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I <br />� <br /> 1 <br />� <br /> l-ll'ft{ �/%: � . , . _� . . .1 � .. . _ � . <br /> �.Y.1).!�a:n�A �:�cn-_Ii.CCu—�:G-9C . . . <br /> City of Everett�Watei� Department <br /> �PPLICAi'�ON FOR WA.TER <br /> All Llattl;i ntust bc fiiled in or crassed uut <br /> 'r.ce re t t,........-��,�.C_,�...25����.................._-_19 E..� <br /> ]'0 TiIE SUPliRINTliNDF.VT OF TIiP �F:1'Ci?R DI3PAIt17SENT: <br /> CITY OP GVISItI3T'P: <br /> I hcreby ^�iply for lhc t.:c o[ w�ater in arcord::ncc ^:;li; Lhc tvles and l'cgu' <br /> Intions of ihc �Vater llepnrlment, for puipnse; ;md fis'iv^s stn'ed bclott�. <br /> During the time timt any ot the �caler nn�ins nmy 6c tnken up Lp rensmi <br /> nf an}• improvemenls uuUmrized Uy the Cil�� of Iiccrntt, in or n[ imy street or <br /> ulley� in �vliich they ma�; haee Lcen I�id, the City will not be r��quired to furnish <br /> a•cter daring tlic proqress nf euch improeem�mts to nny cnnswner �chnse supply <br /> may tlms Uc cut nff, or bc olinblc for :.uy danu�ges tor ila tnilm•c so lo do. <br /> Applicntion No...��Q..J�........_........ <br /> Dlock �.�I..�`.(./. _h...._ Lot ��.- -.a � ._ . ... Add. . ._.. <br /> .. ..... .....__._ _ __. <br /> A*o..... . .�..��.2� . _�/�/4. .. . .. ......... ...Strect <br /> ._ __ ...... .__............................._....................._......._.......__...... ..... ..._................__...._. .... <br /> The �cm•k to Le executed by._._ .. ... _ _ ._._.� .. .... .. ..... _..................PlumUer <br /> Stat size of tnp. <br /> ..��Z.._Tnp to be inscrted in the mr.in. <br /> ._...X.......\Cnter dosrt ..^w. �— <br />� .....x........Bnth <br /> .....�........Urin nl <br /> .......�........Plain f�mcet iusidc <br /> ......�.....Sidc �valk n•nshcr <br /> .......�........Ilcsc bib oulsida ^-� <br /> ..... . Hose bib for Luilding �mrpnsrs�. �C. . <br /> .._. . . Hosc bib insidc ' % �• <br /> .. <br /> /......Bib for stnLlc cont�i�iin stnll................. . / O G <br /> ..... � . g.................... . . S'` <br /> .....q......_mm�6cr uf persons in f;imilp <br />. . NumUer ot rooms in building <br /> ....�...... <br /> 'Che premises nra Lo be used ns �.._. .... ..�,[ly."-�lt'.� ..LL,,,............ <br /> The owner of tLe Preeiises is........�it.�-�_. .(yC-�i�......._.......... <br /> ThcnHent is............................................_....._.........._...............[..................................... <br /> "liie npplication, nllhou�,1� signed, ahall not Uc Uinding upon tLc City, imtil <br /> �J Uy the Superintendcnt of lh � R'n/l�er Depnrtment. <br /> Signed�_.��.QL�..�u-GY.�. . _ Applicnnt <br /> ��/��/���rrr __...... <br /> . ./ .�./... <br />' •>ted. ..�:....'n�'......:,112�. B .. .: . _:/�/ , <br /> ........................... <br /> uperinten�ent <br />