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-i' IU-S-:=i._/71 <br />�. P. F��rm l-:.'.00-E.P.Co.-F4n-2/ <br />�-r� L� �_-l� " �- 76 py� � <br />City of Everett�Water D�p�i�tment <br />1�PPLICATION FOR ti�ATER <br />.111 Ulunks inust hc tilled in or cros=e� out <br />���crett ............._............._...._o./..Cl._.i.._........_.........1D°.6. , <br />7'O 11iE SUPERINTliNDEN9` OF THP 1PA'PF.R DBi'ARTiIiliKT: <br />CITY OP EVFI:I3TT; <br />] I.e�el�y npp'.� fnr the use ot �calec in arcm�dnr.ee �cith lhe rules and regu- <br />lations v thr ��'ntcr llepartmenl, far purpnres nnd fis ures st:ded Uelca'. <br />P� ... y the timc lhat a�rv o[ lhe ��•atcr mai:is mny� Lc tr�Lrn up Ly rensan <br />of nny i r.�,rocer�cnts nuthorized by the City of Bce.rett, in or oP nm� strect m� <br />nllep in �chich the>• may hnre Leen Inid, .lie City ���ill not 1>e requirnd to furnish <br />�r.:tci d�,irinn the prugress of such imgrm�emenis to nny a�nsumcr whosc sUppl)' <br />in::}' thi.s Lc nrt ofi, or be l:nble Lar c�iy d::mr.gcs for ils Cnilure so to do. <br />,,,i,����t�o xo........... �. 5..�.9.:...- � 6 7 u. <br />� <br />Blo�k ....... . � �... _ Lot....... .. Y.. ....... .. AdJ. ._ __.___.. . .... <br />Na . oL. �n_�G �- ��+Q�`'`... . ... . . Strcet <br />_._ .. . . __ ..._. . . _ ..... ._.._.... } �_� ���_� <br />�% �� �'""�,,r _. <br />The �emk 10 be esecuted by.V"�-5"r�'�----�-c�}-...J "�'.._.....P""" lunil�er`I . <br />St c size of inp. <br />r <br />. �f.�'.,.._..Tnp tn Ue in crted in the main. <br />.......�....._1Ynlcr cloaet <br />I <br />................ B n t I i <br />�� , <br />................Ut� n nl <br />� <br />..._....._._.Plain iaucet inside <br />......` .—..Sidc �calk u•asher <br />.L.-......Ilosc Uib outsi�ic <br />................liosc UiU for 6uilSing parposes <br />���1" I a <br />.....-.-�Iosc bib insidc J <br />.._.._........B'` for etuUle contnining........._.........�tnll............�.�./ <br />................Numocr uf persnns in tnmily � <br />....�.../ \umUer of rooms in Uuilding � <br />_ /_....... , <br />The premises aro to be used ns � .�--L� C..S,.. ..�' �'........._.... <br />1'he owncr of the prcr.iises ie.. C •.�...J �7( C_l]'�,(_:!>....._.__.._... <br />Thc agent is........___.._..._......_ �/ <br />................. ... ..._.......__..... ..... �......_._.......................... <br />This npPlicntion, nithough signed, r.hnll not Ue Uind�ng upon the CiLy, until <br />nccepted hy the SUperinCCnd^.., o lhe \`�nepnrtmrnt, <br />,� ��� �� � <br />signoa ...... .. ....... � �-... .. .._ . ... plfcn�e <br />Accepled.___. ��..-�� 192h By...�.� , <br />...... . . . . ...... <br />� . nperintende . <br />