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-�- 5- �•r-i-( i�o,. <br /> c.-,r_._w:-� � � i. , , � -r.��u-x- � . <br /> W.D.Farm '-IG00-E.P.Co.-6-Y6-4 <br /> City of Everett�—Water Department <br /> APPLICATION FOR WATER <br /> All bluul:s nmst be filled in or crossed out <br /> — � i <br /> Ee•crett�...........................:.... . ....._..19'1..�. <br /> .......�..�.......... <br /> TO THP SUPERINTENDPNT OF Tf3E 1�'ATETi D .PART\tGNT: <br /> CITY OF EVGBGTT: <br /> 1 hereby nPpl}' tor the use o[water in nccordnncc ��•ith the ruJes and regu- <br /> lations of the Natcr Department, for purposes nnd fixtm•es slnted Lcluw. <br /> lluring lhc time that rny of the �vnter m��ins mny be tnken up Lo renson <br /> of nnp impruvr.ments nuthorized by tLc City ot P:cerclt, i�. or ot nny s�rect or <br /> ulley in which ihey m;�p hacc hcen Inid, the City will not bc rc�uimd to turninU <br /> wnter during the progress of such impro��ement to any consumer wLuse supgly <br /> may thus be cut of[, ur be li¢bCle, for any dmm�CsIes for iGs failure so to do. <br /> A��plicnlion Nu........_�.�...�?.7..........7 � 7 D <br /> Ulock............. . . .... Lot . . ' /.�..-. . Add. . _... _. ._.... <br /> No.._ '�� 9. . ����C.�-�l..strect . . . . I <br /> . _ ....._. _.. ... . . ... ... ......... .. ... .. .. .... .. _... ....... <br /> The �vork to Uc esecuted Ly. . ._._ .� . ....__. ...Plur.�ber i <br /> St e size of tnp. � p a /� ` <br /> ���.....Tap to be inserted in the main. \G�i� <br /> .......I.......\Vntcr closet I •� % <br /> ......�........BntU I � <br /> ................0 rinnl <br /> ..�..��...Plain fnuect inside <br /> ................Sidc walk wnsl�et <br /> `�.....Ilose bib outside <br /> � .....�.-Zlosc 6ib for building purposcs '�� � -` <br /> __............i3ose bib inside �./ � I <br /> ................-Bib for stnble containing............._.....slnll...........�_....1. <br /> i <br /> ................Numbcr of Pcrsons in fnmily � <br /> ..,.�...NumUcr of rooms in Uuildi��� 1 ^ <br /> The �iremises nrc to be used as n.... �. �7 �����e��J�- -�- <br /> ....... .. .. ...... ............... .. . . ..... <br /> The o«•ncr ot the Premises is...L��w�-.�h:R.��"-�`�-"��.......�"o-'"�J . <br /> - w nBent is....___.......................__................._........._........__..._.__._.......................... <br /> � npplicntion, nithnu�;h Figned, ,hnll not 6e binding upon the City, until � <br /> by lhe Sup\erintendcut a[ tho '. r Depnrtmen . ,� <br /> Signed..v..'..I. . .__......_................_........:... .. .Applicnnt - <br /> �... .................... %.' <br /> >>.-.�9._.-�7._....isz...... nY . � <br /> . ............. <br /> ' Superintendent <br />