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{ <br />� � <br /> I <br /> � <br /> �c.ar� �t �H-��-11 . .F_.,��.:�nc..� � c - � �- s-� 9i�� <br /> •Y'.D.j'orn�'1-16U0—E.P.Co:-!-9G2J . . <br /> City of Everett��3Jater Department � <br /> APPLICATION FOr VWATER � <br /> All Ulnnks mu=! be filled in or crossed nut <br /> Sver�U.............._.....,�....o-.�.,f,..Q................................102...� . �' <br /> I'O THE SUPEPINTENDCNT OR TIiG \VATGR D6PART3i�\'T: � <br /> CITT OR �VERETT: <br /> I hereby npp�y for the use of�vater in nccord;mce witl� the rules imd regu- <br /> Intions of lhc Nn;e� Dcpnrtment, for purjioses and fixtures stnted below. <br /> Dw�inF �he timc thut nnp of thc �vatcr mairs mny Ue tnkrn uP �S' renson J <br /> uf nny inn�rovements authorize�l Uy thc Ci-p ot Evrrclt, in or nt nny strcut. or P <br /> nlley� in -,ehicU thcy roay hnve'bRen Inid, the Ciry �vill not bc required to furnish <br /> w:der dnring tLe progress of such improverocnts to nny cmtsumer whose supp'.y <br /> mny thus be cut off, oyL tm IinL/le fm� any dami�ges for ils fnilure so to do. <br /> Anplicntion No.:..O.�.G...P...............—' 'I 2 L � . <br /> Block.............�._�. �... .... Lot .......�-i) ... Add...._..... .. ............ ......... . -� � > , . ';. : <br /> Nn. �2��. i�Ly��G�.. .. Strcet � � 1 <br /> . .... ._ _....... .. . ......._ . ......._. ... .. ..�........ ........._. ....._. .. ............. � . , _ . � ` <br /> The �vork to be e�ecuted by.__/._...._....�..............__.....................................Plumbcr � . . � � . :-��� .. <br /> � / c o� . � . y. ' � � <br /> � Stnt, size of tnp. O . � <br /> �y..NnterO lasetscrted in tl�e m:�in. / ! � � � '. �`w�,,; . <br /> ..........._...Rnth /.�/_.... � � - � +: i <br /> ......-.......Urinnl •. ..c� ' '- <br /> ..._Z:.....Plnin fr.ucet insidc . � �. �.� -;•��..��• i� <br /> ....... ......Side �ralk �enshcr � � . �., ". <br /> ...../.._......Eosc bib outside .I-�` - }s�•; � <br /> ....`....._I�ose bib for building purposes � , ' '�:'�� �$��:" <br /> liose bib insidc � � ' <br /> .............. .-.. . � <br /> _ ,v-. 14 <br /> ...Hib for stn6le cuntninin ,. � � `� '"��' � '� ' <br /> .. ....� g....................stnll.................. . ..�. , <br /> . � .+,�,.p�. �. <br /> ................Tumber of persons in fnmily � � � � �•�-�� � ' <br /> ...�-..Number of tooms in buildin . . ... . .......................... ,� .' � , . <br /> q } <br /> The prr.nises are to be used as n . _ _��' • � . �p. <br /> . �:. <br /> . vwncr of tlie premises is..... ... l �.._�A�.r,�. .. . _-� . !� •.�. <br /> .. ........._.. . _ ' . �� p�. <br /> ! p .0 is........ ................. ........ ......... ....... ............................... - � _��'� . .. <br /> . SS7,: <br /> " � ,,�: nlion, nitF.ough signed, sl�nll not be Lmd�ng upon the City, until � �� '�� <br /> • �y the Snpermtendent o the \Ynter Depnrtment. � . � �'••� <br /> ✓� ' <br /> Signed.............t�! . ,(�.. ..f......Applicaet � <br /> �. .....��...........�.y.........� <br /> AccePted........lft...:,.G�.......19E,7.. By.-E-''J���N��............................. <br /> � / �` Superinlenden: <br />