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cd' �e.�..ao.�ii . <br />Fo.m J'-16J0—ti.P.Co.-6�2G�2/ <br />� Citv of Everett^-Watei• Department <br />1�PPLICA'TION FOR �TA�I ER <br />All Llanks must Uc filled in or crossed out <br />i -- <br />Cccrett.................................�... �.._:5..................172..3.. <br />TO THE SUPGRINTENDENT OP 'PIIF, lt':\Tlslt UEPARTDIE?QT: <br />C1TY OF EV�i:ETT: <br />7 Lereby npply for t:ie use of �valer in :�ccordnnc� a�ith thc rules nnd regu- <br />Intioas of the Wntcr Depnrtment, for �iurposes rmd [istures sL•ded bcloe�. <br />During the limc thnt any o[ thc �vater mnins mny be tr.ken up Uy rensm� <br />of nny improvements nuthoriud by tlie City o[ Gverett, in or of nn}� sLreet or <br />ullcy in which they may hnce 6cen Inid, the City �vill not be required to furnish <br />�rater during lhe progress u[ such improcements lo nny consumer �vlmse euPplY <br />m:�y thus bc cut off, or (U�c li blc for uny clmm�ges to�r1 its failure so to do. <br />Applicntion No...�.Q...��...��.......... ' % %-I ' <br />1� ' �i <br />Block.................1...!.t�........... Lot.._.Z..�.:................_.._... Add...::. �'. '..'........._._.............. <br />No...._...J..�.�..J...__._ ��:r<Si/_.�.1.-.4fc!.:.SStrcet <br />... . ..._._...._.__ ........................1�... ..................................��� ���7�����......_............. <br />_ ............. . . . _ .. � ,r�; <br />� /J �� _ � <br />1'he work lo be executed Uy�,..'/- t�-��J..�-t.+-.-�•r4��--'cy.PT�lfUer <br />U �', r <br />Sla�size of tap. � � � /�� �j{ �� �� <br />C M � v <br />.. �.,�_Tap to be inserted in thc m r N � r <br />• S..P 5 19 �`r . � <br />......_L......R'nter closet i,ITV fi� El'��,. i�i �...-��„r ;. �.��; <br />.......�.......L'nH� , . <br />'.' ....................... <br />.......-:...... TJrin nl . <br />_.....�......I'Inin fnucet insidc � <br />.__..........Sidc �vnik �vnshcr <br />......./........Iiosc bib oulside � <br />.......-......Hoae bib for Uuiiding pm•po=c, <br />................liuse Lib inside <br />......_.._...Bib foe stnblc cantnining ....................atnll.................... <br />......./ ......\um6cr of persons in fnmily <br />,....(�...._Number of rooms in building �7 <br />The Prmnises are ta be uaed ns n.�......;._........�.!-� � <br />. . .... .. ................ ...................... <br />The o�mer o[ the Pter.iises is.....i.;�.,� �����C��a-���-C� <br />..._� . . .........._.._... <br />Thengent is ................................................/... _......._.....---.................. ..................... <br />This applicntion, although eigned, aha not bc binding upon thc City, until <br />nccepted by thr Superintendent af t��1'nter 7�Partment. <br />� 7-<'L L' . <br />Signed._L...l... G .......... ..............�.................... . . Applicnnt <br />. <br />� . .... ................ <br />Accepted....._.........._.� � ._1 .v: By_._'.�_�,5;....... ..R� .. ................................ <br />9 `j � Superintendent <br />