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ai.vini�� 11'��-- � � � ;\ , �—_..---. � - ...,, .-- � Ys1'v� <br /> W.D.Foim�—1600—E.CCo.—R-26-2� <br /> Gtv of Everett-�Water Department <br /> , L�CATION FOR WATER <br /> All Llanks must Ue filled in or crosaed out <br /> Gverclt,..........._....._.. ...19y.... <br /> �.._�:.�............................... <br /> TO TRF: SUPERINTL•NDENT OF TI1E ��'ATF.R DEPARTBIENT: <br /> C[TY OP EVi3liliTT: <br /> I hm�eby apply tnr lfie u�e of�snler in accordance u•ilh the rvles nnd mgu- <br /> lationa of lhe Wntcr Depurtment, for purPoees anJ fixlm�ca xtated below. <br /> During the Lime LhaL nny of thc wnter main= may be taken Vp bY reason <br /> of any� improvements authorized bv the Citg ot Le�rett, in or ot any strcet or <br /> a11eY in w�hich ihey may hnce bcen laid, lhe Cily �vill not be requimd to furnish <br /> water during ihe pro�reas nf such improecmentv to any consumer whus�� supplY <br /> m:�y thus Le cut oft, oGr -b7e liable for anp d,a�m�ag¢es for itx failure so to do. <br /> Application No._�7L!/ �:S .-.� <br /> Block.......... ..1rt� 1 . Iot ... . ....... Add..........__ .._.___. .... <br /> No..� �.0�.l� .y �G�-� �l. _. . . ....Street <br /> �% <br /> _ z_...._.................._ .... ..._.. ............................ <br /> ___.. ...._.... _.._.... ... . .. <br /> The ��ork lo be execuled Ly........7�T...le-.-�.UG _ . ._...I9um�er3�,�l� <br /> �s ���r�_ �w� � <br /> State/size of tnp. . <br /> ._.,-3%..?�Tep to be inaertcd in the mnin. (� <br /> I <br /> ._..7........1Patcr clasot s��� <br /> .__..:........Bach <br /> ........-.....Urin al . <br /> ................Plnin fnucet inside <br /> ................Side �eelk wnshei <br /> ._............14oec LiU outside �.(`L • <br /> /�� <br /> .... ._........19osc bib tm• Luilding Purposes �`g <br /> ....__.......ilose Uib ineide <br /> ................Bib for EfaUle containing.............._.._stnll.................... <br /> ...._...._....Number ot Pcrsona in familY <br /> ................Number o[ rooms in building ` <br /> The premisea arc to Fe used as e�,..�.cii�-'-.�-.��.� <br /> The owner of the Prcmines iv............____. .__.. ......_ ._.............._.......................... <br /> Thengent is_._......_.__...........__............_...__._...._.___........._......................._........... <br /> Thie npnlicntion, nithough si�ned, shnll not be binding,upon Lhe City, until <br /> nccePted Uy lhe SvperintenJcn. ot the \Vatej D�pnrtme t. _ <br /> Si�ned.�'.�.........�:..�.'.._k'.�„l/�� �� y� `....... PPlicnnt <br /> Accepted...__..�'.�nl.__-132.� BY.___. ... .��'�-J�.L/ . .._ ._..... . <br /> /' ������ 1 - •.�icrintendc� <br />