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��.��� �' <br /> 2 3 7-6— �f. "—.� ,_ _ f--�i �, _ �-c�_ �2� t�'�»�-1 <br /> W. 11.Porm J�–tnnu—E.P.Co.—c°6-G4 � ` <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER � <br /> All Ul;mks must bc filled in or crussed out <br /> �verett,.... �� 7� ...19'�.�.. <br /> 1............_.......... <br /> ....................................... . <br /> PO THE SUPSBiNTENDi:NCITY OF P\'li12CTP;DEPARTIIlivT: <br /> I hm•cUy nPP�S for the use uC water in r.ccordance �cilh thc rules nnd regu- <br /> latimts of the «'ater llepnrtmmit, for purpo�es and fixlures stnted bclo�c. <br /> lluring tl�c time that nny uf �hc teator mnins mny be lnken up bY ren3mi <br /> ot nny imnrovemm�ts ¢uthorised by the City of F.vcrett, in or of nny atrect or <br /> nlley in which 1heY »�1S hnve been Inid, the Citp �cill not Uc required to furnish <br /> may Lhus��Ue cul off, or`bc I�l/a�ble for�an}'`lniungca�for�its�G ilure so'tosdo.UrP�Y <br /> Application A'o.._.._.�_Z....�.�._...... � <br /> .. Add._� . . . _ � <br /> Qlock............... . Lot..................................... � <br /> ............/../.r.�_� � <br /> A`o.......�O / �-�`_�.��.._8treet <br /> .�..0........ .. . <br /> . ..........................._.................._....._.__..._. ...... <br /> _._._.__.. .......__._....................... , <br /> .......__......... <br /> � �_`,U.¢.h�ON'�'.:1..z......Plumbcr <br /> T!ie wack to be executed Uy...._. _._....... <br /> Stste size of tnp. <br /> /��}..-,��.......TnP to be inscrted in thc �,�nin. „ � �- . � <br /> � \\'ntcr cinset . . r/' - . .. . _ ._ . <br /> ......(.........L'nth , —� . r, � . <br /> ... ........Urinnl ...... ��`5\�� �� I <br /> ..,,.�e-:. Plain Amcet inside i i',",G <br /> _ �L <br /> `-...`.,.-:...Side wnik �cnshcr . � . . _ . . , �i <br /> ....`........Iiase L b Cnr'buildin ror oses...... ..�.' . <br /> . . � ....��.'�\�...__........ <br /> ...-............. g�i P , / � <br /> - -� -._Ilose bib insidc '' I <br /> .._........ <br /> _ ._......_.Bib for stnble cmitnining....................stnll......_._....._.. <br /> ....... <br /> ,,._—_ A'umber of persons in tnmily <br /> ..A f........NumLcr of rooms in building h � JJ � � <br /> The premises nrc to bc used n�s/p. . _./_/.'-�.�?-��-a�-c-�`-°^'�-�-��-�--"'--'� <br /> T�;�_ o��•ncr of t6c premises i9�1��_�.0•.....Y��t.... __...___.................... ._ _..... <br /> �gent is......................_............_.........__.........._..._._......_._......_......................._... <br /> �pplicalion, nithuu i signed, slinll not be binding apon the City, unti� <br /> ���y lhc Superint ent ot thc 1Vntc�,�e,�onrtmJe�nt. <br /> Signed...�.R._.._'.a...{�..� ...11...�.......`.�!!Gv'�-�.� .... Plicnnt/ <br /> �. � 1' � <br /> Accepl ed....�.�..'.f..�....192 . IIY..... .C✓`%y"�'��/�`,vliy/%�.. <br />