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`�° � H,.�.3 � G � l�/ �t„ . � _ . .. � ,- , � ; ; i . . <br />• • '-, <br />�v. n. r,,.m �- meo—s.r.co.—s-ee�za <br />City of Everett�Water i�epartment <br />APPLICATION FOR WAT'ER <br />:lll Ul:mhs m�as: bc f!iled in or crossed out <br />a���,<<c ..................__.._...........y�y9......._._...._..i��� � <br />ro 7�i�r svrERt:vTr.�n�„vT or �r�rr ��-nTr:�i n>>�naT�irvT: <br />ciT� or r.vrrr•.rr: <br />1 LcrcUy npp:�• for Utc usc uf u'alcr in accm•dmicc �rith thc rulrs �md l�cgu- <br />Intiuns oC tUc R'ntcr llepnrtntm�t, for Purpuses :md Cix'uras sinled Lclox•. <br />llnring Q�e timc lhnt nny' o[ lhc a�eter mnins mny� 6e tnken up Up rcasou <br />oI an�• impruvemcuts nuthurised by Uic Citp o[ l�.corrtt. in or oC any strect. ur <br />nllcy in u•hieh �hcy na�• li�n�c bccn la�d, Llic Cily �rill not bc rcquired to turuish <br />u•ater dtn•ing lhe progresx of such impracemants to ang wnsuiucr whose sup��ly <br />ina, th��s bc cut off, un c� liablc for :�ny d:in��nges for its failuro ao Lo do. <br />A�plicntian No.__...p.y�..`�.�_._._.. <br />� � — <br />[31oc1:.._ ._._C! �� �-' .... Lot..... v _. � ... __. ._. _ .1dd. . . . <br />... .._...__..... . n.. ..... <br />A'o..._��0._4.. �:.,.`.��C°�.�C.'�-L,'. _ }�..._.Strcet <br />� "1 <br />_ ..__ ._. ......__ . _......... ....... . . ... . .. ......... . . <br />Thc �cork lo Uc esrcuted Uy.__ ��'-. ...... ..._.___..PlumUer <br />Stntc eizc of tnp. �,_ t{n�-- <br />�.�1...........T:�p to 6c inscrted in Qic main. �,.� -»- k y� y" <br />i 0��......._.......1Vntcr closet /�.. �. � <br />.. �...._.....Bnth <br />_....... _..... U r i n n I <br />.....�.`�.....Plain faucet insidc <br />_.__` .—.Side �calk tcnshcr <br />__..`_..-....Iluce bib nul=idc <br />. �.. ..Ilose bib tm� b�i:ding purp�,�rs <br />_....— .11ose biU insidc :.. <br />__ <br />__............I3iU for st��Ulc containin�......._........_.slalL._ ............... <br />-- <br />................Numhcr ut persons in f.imily. <br />...._�.�...�.....\timber of roome in buildinq <br />The premises m•c to be used ns n._..._._ .. Jl_ c_ .� t_..,.. ��_. ,� � <br />7'he omner of thc preisises is...._ ._ . .._ __ _.. .. . . . ..._._ ..................__.._ ..._... <br />�ait ic......._....__.__....._....._.__.....__..._...._....__.....__ ...................._...........__.. <br />'; �aLion, althou�li signcd, ahnll not be bindin; up�n thc City, until <br />� Superintcnd i� t of lhe AV,der DeTiartmenl. <br />{I <br />'��,necl ....�'� y -�x/.r..�r�.:��.. .'�x���.'�-�.. . ...... licant <br />-,3 -,�'`) ��z/� BY._. _lss�..�'�.� <br />/ / _ icrintcr.:lun <br />