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� r' / <br /> .�� � � , _ � �1._�e .l� "l' �. i.'/i <br /> %L r,ru `7 <br /> w.o ro���•—�n�� r.r.co.—�:u:+ <br /> City o.� Everett�Water Department <br /> . �`PT T� �TION FOR WATER <br /> .11 bla:d:s must Uc filled iu or crosseil out <br /> Lv crc L�e..��.�................_...1'J'�..� <br /> 1'0 'filE SUPfiR1NTEA''J�N1' OI' TT1E li':1TP.!: DI3PAI:TDIE\'C: <br /> CITY OF 1's\'GI:IiTT: <br /> 1 hereby apply for the use ui water in nc�ordaiice u•ith the �ules nnd regu- <br /> Intions nC lhc R'ater Department, for pmposes rmd fi:'ures sL•:tcd bclo�c. <br /> Dm�ing ihc tinro thnt nn}• of Che �vatcr mains m�y Lc taken uP b,r reasun <br /> o[ nny improve;venls nuU�orised Uy :hc CiLy ot 7iccrett, in or of any street or <br /> cl:ey in trhich lhup m.q' hnce U.en I;cd, lhe City will not bc renuired lo turnish <br /> �c.:lm• dm•ing the progress nt such in�prevemcntc to nny consumer �vl�ose supply <br /> ma;: tlms Le cut e`f, o�rj Le linble fnr any 3amoges Car its fnilure so to do. <br /> Apiiiicntian Nu....d...d.3`.�.�.. ............... /� <br /> Ulock..................................._.. Lot..._._........_....__......_..... Add..`..... L-���_. <br /> \�o.......�0.� �.._....�.�:�Rct?........._............Strect � <br /> . ... .._..__._....._....... <br /> ._ ___..._.. ...._................_........................_..._. _.__....._......._... __ . <br /> _. The �vork ta hc esecuted by._. .. .... _.. . ._. . . .. . .. .. . ..._.. .__.Plumber <br /> Stnte size af tnp. � <br /> ,3/{�...Tnp to be inserted in thc mnin. <br /> ....X/ <br /> ........\Pnter claset <br /> .....�........Bnth <br /> .....�........Ur i n a I <br /> ....,�.......Plnin fnucet in�ide <br /> ._.X........Side �vnll: �enshcr <br /> .....�.........Ido=_c bib outsidc /- <br /> ._. . IIosc bib for building purpose= ' � <br /> ,� , <br /> c.... <br /> .... .........Hosc Uib inside � ,rJ � �- � <br /> .....'}V�. .IIib for st�Ulc cor.tniving....................slall.................... � <br /> .....:(........Numb:r o[ persons in fanily <br /> ......�.......Number of rooms in building <br /> The premises r.rc to bc used ns n.... . ... �mrtG C��......_.......... <br /> The owncr of the prer.iises is__,l�_ . ._ .'.'�/i,.l�f--Lth�t.—_. .. <br /> ThcnBent is................................ ...... ..............__.........__......................__........_..._.... <br /> This npPlicnlion, nithouqh signed, shnll not 6e l�inding upon the City, untii <br /> nccr�iled by t4e Superinyt}Licn f �ier Uepm:ment. <br /> Signed�...U��........................__-�C,_.... .... .... ....�l.Applicnnt <br /> . ; <br /> :lecepted.._v{..���.t'�`...�192...... BS_ ._!`' .1�—���1�.................. <br /> / SYupermteudent / <br /> —�7�'--_--. <br />