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<<-�=r�'S� �-� s-ir �,. _ __.,� �-,�._ -�_�: r�-:, . <br />� � <br />R'. It.7'orm �—lGnf—F,.7iCo.-6 ".G.?I • <br />City of Everett--�Water Depai•tment <br />APi''I.ICATION FOR WATER <br />All binnks mu=t Ue ;illed in or crossed out <br />-- f�GvcrePi .......................�_L._ �--.............................19� �.. <br />TO TIiE SI�PERINT�NDF.NT OP THI: �VATRR DL•;PAiiTMENT: <br />CITY OP 13VPBETT; . <br />I her�by i noly for the use o( �cntar in accordanee tcilL Llie rtiles anJ tegu- <br />Intions �f the \Yntrr llepnrhnent, tor purposes and fixtm�c� stnted Leluw. <br />Uuring ;ho t re thnt nny of the watcr mnine mny be tnken np by rrnson <br />of an}� improvc�. �- � nuq�orized L; thc City of P:verctt, in or of emy slrcec or <br />ulley in wLich !F �;�y hnve Lcen Inid, lhc City «•ill not Le rn�uired to furnish <br />watcr d•iring the _;ress ot such improvemenls to nnp cnncumer «•hose suPP�Y <br />m;�y tlms be rut :i. ofr 6,4/ linblc fm• nny dnn�ages for its fnilurc so to do. <br />APP'i;nlion i;o......0.. �?...�..� .. -- "/.2 `% % <br />............ . <br />IIlock....._� ..�.. �" �- - <br />7� 7........ ........._.._ Lot.. a.1�.... Add...... ._......._.._ .................. <br />.... ...... .. <br />No......_G%„3-.�.. ' ,.�.�..il:�._�... _a'G��'_...Strect <br />_.._..... ._ ...._... `� `=G��� r.�_. <br />............ . ............ . ...... .... <br />.............. ....... <br />The �cnrk to be executed by._..._ . �c�,CL .....Pluciber <br />Stn�;c size of tup. �z ti���.. �,,� ,�' � � °J. <br />/�y Tnp W Ue inscrted in the main. '� 'r"� ` <br />....�.......... r_ i«;r_ r�/ ! -) .._ <br />......I.......R'nlcr closet ' � �' . � ~' � f <br />- <br />: <br />„� . � <br />�"' � � <br />./......._Urinttd ' oF E�(RE`.�-L,�i h `,r�) <br />........ . <br />....._ ...Plain fnucet insidc � .. <br />_..__ <br />......_.......Side n�:ilk •a�r,shcr <br />....._1`....liosc hib out.:ide <br />. .....:�.�.:..Ho:;e Lih foe Lui!din�- �m:•poses <br />.......::..-.Hnse bib inside <br />-- <br />................Bib fur �ta6le conlcinin,,...... stall.................... <br />....._...... <br />........�....A'ur,ibcr af persmis in fsmil:l <br />....../(.'.....NumUer of rooms in building . <br />Thr, premisrs nre to be used ns n.. ..... . <br />-�7J f'';'.�•........._.........._ ........................ <br />Tl�e rwncr of the pzeniises is...�.."�i.�.�....f.:...._�.2s ...:...:::...'.:.:.......................... <br />The agent is ...................... <br />. ............................. _......................... _............ ........................ <br />°s npplicntion, nithnugL si�ned, ahnll not be binding npon Lhe City, until <br />� by lhe Superiutendent ot tFhe�Vater Llepnrt nt. <br />� "p � �1�` i <br />S:gned�..'.._..._. ... �j � . ./. _,y <br />.c�!" 1...0 .,..,�r..-�.:c..,.1 .............�.nnP>isn�t <br />'- r;-�....._.....ia2F:: B �_' <>-% � � <br />t. �.��t..i ..:'........� <br />y...... �.�s:-..G'. .....:.. <br />�:� �' lendent <br />