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�uJ�-� H��'o -9n-/r t..._ i_:f �I - � 1 - . � - �l " , ' . <br />N'. D. Ibnn d—ILUO—F..i'.Ca.--G :G-4 <br />City of Everett-�Water Dep�i�tment <br />APPLICATION FOR WATER <br />All binnks mu=t bc filled in or cro=_sed out <br />Gccrett� ...................__.....y//^2.__............. _...._.._19�.... <br />TO TH� SUPER1NTIiND}:NT OP TIiF. AGATEI2 DCPAI2TniENT: <br />CIT] OP F.VGI2ETT: <br />i hcrcUy nppl}- for thc us�r ot u:itcr in accard:mcc �eith thc rules nnd ic6u- <br />Intions af the Nnter Ucpartmenl, for pm'P��`es :md fi��m�es staled bcle�c. <br />Dm�ing �:ic timc thnt nny of thc �s•:rter mnins mny Uc taken up by rcason <br />of nny im��roreme�Is authcrized by the City cf lcerctt, in or oC nny strcet or <br />alley in �chich they may have been Inid, the CiLy �vill nuL be required to furni=h <br />�cuter during Uic pro�ress nf such im�irm'ements to nny cunsu:ner w�huse suPP�Y <br />m:iy thus bc cut off, or �bJe ]inble far nny dmnuges for its fnilure su to do. <br />Applicntion Na__. .l.��/^ <br />. ... ... .___......._.. <br />J3lock �..�.� _.� �...���...... LoL. ... .__...--__.. Add._... _ ._... ... . ..... <br />No ���4'"�'a--�..�A..d---�-L�it� �-r�..._Street ��-r��� �tiR-i..S--- <br />..... _ .. _ ............ . _..._... ........... .._...._ . ........ __..._. .....__._. __....__.... <br />The ��•ork to be executed by......_....._.__.. <br />Statc eize of LnP• b" <br />.�a��.......TnP to be inscrted in thc mnin. <br />................Nnter doset <br />. __....-......Bath <br />... _...........Urin al <br />._... . Plain tnucet insidc <br />__--.--.......Sidc wnik �cnshcr <br />.._._.........Iinsc bib outside <br />.... ........_Hosc bib for building imrpoecs <br />...__........ ilose Lib inside <br />.....__.......Bib for slable contnining...._.___.__.�tnll__ _.... _ .. <br />... ........._Nwnbcr ot persons in tan�il�� <br />._..._....._.NumUer of rooma in UuilJin;; � <br />The premises are to be used ns 1/,� /� 7�L��-� . E _. . ._.. <br />The o�vner oi the Prer.iises iF_..(t._o-�-�-t.t.d-h-.�._�...I��.j r S�-o <br />' ,... .,_.,. <br />The agent is..._...__._ ................ 0 <br />. . .................._...........__....._....._..........._....................... <br />This npplication, nithougL si�ned, :hxll not be bindiug upon tBc City, dntil <br />pted Uy the SuperiulcudcuL of q�c \Vulcr Depa�tmeul. <br />Signrd..........._..._ .................................. ..-�....__.... �_Av� ant <br />.pted ..............V{......:.C..S..19�y. BY.....(��%.. _� . .. � ........ <br />�/ � ��dent <br />✓ <br />