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_ . ��,-�.�v� !' l �-' 1- '" , � <br /> z..�.:..,� �..- �, � . _ <br /> �c.n.t�o�m�-tcoo-s r.co.-c•:e-xa <br /> City of Everett�Water Department <br /> APPLICATIOT� FOR �TATER - <br /> , All binnks must bc :illcd in or r.rossed out <br /> _-- — <br /> �............................._...19'3.,�. <br /> F.vcrett.....................� <br /> TO THL� SUi'ERINTCNDE�ICITY OF EV�RGTT;DF.PA1tTJIENT: <br /> I 3iereby ��PP�S for the use oC water in nccord�nce �cilh the rules nnd regu- <br /> lations of thc "1Ct`nDipaetAny off the�U�lter mni s nml'�be taken uP'�Y rensmi <br /> DurinB h <br /> u11eY in1w}i h t�hey�mny hn�c Leenylnid, h�cSC U'�vill rat�be�equiredytotfurnish <br /> ma} Uaus,�be cut o[f,or be 1�ble for��rn3'��n��^Ges�fo��its^firilurct so�to do����P�V <br /> ppplicnti;m No....��_�° �............. • ; . <br /> .. <br /> " � � � � �_ ., . . ,., <br /> - �:.�............. Add._ ._....... . . ...._._. .... <br /> Block.........................___......... Lot...L.. ........... <br /> ....._.. ... <br /> No.........�U..U..�......_.. _ . <br /> ..Q_.�;L.0..............strcet <br /> ...._ <br /> ... <br /> ...... <br /> . . . .. .......... <br /> ............ <br /> � ._-G�l... _....Plu�T <br /> /. <br /> __ - . <br /> Thc �vork to bc executed Y- -��-�- - J .. <br /> Stntc size of tnp. � � � <br /> .._�z-..Tnp to Ue inserted in lhc main. ��'�d � <br /> �(.......\ti'ntcr doset ��' �jfL j ' ,�� O <br /> � crrr oF S <br /> .._,.,).._.,...Bath EVERETT {y�rER DEP' <br /> _.._-.....Urinol sY..�............. i L- T <br /> ...��........�..... <br /> ,2_.....Plnin fnucet insidc ............ <br /> � <br /> _.....::.......Side wnik washcr <br /> .,.,..(..,.....Flose bib outsidc <br /> ...._.-..,..Fioae bib frr buildin� pui'i����s <br /> .._.. .......Iiusc Lib msidc <br /> .,._-;.:.,..,Bib for stuLle contninin <br /> g....................stall........._......... <br /> .__.... ..�..,..Number of persons in :nmilY <br /> ._./�......Number of rooms in building <br /> r <br /> / L�,........ <br /> .... .._...._ ._... <br /> ... ...... _... , ' <br /> '1'he Premises are to be used as n.p.. �.. . ���� <br /> . . C��<_ .._._.._ /..-G:G:.L.G-i-........._. <br /> ��uc owner of the premises �s..-� u^U6-' I <br /> / .................................. <br /> , ...........�,._......... <br /> .iic nBent is..................................................... <br /> � This np t�he Supcintt ndent of��lhe•\\nn` r�t�nrment °non llu City, until <br /> �pte1 by pnt <br /> � ..................APPIic <br /> / . . ...... . � <br /> SisnedX ....... . ........ > <br /> ...... ......... ..... <br /> ........ . _ <br /> " � �t�b��. .. r�i�.-/ <br /> . �. �................. .... <br /> �ed ...��-...1..._..-....197✓r— Y... � � . '""Superintendent <br /> 1 �� <br /> Y_ <br />