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• <br />� <br />� <br /> i` <br />� <br /> r <br /> . .� . 2-,,_:��-ir .�._c�� st-�c .,. .- ,- <br /> u�.n.tro-m a—�coo—E.r.c�.—�ec=a . . , I <br /> City of Everett�Wnter Departmer:t , <br /> APPLICATION FOR �1ATER � <br /> Al1 Ulanks must be filled in or crossed out <br /> . Gverett�.............. ......r�....�...............192...�.�-. � <br /> e. <br /> TO T1IE SUPCRIIvTENPENT OR E ' T�R U PARTDIENL': <br /> C1TY OIr-EVL32L•'TT: <br /> I hercUp npplp for the use uf�valer in nccordance �cith the rules nnd regu- <br /> tations ot the \Pnter Depnrtment, fm• Purpuses nnd fic�ures stnted Uclow. <br /> During the time thnt any ot thc water mnins may 6e taken up by rensun � <br /> of :my imDroveuicnts nulLoriud by thc City ot Crerett, in or uf miy strcet or <br /> ntley in �cluch thcy may hn��c been Inid, the City ���ill not be mquired to furnisli <br /> �vnter tluring tltc progress of such improvemrnts tu nny cansumer wliose supply '� <br /> m:iy thus 6e cut nff, or Uc linble f/or :�nY dnma�ges for its fnilure so to do. <br /> Applicntion No..... ..._... " � � �. <br /> . r q�..Z._..!L'............. ? � I <br /> Block........................1.�::.�.�...... Lot......:................................ <br /> . Add................:....:...........:...... . <br /> No......y��.�.,......��-fi��................Strect <br /> ......._................................_..........................._..._..........................___........_.... <br /> ........ ........ .....___...........PlumUer <br /> The woi9c lo be exec�ted bY..... . .-..- .- ..... . i <br /> Stntc size of tn�. ��S o=_ /Z / ����_ <br /> _�,�Z..Tnp to be in=crted in lhe main.� '� (�G���/ �� .A/(. . <br /> ................R'ntcr claset <br /> . ................Br.th : � <br /> .............._Urinul � � C, . <br /> ................Plnin tnucet insidc � ' . <br /> /. <br /> ................�hle ���nik wn=hcr �- <br /> .._.........._IIu=e biU outside <br /> ...._........_Iiose bib for Uuilding pm'pnses <br /> ................FIose Uib insidc <br /> ................Bib for sGible containing....................stall.................... <br /> ................Num6er of persons in fnmily <br /> .,,..�:....A'umUcr af rooms in buildi�F /y/�-� <br /> The premises are to be used ns�a7-�. ..........(/� l������--- 7-!}�-�------ <br /> TLe o�rmcr oi the premises is..l..��!L!�..����«-' ���-�-���—��--.' <br /> Tlic ngent is....................:....................................................... <br /> ....._�.i:........................... <br /> This npplication, nithough signed, shnll not bc Uinding upon tlie CiLy, until <br /> neceP�ed Uy the Superintennd�ent ot tl�e \Vntcr De,�tment. <br /> � SiSned.�.....///./L(Q......�_Ul..'...�... .. ......... ...................Applicant � <br /> / � �� <br /> -..1C"�.0 B37 /J . ._. - �......... <br /> Accepted..��.�..�...(/......... .. ............. dent / <br /> ���J � � .. <br />