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� <br />; �._�� � -�.� � � -l�: <br />IC.O. F�nn I -foo--F..P.Co. -21 <br />� n:ii <br />;�ity of Everett�W�tzl' Departmenr <br />APPLICATION FOR WATER <br />All Ulanks mus6 Uc tillr.i in or crossed out <br />(��.�,.1....._......._... 19° _.... <br />I:veret t ............. .. _....... ... .. <br />1'0 THI's SUI'liRINTIirDF.NT OP iHl: �FATEIi U6PAItTDiI;NT: <br />CITY OF IiVPI:BTT: <br />I 1mreUy npi�ly tor the use of �rsler in aecardanee �cilh tho rules and regu- <br />lalions ot the �Vnter Uepartmenl, for purPoses and fiuures ����t��� ��'�U�'rcason <br />During lhe lime thnt any ot thc o':itcr m:�ins m2y be taken up <br />ot nny imp�'���emenls nulhorized bc thr IwVC t'tvill�not�be�required�ta�furnish <br />alley in wh�ch thep may hx�•a Ucen laid. Y <br />e�nter during the pro�resv uf surh tinl��rocem^n!a to any consumer ��'hose supnlY <br />maY tlms Uc cuL uf[, ur Uc lia�Ulc fnr �.my d:imnges tor ils L�ilurc eo lo do. <br />ppplicntion \u.._��./.-��-.--....... <br />_.. Add. ...... .._. ._. <br />Slock_... / Lot ... , . ... <br />_. /.. _ � %� i <br />.... l.(C.�_(�. .�P.�!/ .Strect <br />_. <br />I� o ... . <br />....... __._.._. <br />_..._ ..............____ . . . __..__. __.. <br />Thc a'ork to be eaccuted 6' ��� � . .. . <br />Stute sizc of tnp. <br />��� Cap t.o Ue insertcd in thc u:�i❑ <br />.........._' <br />_.,_._...._._Wnter daset <br />......_.......73nch � . <br />._..._ ._. ......__.. . <br />... Pluml er <br />�� �/ <br />� �' U' <br />�s' ��/�6 <br />_.... _......_Urin ul .. <br />.._............Plain f:mcet insidc �, . ��;;.� ,. <br />._........._..Sidc n•nik �cnslicr t.`-'� OF EYLcc:',' <br />._..........._}Iosc Uib avlsidc L', , ...... .. ' <br />................11osc bib for Uuilding pm'posea -�. <br />...............Ilose Uib insidc <br />_...._........UiU for stnble containing__...__._...... <br />s tnll....... _...... _ _. <br />.............._tiumhcr ot Pcrsons in fnmilY <br />_...._........NumUer at xomus in buildinl; <br />TLe P*c�»i=es nre to be used ns a..._ ---- .....- ... <br />Thc owncr of thc prcr.iises is.........__ __..__._._...._.. __. <br />_. <br />The r.gent is........... <br />Phis nPP��cation, a <br />��ted bY Lhe Seperi <br />� <br />.. . __............___. <br />....... _. _. _... _.... _ _ _ _. <br />..... _ _ _........... _... ... _ ..................... <br />...__..._......... l <br />�iFned, :.hnll not be bm ng upan the City, until <br />, of th; \1':�Fc/P�p�T�nt. ' `\ .. ... <br />// l/ ..�f / �'\. <br />