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` ��ls <br /> ��.-tilt,ti.i_�� �- ' '- ` '! 7 <br /> £-r-��.-�..�\-`� - J."1 " �'. . i <br /> a•.u.ro���+--�rca-t:.r.co.-�-zs-za <br /> City of Everett�Water Department <br /> APPL`��ATION FOR �'�TATER <br /> All bl�mks must Le tilled in or crossed ou� . <br /> /� /r <br /> .�.i.--........_....__....1sz..... - <br /> li t•e r e t t�................._..._....G... ..... <br /> PO 'fHP•. SUP�RINTIiNDGNCITY Or EVE 2I'sTT; EPAR'I�fEN7`• <br /> I liereLy npPl)' for the use o[�cater in accordance with Uie rules nnd regu- <br /> lutians nf the 1Gnter llepartment, for pm�puscs and ti��ures sl�ted 6elow• <br /> lluring thc t.ime thnt any of the �cater mnins mny be tnken up 6y renson <br /> of nny impracrments nuthoriud hy Uw City o[ E�'erett, iu or eC nny street or <br /> ulley in o�hich thep muy hnce been Inid, the City «�ill nol be required to furnish <br /> wnter during lhe progress of such imprnvemenls to nny con�umer �chnse supph' <br /> may tlms bc cul oit, ar Uc linblc tor nnY �»�n�._�''�for �/���ure so to do. <br /> Applicntion No.._.._�..�_7..I . .. `f� - <br /> ....... ... Lot...................._ .. ...._._... <br /> ..._.__........... ....... <br /> 61ock......................... ........ ..... <br /> No......_��.�`..... ....._........_.._............. . ...._. t1CCt . <br /> . ......... . _..._... <br /> . . .... . ........ <br /> .. ........ <br /> . .._. . . . . _............. <br /> _ . <br /> Tl�c ��mk to be executed bv _ .-. - - ����� - � � <br /> ._........ ... ..YlumUcr <br /> Sta e sizc of tnp. � �, o <br /> � �.._....TnP ��o Uc inscrted in thc mnin. � •- �5---' <br /> � <br /> __....�..._..«'nlcr closet <br /> .._�..,.,,..,.Bnth <br /> ................0 rinnl � <br /> �..............Plxin Lmcet insidc <br /> ................Side «�alk �cnshcr <br /> `.�.-.......Hose biU outsilc . <br /> . ..............idosc Uib for 6uilding purposes - - . �� 1 <br /> ................IIose bib inside <br /> �.....�.-IIib for stnUla conlnininB.......-...........stnll...............__. <br /> .,�............Numbcr of persons in fnmily <br /> ,,,�.......NuntUcr of rooms in building ' <br /> The Premises arc to be used ns a.... - -.....-.... .-......... .--........... <br /> _ . <br /> The owncr nf the Premises is...... . _......__ ..__... ._._........ ....__.. <br /> i, c agent is........................ . ............._..._.............................. <br /> . ..........................._......... <br /> ', �. ;.pplicalion, ¢lthough signed ahnll not Ue 6inding upon the City, until <br /> � the SuperiJ�enden of e r Depnrtment. <br /> SiCned....(i.f..� ..... ... ........................ .. ....................APPlicun� <br /> .... ... <br /> . ��� ��,y.......1� IIY..� .... . . .......................... <br /> -,�,,. ... .._�....._ ... . . <br /> f��5uperintendent <br />