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`t�a=,G .-2v-.�c � <br />i�,, �L�� , d' . I �l i(, � <br />. �r <br />1V. R Fnrm 4- -1fW—E.7`.Co.—g,y6.2� <br />Cit� of Everett--�Water Department <br />APPLICAI'ION FOR WATER <br />.411 binnks must Uc filled in or cros�ed aut <br />Evcrett..........._ ��...�..le....._ ...................._...........1D2..5.� <br />7'0 17IP•. SUPGRINTtiNUEN'I' OF T1IG \\'ATI'R UEPARTNtiNT: <br />CITY OP SV?31:ETT; <br />1 hereby eipp.y� tur the usc nf tc:�tcr in nrccrdst:rc �eith thc rules and ti�gu- <br />latiuns of thc �Patcr llepartment, for pm�po:cs ;md fix•.w�es st�.ed i�elc��•. <br />lluring lLe timc thnt any ot the �eater mnins may 6e lnLen up L}� rrns•o» <br />o[ nny impruectucnts authori2ed by thc Ci.y oC EvrrMt, in or of nny sLrcel or <br />nlley in «•Uirh Ihcy may Ivivc Ucen In�d, tLc City wili nol be requireJ lo furnieh <br />��•:iter dm�ino lHe progres; uf such improcements to nny enn..umer whose sup�ily <br />r.u�y Lhus Ue rut ofC, o c linblc for ang dnnmg�s for its fr.ilnre so to do. <br />Application No.....� . Q <br />� .....�............/ <br />Qlu�k ......�I I g..._j Lot....(.�.. I Cr.. .. . Add. <br />tio ...o?.U..3 � . ...:l�% C.%4�G--c-��reM __. . . ._ _ . . .. ... <br />�% <br />. . _ __._. . ........_ .. . .. . . ___. . ... . _ ..... <br />The �sor6 to be escruted by.._ � .• f f Plumber <br />S�c sizc of tnP. � ... _,.�.�� J).._�„ <br />_./ <br />.._�Z-....Tnp to 6c inscrted in U�c main. --- � <br />.....�__...R'ntcr closct , '�.% ��...'`�. �'.Y , . <br />......_.....n��i, ' fF6 1 -; ����'' . <br />...�'......uT��„� <br />Clir OF EV[lIET���'� �', <br />....�.�........_Plain fnuceL ineidc � <br />.._ :'............ � . ........... <br />................Sidc �enik �vashcr G ........�/ .... . . <br />__/......._flo,e biU outsidc / <br />� � <br />............._tiosc bib for UuiWing purposes <br />___ ......Aose bib insi3c <br />.._. _......Bib fnr stnUlc containing ...................stall. <br />_. _ _ .... ......... <br />...../..l.........A'untbcr of persmis in fnmih <br />....7.........NumUer of romrs in building <br />Tlie premi=es sre to be used ns n .. �� ' <br />.._. ._.. . _... <br />r. . .... <br />Thc owner oC ,hc premises is_..�Uy,y,�,N..�,�„_t�(�_,� � <br />c.�. <br />T1�c ngent is ................._._........_............_.._..... <br />_....._ ..__......__....._..._ .................__.... <br />This application, nlU�nugh signed, shnll not bc binding upon thc City, until <br />acce�ded Uy the Superinlendcnt �f lhe \Vnter Depnrlment. <br />Signcc�......_. ....��✓t-L� .. � . <br />�.: .-. -- ...... plicnnt <br />Accepted._...�'.�..._.:,�,.��.......70?�. By... .7 - �i ,- . <br />.... .. . . . . _..... .... <br />- ^ •+�inlcndent <br />� � � <br />