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£'�.{:.t�' s-��i-2s a,/�-. _ . �-�:�ne-� '1- � y-1'S� <br /> w.v.t'���m i---�sno-e.r.co.-sss-xa <br /> City of Everett^-Water Department <br /> APPLICATION FOR WATER " <br /> AIl binnl:s must bc fitled in or crossed out <br /> EvcrMt............ .... �!-G.r.�G.....�.�......_.............]!12_J.� <br /> TO TH� SUPliI27NTLNUGN7' OR F '�1TI:�ART\tEN'I': <br /> CITY . sV13RP:TT: <br /> I hereby npply for the use of �vnter in accordnnce with thc rules imcl reg�- <br /> Intions ot lhe R'nter Depnrtmenl, for }impuse:� and fis'ures stated belon•. <br /> lluring lhe time thnt nny of lhe �vater mniss may Uc tnken np by rensmi <br /> of any improeemenls nulhurized UV H�c City of Ecerett, in or oC nny st�ret or <br /> ulley in which they may hnce Fcen ln�d, Uw City will nut Uc mquired to furnish <br /> wnter dm•ing the progress n[ such improcemenLs to nn}• em��um�r whose suPP�Y <br /> nu.p thus be cuL off, or le liable for :,ny damages [ur its tnilure su lo do. <br /> Applicntion ro...�a_G..S'......_....... <br /> Blocic...................._.._._L....... Lot......_ � �. .p.__._........._..... Add.. . ...... . _... . ._ .. .... � <br /> No_d-�o�.�...../�-1.P..�-{�-f<(..v.�..._...Street <br /> .._____......._......_................................_....._--.....__/.......�............... ... ........ .__....._. _....._.._. � <br /> Thc work to be executed by...�/t.(,./.��✓.)-�..!<tti-`-�-1�-. .. G...P�}�yJn�be,�r <br /> Statc size of tAp. � �� ��'Yt �p� � ��'�-U <br /> .._�Zr...Tup to be inserted in the mnin. �' / �ra� � S y <br /> /w ' <br /> ...../.........�Pnter closcl <br /> .....�.........Bnt I� <br /> .....�......Urinal <br /> V <br /> .....�.......Plnin fauret inside � <br /> .......`..-:...Side walk �ensl�cr � <br /> .__J.........Ilosc bib ouleidc <br /> _...�.....iIosc Lib fur Uuilding purposc� <br /> ..._L....IIasc bib ineidc <br /> ..._L....Bib for stnblc contnining.........._........stnll.................... <br /> ..._�....TomUer of peraons in family. <br /> � . NumUcr ot rooms in building <br /> ....... ...... �j �/ <br /> The premises nrc to bc used ns n._.._..... ._0�..`.tf:�.�1..-L-�c-�.«..�r�-_._��_�., <br /> 'Phe o�vner of the preeiises is.....�.�._<'/.?�.,--... __8,.1,,.c„c..4-�ti�� <br /> The ��gent is................__..............................._ ........._..._...._........_.__........................ <br /> This npplicntion, i.lthough eigned, rhnll nat 6c binding upon thc Cily, until <br /> ' Uy tLe Superintend'Jc-n�,t, ot lhc \1'atcr llepnrt nt. <br /> Signed..X........Ll/� . �.. ..+(.G..1.'v..�. , applicnnt <br /> �1 7.._ �..... .... <br /> >. ` .��......... 2rtf� �y.._:����/�- ��.:,� ....... <br /> _ _.../ - . ................... <br /> � perintendent <br /> ._ .� <br />