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.�� - .., ,� � <br /> ;: .�T ; ,�-v-2ir-�s. ..�:�� rh=� <br /> i ,._r- .� <br /> w.n.t„��„e- -isre--c.r.co.—c^_e.x� ' . . . <br /> City of Everett--��T�ter Depai�tment , <br /> APPLICATION FOR WATER � <br /> .All blanl:s must be fiiled in or crossed out . " � � � �"�� _ �'� <br /> � 7� . � � : <br /> _ � <br /> . <br /> 1 �- r 'i.��, . � <br /> Pcerett............... ....... ......._........_................_......198_� . � . <br /> PO TIIE SIJPERINTliATDLN7` OR TIir WA^.I>R DF.PAItTiltE\T: - � <br /> CiTY OF �VEI:CTT: ' <br /> I hereby app:}� fnr lhe use of wa[er in ncco:;l;mce tvith thc rules nnd regu- <br /> Intiuns uf th� R'atc:• DeP�rtment, tor purpores nnd fisrures stnt�cl bclu��•. <br /> During the time that nny ef tho watrr mnir�s mny 6e inken up Uy rcason ' <br /> ot any improreme;�ts nuthrrrized b}• the Ci'y of li�•erntt, in or of any sLmet or . <br /> r�lley in �vhich thcy nmy hnt�c been )n�.d, th�� City will nu6 Le requirnd to furnish • <br /> wa:er dnrin� tLe p�oqrese of such im.prevuucnts to any consunter �chose supply � <br /> may dms Le cuL of4, o/r��be IiGaLlre/for any dnmages for its Cnilure so to do. � <br /> Applicnlion No.._.a..d_O...D......_........ 1 <br /> �,o�� ..../ & y..__ �.o�_/ '�3 - .�__. Aaa: . _ _ _____ , <br /> Iio...��� _ _�'I'/��L�' .•...............Street <br /> ___ ................_....._............._...... ... <br /> _........ ... ..__ .......... <br /> ....__...... <br /> Thc work to bc caccuted Uy.._. _... ._ . .. ..... ._....__..__.................. Piambcr , <br /> State size of tr.p. � � � <br /> ��--.._Tnp to Ue inserted in the mnin. �� " �"� � � <br /> .....!Y_.....Nntcr clo�et ` <br /> �i <br /> .....�........Bn[h . '. <br /> . ' <br /> .....�...._Unnnl . . � <br /> �' <br /> .....n Pl2in Lmcet insiJ� . '�, � <br /> .....�......Sidc �valk �anyhe:• , <br /> .....-.'r.......Ho=e Uib outsid,e �. <br /> ......_........Hosc Lib for Luilding piu�pnses .. �. <br /> 7'� <br /> __............IIose LiU ineiJe --' ,� <br /> ................Bib for staLle conlnining...................stsll.................... � /� �i ✓ + <br /> ................Nmnbcr uf persons in familv �J .7 ' � � <br /> � ' <br /> ..�„2......NumUcr of roome in building . <br /> The premises are to be used ns n..._ .. . . ' ' <br /> . . . . ..___...................... .. _...... <br /> Thc owner of the premises is.,�,�,_ �,_ .�U-�el-(/)�1�(,(�i <br /> Thc ngenb is..........................._.............. -�� . . . <br /> ......................_....._............................... I <br /> This n�rplieation, nithocgh signed, s1in11 not bc binding upon thc City, until I <br /> >acepted by lhc Superintendcut ut the Nnter Depnrtment. <br /> i � <br /> Si�ned .._.�_(��,_1.....-^��f�791i1y-j9?i� pp cnnt <br /> . ..... . .......� _ . ..... .A li <br /> .,:.,pt.,d._. J.�-._...�..��..-�. � <br /> B,,__ ��..�-�,� <br /> - perintendent <br /> i� <br /> i� _ ._r. _ . . _ <br /> � <br />