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�.1 r„�,; . � , , �X- z>- _-, ,-,T. <br /> , . _ - <br /> 1\'.L.tb:m� �15nU—F..P.co.--L-:G"./ - <br /> City of Everett�Water Department <br /> �PPLICATION FOR W%/�J'TER <br /> All blauks musL Uc t:ilcd in or cros=_ed out, // <br /> Y/ <br /> � �/�T <br /> Everett.........................._ � — ..15^__ _. ' <br /> / ..... ..........__.........__.... <br /> 7'O 77'iS FUi`i�:P.1NT1'sNDENT OF THF. R'�'l i Ii�PAI:TbItiNT: <br /> 'CITY OR P•.VI]�: . T: <br /> I l�.cicUv rPPly tor thc osc of watcr in 2cccrd:mcc with thc rvles a�d tcgu- <br /> lations of lhc Nnter Ucpariment, for pmposes and tix'ures stated l+dcn'. <br /> During the lime that any ot the �cater mnias m�U' Ue taken uP Lp rca.=��n <br /> oF nuy in:provcments auUiorized by thc C'Y.y oC i:ccrc[t, in or of any strcet er <br /> ulley in n•hich �hey may hace Leen laid, lhe City n•itl nut be required to furni=li <br /> water durin� the progress of auch improvemr��ts to nnp consumer o'hose supply <br /> ::u�y thuv be <ut of[, ury,.{�e ]iable for any dmr.r.ges for its Suilure so to do. <br /> A7�plicnlinn No.....0...�.2 O <br /> . <br /> � � <br /> 131oc1 .. ..;� � �� .... tot .. ._._ '� .. .._. .... Add.. .... ...__.. ....__. _... <br /> na... ,3J'� 6 ���! _8trcet. <br /> _. .. _ . ..__..... _.._. __.._ __... _ _.. __,.. <br /> Tnc. c:m�k to be exceuted n .- ����-L.�' ".. . .....Plumber <br /> Stat :�zc of tnp. <br /> �,,S(( 0 0 <br /> / f /' <br /> _. _....��..-..CTap to be inseit.'d in tlie main. �� � <br /> ..___.�..��'ntcr closrt <br /> ..........�...Bnth � <br /> ._.__........Urinnl � <br /> _...�..Plain f:mcet insidc <br /> ........._....Side �ralk wa,Lcr <br /> _ .... � <br /> ...Hose bib oulside ,r,.., <br /> ..__ �.ose bib for Uuilding purposes � � <br /> .._. ._.. ;ose bib insidc <br /> ....... .......3ib for staUle containin�.......__.......stall............... _ � . <br /> .. ....,/......Number uf persons in £amily <br /> ._.��.....FumUer of roums in Uvilding � <br /> The Premises arc to bc used as a.... . ._. ._..._... .......__....._..__......_... __. .___.. <br /> Thc owner of the Premises ic......._.... ... ......__.. . . ........_................._ __. . <br /> Theagent is............................._ .__...____..__.._........._.................._.......................... <br /> This application, alUmu• signcd, aha I not ie binding upo the Ciry, until <br /> •�•�nted by the Superint i it ot t m W. �nr� t. <br /> Signed... .�y ....::._/:,T!�y. ._... .' �. ...... ..................Applicnnt <br /> 9'.:...z�.—..�.. � By..�. _ :.:.f1....�..,::�................._...... <br /> (�� �-d�1 j .154Pcrintendent <br /> . 1 <br />