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i <br /> i <br /> i <br /> � <br /> I <br /> �:.�� � � �, �_� , �-; ,. : � <br /> �f-.2 3-?-6 f , .. <br /> YS p.Pur11 J--16o0—klP.Co.—G-YG-2J l+ • <br /> City of Everett�Water Dep�_ ' �ient <br /> APPLIC�TION FOR ��JATF�R <br /> :111 bl:mks must be filled in or crossed out <br /> livcrett,.......:<lG..��t!�Gl.........��/..'......_.....19?..4' <br /> 1'0 THP SUI'�RINTENPLN'C OR TIIP \8AT1?P. UPPARTMLNT: � <br /> CITY OI�' �VEI;�TT: <br /> I hereLy apply tor the use of �vater iu acr.ordanr,e tcitl� the rulcs mid regu- <br /> lution; of the \Vater llepnrtment, tor purposes nnd Cis;nrc; stnted bclow•. <br /> Dm�ing thc timc thnt nny of thc �vatcr mnins nmy Lc tnken up Ly rcnsan <br /> of :u�S' imProcements authurize� by the City of I:crrett, in or oC any street or <br /> ulley in ��•hich thcy may hnec Ucrn I�id, lhe City will not be required io furni;S <br /> ��:iter durin� (he progress of such imprm•ements to nny consumer �chose supply <br /> m:iY thus Ue rut uli, ocr/be linblc�or any dm�,ngrs for its failure so to do. <br /> �p��licntion No.....p..��..,.�'G <br /> ..................... <br /> � / `< � / �i . . <br /> L,o�i......�./`� ..... _ ... Lat....�-!.-.�/ -.� z aaa. <br /> _ ._.. .. <br /> .. <br /> vo ./Q Q � . �J1�1r-��?.-........ __.........sc���c <br /> _ _. ........__ ._....._......................................_............................. . . __._........_.............. <br /> Thc �rork to be executed by._. ..._.... .. . .......Plurober <br /> y-- __ �G.�_.. <br /> Stntc sizc o[ tnp. l�ci � / � <br /> � . <br /> ��.....Tnp to Ue inserted in thc mninj� ��, ��� 1! t '1 <br /> � ....R'ater closet � ✓ /��"'.� ' i 4 I '�, � <br /> . . :'-.....Bntli I � r �� <br /> I,t,��'� 1 � ���`� ` .... <br /> . �-� Urinnl CITY OF [4c9[Ty}"�� ��;.,,'-; <br /> .._ .......... <br /> ...../._......Plniu faacet inside C':'........._ �.� . <br /> , .... .......:.......................... <br /> ......:.........Side �cnik �cn,hcr ���.% <br /> .._..�.......Hose bib outsidc � <br /> .....--�..._Ilosc b;L fnr building purposes <br /> ..._-.:......IIosc bib insidc <br /> ..... .�....Bib for staLlc contnining...................stnll.................... <br /> — <br />� , ..........:....Num6cr of persons in frmily <br /> -�Z.f.:.NumUer of rooms in bvilding <br /> The PTemises are to be used as n ... . �.. <br /> �"' _. <br /> The owner of the premises is?�.�f .0 <br /> U ..__ _ _. . ....... <br /> _.. <br /> "he ngent is...................___....... <br /> ...._....__...._... . .....__............... . <br /> ................................... <br /> aPplicntion, nithough signed, ;hnll not bc binding upon CLc City, until <br /> ��p the Superintendcnt o[ the \Vntcr Depnrh ent. <br /> I, Signed.. ..n/,�..... ,^,� <br /> �..� .. . ��....,�/.'.�`............... ..._ _ .. _r. .....Applicant ' <br /> I <br /> ;a.,��:.-1. .............._i�zG-r By <br /> , � _ ` ......... <br /> , ... <br />` �-�t�— '�perintendent <br /> I <br />,I <br />