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� <br />�, ;— , <br /><<<,l � : a ,•r �i" � ,_ _. , <br />15'. D. Fomi J -15ta—E.P.Co.-6.2�-2{ <br />City •of Everett^-Water Depai�tment <br />API'LICATION FOR WATER <br />All Llanl:s i:iu=t hc fillc;l in or crossed out <br />(� i <br />tivcrett. ...................._� �..�_ 0..............._._.........192.�.. <br />TO 171G SUPERINTIsNDPNT OP TII13 ti'ATI:R DLPART)itiNT: <br />CITl OP LVL•'I:STT: <br />I hareby n�ipl}• for lhe u�e of n�aler in accordonce •a•ilh Uie �vles nnd regu- <br />Intions ut the R'ater Depnrhnuit, fnr pwpo=es and fixtnrrs staled bdow. <br />During thc time that �ny of thc �vatcr mnins moy l�c tuken up Ug renson <br />of nn}' impruremenLs nutharized by Lhe City of Ecerct[, in or of nny streut ur <br />ullcy in n�hirh ihct m�)' lia�•e Leen Inid, tlie City will nut be required to furnieL <br />�cater durin;; Ute progress of �uch ironmvemcnts to a»�• cnncumer whose su, ply <br />n:ag tlr s Lc cut off, or bc liablc tor :my damngcs for its fnilure so to do. <br />Applicntion No �� ���2 /�ie���-'`` <br />.�..��--.Lac I4 � ., <br />m��k.... .. _ .. naa..__ _._ . :. <br />v�. � 3 3../ �q..�- �%�.__sa��c <br />__ _.. .. . .... _...._............_.._.._......_.........._......... .._....._. .....__..._..........._........ <br />.. The ���ork to be esecuted by._._._._.._. ._ .. __ . __. __ . '1muUer <br />/ 7�.�_.._-��i-{�> �� � <br />$fR�C 6120 Of lilp. � ��/ <br />�,,.��...-„Tnp to oe inserted in Lhe mnin. /'^' •�•� <br />................�Pntcr clnset � ,� ,� . : <br />hc,e���-trir-<< �� ', _� ii., , <br />................Bnqi ' : - � <br />................Urinnl \ - <br />...............Plnin faucet insidc <br />.....Side �a•nik «•n�her `-y �-�{ � \ �..�, 1 � \ <br />...,_.........Ilosc bib outsidc �� ;��._.� .j �� <br />.......Hose b�b for building p�trposes n�G. 1} �. ��tl�' <br />..............IIosc bib inside ��y �f F.YEA��:�A�^n� <br />........IIib for stnblc containing ..................pYall................ / <br />I <br />.. _........... � <br />. Numbcr of persons in fanily ••. <br />....... .....NumUer o: rooma m Uuilding <br />The P�'emises nre to be used 1s n. .. ..._. ... .....(.k �r<.�.—.._ <br />The owner o[ the premises �s ..� ._ ..-.... �Z_`.a...�t�.........._ / <br />Thcngent is.........._...._ ........................._.._._......................._.................................._.... <br />This np��lication, nithough signed, shnll not Ue binding upon the City, until <br />necenLed fiy the Supermtendcnt of lhe \P1ter Deparr�nt � <br />Signed l�p...�_.......�.....C�'�../��/���Z'�'�"��`'��, .. �.APplicant <br />Accepted....1�'S.._ ,� C"! ._..1�2 � I3y . `Y'�i� G�����.... <br />u�icrt" �ent <br />