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� �.q�/Z -J=30 - y Y�_._c�r"' i0� ��.gv . lr. <br /> ✓ <br /> W.D.Form G-160u—E.P.Co.—L-P6:d <br /> City of Everett�Water Department � <br /> APL'LICATION FOR WATEF, <br /> All blanks must bc filled in or crossed out <br /> Lccrett�........... ,/' ....:�...._..................19�� . <br /> ....�T�..�......... <br /> TO THG SUPCRINTENDCNCITY OF EVPRETT:D�PAP,TnfENT: , <br /> I hereby npply for tlie use uC wnter in necardance u'ith the rules mid regu- <br /> Intions of the Wntcr Department, for purPoses and fic+ure� stated Uclo�v. <br /> Dm�ing thc time thnt nny o[ the «•alcr mnins mnY Ue tnkcn uP Ly renson <br /> of nny improvements nutLorized by thc City of P�•erett, in or of nny strcet ur <br /> alley in which they m�y have been Inid, the City n�ill not bc renuired lo furnish <br /> w�ter durinfi the prngress of such impTovements to nny consuner �chose supplY <br /> m�y thus bc cut otf, or/bc linble for nnp damnSes for its failure so to do. <br /> Applimlion No..../.._..n.X�.............. � 'S� ' - <br /> I31ock........................................ Lot...�........../........................ Ad�(�G���. <br /> No............�l�...-.-��../..........��/6.t.��•;��......Street <br /> ............................................................................................................... ..... . <br /> ..__.._........_..._... <br /> , .. . _._..Plu»iUcr i <br /> TUe �vork to..be executed by..._.._r;___�,::;z..�... :-.....-.... . <br /> Stnt sizc ot fip. , �� �� �� <br /> j�!.....TnP to Le inserted in the main. `� <br /> ._.�,........Nntcr doset <br /> .._�..........Bnth �� . <br /> ...:............Urinnl .. <br /> .,,,(.'.:.......Plnin fnuceL inside � <br /> .....:......._.Sidc �cnik ��•nsl�cr <br /> .._�..........Ho=e bib ovtsido <br /> ..^...........Hosc bib for building PurP�ses <br /> .............._Hose biU insidc <br /> ...... <br /> ..........Bib for sluble contnining....................sti�IL._..........._... <br /> ....:.:/.......Number of persons in fnmily <br /> ....,/....-.....Number of rooms in Luilding "f f_ � <br /> � ' �..�.L�-�.c.., .. ....... ..........._.._�....... <br /> � 7'he Premises arc to bc used ns n.......... � .� , . <br /> The o«mer af thc Fremises is.........�.:...��.........�/a--G,:.?.:�...::..6::.,'.::_. <br /> Thengent is..................................................................................................................... <br /> This nPplicntion, althougli signed, shnll not bc bindin� uPon thc City, vntil <br /> �'�d by llic Superin endeyt of t e \Vnter,Depnrhnent. . <br /> � :� . , � � . � <br /> Signc�f�::.:�L..�.�LGf�C.:�..-:../,f. _/....................ApSrl�cnnj . <br /> .... ...... � /� <br /> /' ' " �,,;,�u�i 6. -... <br /> �ll �,.�....�.........�� BY-._..L�r,?.�?�.G'.�S peri�endenL... <br /> � r , <br /> i <br /> ,.r <br />