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.`��,...'�.�'.r7��.r'- r rt-i .� ;�- . . ... <br />✓ . <br />lV. D. I'orm �-1GJ0—ti.P.Co.-4._f,-^.i <br />City of Everett�Water Depai•tinent <br />APPLICATION FOR WATER <br />All blunks must Uc iilic� in or crossed out <br />livcrett ............. _..................�.�y...... D....................14Y.� / <br />TO TIIL SUPERINTENlltiN9' OP TIIP R':1TER DEPAP.T\fEN'C: <br />C1TY OP �VLR�TT: <br />I:ierebY nPPly for the use ut �rnter in accardnnce �cith ti�e tvles nnd tegu- <br />InLions of Uie R'aler De�inrtment, for pm�poses nnd fis'ures stnted Uelote. <br />Dm�ing Uie limc thaL nny of thc �cstcr mains may he tnken up by renson <br />o[ nn� �roprocenrents nuthm'ized Uy l6e Citp of lit•crett, in or of nny ylrcet ar <br />nlle}' in which the�• may hnce bcen lnid, lhc City tvill not bc requirnd lo furnish <br />walcr dw�ing thc progress oC such improvements to miy consumcr whosc supply <br />mny thus Uc cul off, or bc liable for :my' damnges for its failure so to do. <br />n��r,�n��oo n*o...... �.�...�.2............ <br />� <br />......... Lot.. .. Add.__.._..___.........__.....___.. <br />Bm�k....L�.�(..5....._.... . f . .. ... ... _........ <br />No.... ..2.�.�.�_._ .. ... ......... _. .. ... trcet <br />. _._..._ ........................._......................................_............_.............................._..... <br />_ _... .. /� � � <br />...... The work to be executed by..........._. ..4...�"�-t��.....-...PlumUer <br />St e size ot tnp. <br />/ <br />.....��.Tnp to l�e inscrted in lhe mnin. <br />......�.........R'ntcr closet <br />...._%........Bnd� <br />_ .::......Urinnl <br />...._..`.�Plnin fnucet insidc <br />.......—....SiJe wnik ��•n�her t � �� <br />.._...—....Hu=e Lib oulsidc � <br />......—:.....Iios� lrib for building pnrposes <br />.......�-....IIose bib inside <br />........--.-.Bib for staLle contninin�......_............stn1L....._............ <br />........:�,Dumbcr of persons in fnmily ..�' <br />.....,5..... A�umber of raome in Uuilding � <br />The premises nro to be used ns a...._._ . _ . .. .. ............... �_... <br />. ._....... <br />� � owner of thc prem' s is......�. �.. .... ...yLG�.-. . ....._ ..... ............... <br />. .�'�,nt is ............... ... .. ....... .. ......... ... .... ....... ..........................�...:. <br />�licntinn, nl � g signp sb b m< n Pon thc City, until <br />�the Suncr' r nt of c. c� t <br />�:.2.f,f.�... ,.. 92.....� <br />