> 1'he �curk to be esecuted Uy....... ..�/L��.. . ...__...........PIm�a6er <br /> Stnte sizc of tnp. <br /> ..��__Tnp to Ue inscrted in lhe main. <br /> ......�....._.n'ntcr doset <br /> .....�.........Batl� <br /> ................Uri nnl <br /> ..J2-.-.......Plnin fnucet inside <br /> . .. ........Side �calk �cnshcr �.. � <br /> !. _-- <br /> .....Ilosc bib uutsidc � <br /> ........... � .- � <br /> �7 Iiose bib for Uuilding 1�'��•i��`es (. � �- >�� p �' <br /> ..->�........I�Iasc 6ib inside /`S .. <br /> }........... <br /> ................IIib for sl.�ble can;.�ining......._.__.....stnll_.........._...._ " <br /> ................Numbcr oE persons in fnmilg <br /> __�.�....NumLer rf rooms in Uui!ding 1 <br /> Thc premises are to be used ns a_ . . . I.�«e �.�C�C.vc.r'-=�--.-- � <br /> � The owncr of the premise�s�is._... .__ .. ...... ... ...__ .. ....._........._................._.. ...... <br /> The �gent is.................__-�/��G[.C,�.Gc-t . ...../3 2.-a'-'.�.'............ . <br /> This npplicntion, nithuugh signed, shnll not� binding upon tlic City, unt:l <br /> . , ied by the Superinten �nt oj \Vnt�r DepnrUnent. <br /> SignedJ,...C�,�.... � �. .. .... ..... _............_ ../ .../.�_Applicant � <br /> � ��1..-.��..-.10^.�-.� IIy._ . .... �r�✓...�. .........._......... <br /> • ���������intendent ' <br />