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l N -r'i . .. . i. <br />t';.IL Farm f -130U—G.IlCu—S-_G-:i <br />��l/—iv ��— / % � )a�.�/�jl <br />City of Everett-�Wntei� Depnrtment <br />APPLICATIQN FOR �ATER <br />All blanl:s mu�t Lc fille�.l in or crossrd out <br />Cc�reLL� ................... �°.'.t'1.. .......�._..�...._.....19?. � <br />. l' Ti1:: £UPEI2INTP•.NPG\'C OF TIIL: \\'AT?R UEPABT)ItiNT: <br />CITY OF EVEIUi.T: <br />I hereb�• nnpiy for the cse uf w:�ler in acrcrdance �eilh Uic rules ;sid Ycgu' <br />Ir.tiunc oC thc Nater Depm�tment, fm� pm�po=.�� :md fis m�es stalcd 6dc�e. <br />Dm�ing Uie time th:rt nn> uC'hc �vater m:�ins ma)' be tnken up Lp renson <br />of a�p� i�v,provements autho:ized Uy [Lc Ci[y u[ 1?vcrclt, in m• oC nm• strcet er <br />ullcy in WIIICII �}ICy Ilt:ll ItRCC 6een lnid, lhc City will nut br rcquired lo turnish <br />a';�Cer dtn•iug fhe pruqress of such' impro�•emrn!s lo nny consmucr �vLose Supply <br />nc:p thus Lc cut oif, or�c lOin�ln�nr any d^u;ages for ils f:�ilurc �o lo do. <br />Applicntiun Nu .:....................... ............ <br />y, �` r— '��.._.._._...___ Add. _.._. <br />Blod ...... . ..... I ot _� _ c . _ . _.. ... .. ._. <br />r�. 2 .3-� _ -m str��t <br />� <br />_ . ._. _ ...... __ � __.......__.. <br />Thc «u�9: to be e�ecuted Uy .__ _. . .. __..1'IumUer <br />t t� �iz of tn <br />n�., c p. <br />� n <br />.Y.........TaP to Uc inscr.ed in tLc nmin. <br />......._......«�ttll'1' C�OSI'� <br />1.......nn�i� <br />_ t. .....uT���t <br />...._._......Plnin Lmcet inside <br />...__._....Sidc �cnik ���n=licr <br />�` � U <br />I � o <br />� .� , �� — <br />...._..._....Hose Lib oulsidc <br />_ ._..........IIosc bib for 6uilding purpn=cs : <br />.. ...........Tiosc Uib ipsidc <br />................Bib for staLlc con�ai�ing..._..........__ �tall...._....... <br />._ .............Numbcr ot Pcrso.is in fnmily <br />5............NumUcr ot rooms in Uvildinfi � <br />Thc premises aro to bc uscd ns n- �i � <br />Thc owner of the premises is.__..�• 1.�.4c <br />Thc rgent is....._ ..................l..�.... <br />i <br />�'' npplicntion, althouy;' Si � <br />'ry llie Superintend �t �'� <br />� Signed.......:-:.::�...V.`:.; <br />� ./J...-/�,......i� <br />... ._.._._ . .... <br />I, � t Lc bi ing <br />B)'.. <br />City, until <br />