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_-,�`I�CA-�-=� <br /> I p— �' 71 (')"J�� <br /> �.q •�"1. , y �.., . <br /> _ ,. • ' <br /> \\'.D'Porm�—I`+no—E.F.I'o.—S.G23 <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> A11 Ulnnlcs must Le filled in or crossed out <br /> ��r��elt�.............���........................................1.92.`�.. . <br /> .,� ..... .. <br /> TO THL SUl'�RINTENU73N�C[TY OF E�lil'S�TT;DEPARThIENT: , <br /> 2 hereby :sPP�Y jur lhe use of µ'ater ir. nccardance «'ith the rules nnd regu- <br /> IntionsDurihF �hetlime thnt`nny ot thc uvnteremnins¢i y�be lal:en up'Ly renson <br /> o( nnY imProvemenLg nu!harized by tlie City o[ Eeerett, in m� of nny ntreet er <br /> nlley in which thel' �»2Y >>n�'e Uecn in�d, tLc City will not �c required to furr.i�h <br /> �catcr daring tLc P�'ogress of such improvements to nny consumcr wliosc suPb�Y <br /> ❑my tlius be .•ut oft, o bc liob�' f°r °ny �m"°Ges tur its tnilure so lo do. <br /> , .� I <br /> r • <br /> Applicnlion No... ...��.._...............�.J : <br /> .. ' . .. ..... ... <br /> Block...................................._ I.ot......._............... ........_... Add._........ <br /> _ <br /> .. ...........Street <br /> No.. ��_� y . ._ �.U�s. ..... . . <br /> ...... . _ <br /> .. ..�.��...4 ....... <br /> .. <br /> ..... . .'....... <br /> . . ..._.................. _ <br /> ._....Plum er , <br /> The «'ork to be executed by_._�.-- � G - � <br /> State size of tnp. �/ r/ �3 �-- <br /> _.���._TnP to Ue inserted in th�� mnin. � <br /> ........�......Nnler clocet <br /> ......�........B¢th <br /> ._....�....Urinnl �" ., . <br /> .__.�.,7.-......Plnin fnucet inside =��: <br /> i' <br /> .._....:::..Bidc wnik «•nshcr �, <br /> __..�_......Ilocc bib oolsidc , <br /> ._._�..I�lose bib for building P��rposes <br /> . <br /> ...._.., ....FIose bib insidc <br /> %- g.................._e toll.................... <br /> ................Bib for stoUle cuntninin <br /> .......::..:....Nmnber uf persons in fnnilY <br /> .,.,,L�.....Numbcr of rooms in UvildinS �/ /� �� <br /> �.L!]vr<t.�"r<''-��`-�l::�..... <br /> The PTemises nre to be used as n._.. .. � <br /> hc o��mcr of the premises ic......_.... ..... ........._... <br /> __..__.._.........._......_...._.......... <br /> , ..................................... <br /> ir�ent �s......_......................................... ................... <br /> .ais al'P>icntion, slthough eigned, shall not be binding ul�n the City�, until <br /> pted 6Y U�e Superintendent of lhc \Vatcr Depnrtment. <br /> ' / /�•� ���sr�._ . . ...........�._.APFlicant/ <br /> Signed.v..��........v."..i���„ <br /> ..... �/ <br /> -..192. .. BY-... .. �.. . <br /> .......... . <br /> Accepted_.��.=�- ���--�-� r uPerintendent <br />