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'L-t,'.�� ��-3�-ib �^�I l,�l-h, �i.; ` - � <br />I <br />tv. u. r,.����,:- mu��-s.eco.-c.ze.za . <br />Cit�,� of Everett�--Water Depai�tment <br />APPLICATIOI� FOR WATER <br />.'111 Ulau]-s must Ue filled in or crossed out <br />\ __ <br />�vm•ett ............. .!�.L..C.-.......1...1�....-.................102.. �. <br />TO TflE SUPLRINTENDtiVT OR THr �VATCR DL:PARTDiEKT: <br />CITl OI�' I3YE1iCTT: <br />i hereby aPply for the use of n';tter in nccardnnce �cifh Utc rules m�ti regu- <br />Intions ot the R'ater Depnrlment, for purpnses nnd fixtn:rs Si1�ClI VCIO\V. <br />lluring lhe timc Lhnt any of the ��•sicr mnins mny Le lal:en u�i Ly renson <br />o[ m�y improe�mcnts nuthorized by Lhe Cilp oC F.ccrett, in ot oC :my slrcet or <br />nlley in �vUid� thcy may lmve bccu laid, the City �vill not bc required to furnish <br />�vater :lm�ing the PTo��'ess uf such im]n'occlnents to nny consumer �cliose supplY <br />mny tUus Le cut off, or be/� linb/le,, for :uty danwBes for its fuilure so lo do. <br />Application No.....�.c.7.-..:4t..�.. ..... <br />Block..... ' / ..... .. Add... .... .. <br />, Lot..... . .... . . ._.... <br />.. .... .... . .. <br />n�o l7l_li-� �// ��-�� �?� sc���c � <br />I � 7 /�. i � —`. � <br />.,-T �. .Z: f (�::�":c f?�4..:� �'? j�. :.t✓2t, f.� �— .. <br />/ <br />The a•ork to be esecuted by....... . ._...... .v ..._� ...._.., <br />............ lum cr <br />-��a5 _ �;�,-�, . � . <br />staeo :o ot tnP. � <br />;:,��.Tnp to Uc inscrted in lhc mnin. % � p� <br />...-........R'nter closet .� �)rC I � ( t 1 <br />, - � <br />�.._. :� �.�ZS �- <br />................Bntli CIl' CF EVERE r <br />T� ' — <br />.........^.......Urinnl L,,. , I�GiER C:��r <br />................. �........................ <br />.....�.:.-..-..:1'lnin fnucet insidc <br />, .. <br />_....�........5ide «•nik �vnshcr `. <br />......%........}ia�c Uib avtsida <br />..._...".�....liose bib for L�uildir.g purposes <br />....-....-.:.._.}Iosc fiib insidc <br />......:.-.:.:.:.IIib tor stnLle wr,taining ....................stnll.._.._............ <br />_....::..-...A'umbcr of persons in family <br />._.,�......Numbcr of rooms in Uuilding .) , <br />T'ie Premises nre to bc usad ns a........... .�'L�Z��!<lG.--+.-��- �'--� <br />. . .......,,. <br />/ �� �;- - <br />ie onmer of thc premises is.CG.-�F.G-I�.�.. ..... .`:.¢.y<-Sc��--. <br />d.. <br />- •ent is....._ .........................._......................._.....__.........__.................................. <br />�-plic:�tion, nithouqh eiFncd, almll not Ue Uinding upor. the City, until <br />ctt ��_,. ? Lhe Superinlendent of the Nnter llepnrtment. <br />Signed.��'�.N..i��.u�:tL...�OcWCv.�........._ ...Applicant <br />�. . . <br />,;.t:.....��.�.J..��........10 ..E-�.�.. By...f.:�.�j.�j��L.:.Y/ � .. .......................... <br />� y�- SuperintenSent <br />-t`-'�- <br />