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t -��c��.__!L. � �_�1_?,t ;".� �. _��_.� �_ ., . � ,.... <br />\V: D.I'orm i- 16o0—E.P.Ca-6-2G.2/ <br />�ity �f Everett�—Water Department <br />APPLICATION FOR WATER <br />AII binnks must bc filled in or crossed out <br />� <br />Lvcrett,._....:.::�ii;<w..�_...._i .6......_....__.....192....:. <br />'CO 1'II1: SUPERINTENUIiDIT OF Tlil% 1P:1Ti•:R DtiPART>1IGNT: <br />OITY OP EVIP,ETT: <br />I hereby aPPI)' ior lhe usu uf �caler in accord.��iee with LUe �vles and mgu- <br />lutions of thc R'atm� llepnrtment, fur pm-po�es and Cis'm�es stated Uclow. <br />During thc timr, that nny of tls watcr mnins may be lal:en up bY renson <br />of any improcements aulhorizeJ bp the Cil.g n[ liceret[. in or of xny slreet or <br />�dlep in which they map hnce been iaid, lhu City t�'ill not be required lo furnish <br />waler dm�in� Ihe progress o[ such improventenls tu miy eoucumer �chose supply <br />m;�y thus be cut ott, opr be lyip ble�ar uny dauw6"-s for tts f��ilure so ta do. <br />Applicntion No - (J � ". L .. �7�����-¢�� <br />...... . _. � <br />r <br />Block...........�._�..3 . ..... Lot � ._.. . ,:.�,Add.. .__..._.._._. <br />....... . . ...._ . <br />� ..�. , �.` � ' <br />� <br />, <br />� �' -�( fitreet <br />, ., ;:- i. ..... �... <br />No_....�..:� _..� . ................. ._:...... �....C:`-�5.. <br />� <br />....__ ......___ ..............._..._._._...__...._......_...__......._.............__._.. ........ .................._...._. <br />Thc wm•k to be executed ��Y._._. ����'.-Ll_-�2I__... �. _..._._.... _....i'IumUcr <br />/ // �— <br />9tn/tc�sizc of Lnp• . 6 <br />o.��./...`_.'...Tnp to bc inscrted in lhc main. <br />................1Ynter closet. <br />_ .......... ...IInth . <br />--...__._....Urinal " <br />................1'Inin fnucet insidc ' <br />.._.........._F.ide n�nik �cnshcr <br />.__...._......Ila�e Uib outsidc <br />..__..........Ilusc biU tur building purposrs <br />......._....._Iiosc bib insidc <br />.........__...Bib for stuUle cnnlnining ....................slnll.._........._._.. <br />................TumUcr of persons in tamily <br />................NumUcr o[ rooms in Uuilding _ � _ .:_ <br />The premises nre la bc used ns n...'�% l'`" �:.�",�c'�/ ,_ - �c <br />The owner ot tlio premises �s {�..w y;. �G?L^-L�-�-� �-•��Q <br />i/ <br />Thengent is ............................................ . .. .... ...... .. ......... ... <br />This npplicntion, nit ough signed, .hnll not Uc binding upon thc City, until <br />nccepled by the Super' ndcnt of qic \\' Department. <br />Signed. ... . . _ . . .` _ . ..� � /� � Applicant <br />.�����t�a,��.P._-.�� ._i�z...... a .__. . iC .. -2 <br />........ <br />... <br />� /n !� Superintendent <br />/'�/" iL <br />