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I <br /> ti._.� <—�c,—< � r_,—,.u—.�y �.. r— �� i � r <br /> t\'.D.FnTm•;--ILnO—E.P.Co.--4-:6.01 ' <br /> City of Everett--�Water Dep�i�tment <br /> APPLICATION FOF, WATER <br /> All Ulnnks nivst bc filled in or crussed out <br /> . Pvcrc� .............._.3�./���..0..................................192.�!:. <br /> TO TiIE SUPERIKTLNllliN'C ON TI!P R'?�TI;R DPPABTliEN'f: <br /> CITY OP L:VE2:GTT: <br /> 1 Lereby npply for the use of �e:iter in :iccordm:ce ��•ilh the rules and regu- <br /> lations of lhe Nnter Depnrtment, fm• purposes +md fix:ures stated bclett�. <br /> Um•ing the time thnt nnc ot the wntcr mnins may� 6c laken up LY reason <br /> ot nnp imprnvemenis nuHiorized 6y the City o[ 13�•crett, in ar af nny street nr <br /> nlley in which thcY may hnvc Ucen In�d, Ihe City will not b� requircd to furnisl� <br /> �c:�ter during the progress of such imprnvements Lo anp consumer �vhose 5u1�P�Y <br /> may thus Uc rut oft, or e)inble � any damages for iLv :�iilure so to do. <br /> � <br /> �. : � Applicntion Noq� . _3 f . .. . _' <br /> . � � � � i t3locic............5� ..'�af ... Lot . 3 � . ..._... Add._._ ._ . . __.. ....:._ .'__.. <br /> � 1 , No.......�J�G ...����� .. .._StreM � ; <br /> .._._.. ......___....................._......._.........................�......e........ ......_ ._ ........ _........._............. <br /> The worlc to be executed by.......��.�G�.�L���t�..l��PlumLer <br /> � <br /> Slate size of tnp. ����/� . <br /> // r-��. r" ,__ <br /> ...f.'7f...Tnp to be inscrted in thc mnin. i �-�� <br /> i <br /> i i: <br /> ...../........R'atcr closet '� � �_ ! � <br /> ,., I �6 ' � <br /> .....�.........Bnth r L If �i ' �O'� •....� <br /> .......'-'.....Urinnl '. . � ..,- GI��L�� i '�;i- c �-a.( <br /> --.Z._...Plain fnucet insiJe ' � ......-.....�� <br /> .........._.. .... <br /> ....._.—.....Side �valk «•nshcr ....... . <br /> ........L......Hose bib oulside � , <br /> [ � <br /> .........' .—..IIcse bib for building purposes <br /> ......�:...i9osc Lib 'nside <br /> ......... ...IIiU for stnble con:nir�ing....................stnll.................... <br /> ..__..-....Numbcr u[ persons in tnmily <br /> ._,/�.�.......Numl�cr of rooms in building <br /> The Premises nre to Le used n� ...�..�__...._.................................. � <br /> The o�cner of the pr/emis d�c� • .. _���l�.i��--=....._.�........... ' <br /> The ngent is.............L...:. ., _....._.........✓�.�.1-k.�:!..<.r�_,:� <br /> ✓ <br /> -- -ipPlir.dion, th gh signed, shnll not be binding upon the City, until� ' <br /> _ �y the Sup�in nd .t o the AVnter Depnrhnent. <br /> i �,�/ <br /> Signed.. ..�...... ..._.......C.✓Y.�.i��<�f/✓L`..^..�.. .... ................. pplicnnt <br /> �' �, � <br /> . <br /> .. <br /> �_ -r'�_T.......1s�.. sr...�.. . _ . ... ...................... <br /> L� � /j/F. �rintendcut <br /> /� - ' <br /> t- <br />