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tMM�+�� ! 'I 1 - . .. <br /> �T-l�_�` I I- ..L •� S i :� ��_ � <br /> , N.D.porm b-1G00—E.P.Co.-6-26�2/ , <br /> City of Everett^-Watei� Department <br /> APPLICATION FOR WATER <br /> All Llmilcs nmst 6e fill^d in or crossed out � <br /> . Rccrett�..........��.:(1.:.....�..A........................102.�. <br /> TO TIIF SUPGRINTI'sA`DF.NT OR TilP �"ATGR DISPARTidC\T: <br /> CITY OF �Vli1;ETT: <br /> I hereby �iPP�S for the use ot n�ater in accordance �rith �he r�)es nnd :egu- <br /> Intions of the ��'ater Pepartment, for pmposes nnd fixtvres slatrd hclow�. <br /> Dm�ing the time thnt nny of thc �vatcr mnins mny be laken up Ly mnson <br /> ot nny improvements aulhorized by the City of I3��erctt, in or of �my screct or <br /> nllel' in �vhich theY may hn�•e Leen lnid, lhe City will not be required to furnish <br /> w•:iter during lhe Progress of such improrentents to uny coue,uuicr �rhese supply <br /> msy thus 6e cut off, o{�/,�e���1�r any danmgcs/f�r� fnilure sa to do. <br /> Applicntion No...SJ '� ' <br /> .................................. <br /> Block........._3...�'...7............. Lot. .......�.7— � � . Add._. ._.... <br /> _...._.........._...... _...� <br /> �j ...... ...._.. __. <br /> No../�/-��2..__�.U. ..�.._..._..................Strect <br /> __. __... . ..............................._._.......__...... ..............`c6 __..................�..-.. <br /> Tlie �ror!c to be executed 6y._... ... . . Ct-. _ ........... .._..Plumber <br /> State size ot tnp. ��U ' �"�' U,j,j3� <br /> ...��?..:....Tnp Ln bc inscrted in thc mnin. <br /> ......(.........R'atcr closet <br /> .....�.........Bath <br /> ....::..-.....Urinnl '�w' <br /> ......,Z...._Pluin inuceL insidc (�;% <br /> .__....�...Side �vnik «•ashcr �' <br /> .. .....�........Ilo�c Uib outsidc <br /> ....._ ...I�osc UiU for building purp�srs <br /> .......—.....Ilosc Lib inside <br /> ....-_"'.....Lib for stable conlainin�....................stnll_..._.._..._ .. <br /> .....�,..A'umber of Persans in fntt�ily <br /> ....r.'.........rum6cr of rooms in bnildiug ,�q� � <br /> �Thc Premises are to be used ns a ..... ...lL..�-�.'._._ _... __............... ,............. <br /> ' �j: <br /> ';he owner uf the premises is._ . ..l�Z,tiv'�s�c_.`.=�....��..�L.'..—....... <br /> 'hc •�gent is................................................................_............._......___........................ <br /> --hi3 npplication, ntUiough signcd, shnll nvt bc binding upon the Cily, untit / <br /> �rd by the Superintendent ot thc \Vntcr Depnrtment. � <br /> 1, 00 <br /> Signed......'�).OZ^It!�:�^:Yl..`T._G4.�.(..`��rf=/�..... ...........APPlicnnt <br /> ....,_�pted_..,�..:.. .��...�...102.� BY. �../ ...... . <br /> � . _ Superintendent <br />