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r• r�r 7-I-2G- FiT, ._,_..._.._�.s( �. L 7- Nc�1�1� <br />w.o.r•o�r ��-rou—r.r.co.—s�^s.z� . .. - . <br />City of Everett��Tater Depai�tment <br />APPLICATION FOR WI�TER <br />� All bl�nks must Ue Siiled in or crossed out <br />i oG <br />_.�.... ..�..._� �_....��.........��_ ..... <br />I'svcrctt..........._;.� ...........� <br />PO THI: SUl'ERINTLNUIiNC1TY O�VI t CTP;DEPAI:T1�16K'P: <br />1 hi.reby nplilc fnr the use oC ���nter in :�ccr,rdauce �cith Uu tt�les nnd :egu- <br />lctiuns of the R'nter Uepnrtment, tor purpc�c� r.r•,d fis�m�c, stated belo�e. <br />During the lime thnt nny of the tvater riuina m��y Ue inken up Ly r�asun <br />uC nny imProvements nuthm�izcd by tlie C�ly �� ��'erett, iu or uf nnp a?�cet or <br />nllep in �chich they mny I:nec been lnid, t'.ic City �vill not bc re,uimd to Surnish <br />�vatcr dm•ing thc progr�ss of such imP�'��'P11����ts to nny consumcr �vhusc sul�nl}• <br />tnay tLus Uc cut ofL o(r' be linble tor :wY �amn6es Eor its fnilnre so to do. <br />Applicntion A'o._.d..��.0 ............... <br />'� . _. Add.... _....__.... <br />Lot..._......_.vL.... . _._ _..... <br />Block ................. �d... ._..... <br />..... �/` <br />No....��. �. %-.:...... _. ... �_ U.. C..:l..I .....................Street <br />. _ _ ........... ..........._...........__.__......_...._.............._._....._.._......... __........._...___........... <br />1'hc a•m�k to be executed 6y_.__.......... <br />E'nle� size of Lnp. <br />,;� f!�...Tnp to be inserted in the nmin. <br />..:..'...........�\'ntcr closet <br />1.._.....nacn <br />... � - � . . Plumber <br />. .. .. o ....1 •.�,,, <br />' �S � ��i'#-� 9/ <br />. ._ .. �� � .ii . <br />........ <br />.. . <br />..:_:..........lJrinal ................. <br />__Lj.:.......Plain fnncet insidc <br />..._......_...Sidc �calk «•nsher <br />.._.�.........Hosc Uib oulaidc <br />..._.:..__...liosc Uib for Uuil'.ing Pur�ioses <br />.....:._.......IInse bib inaidc <br />.......:........Aib Lor stnUlc conini»ing....................stall.._........_...... . <br />......::........NumUer of persons iu tnr.iily <br />`�......__.FfunUer of ruoms in building . <br />/ <br />The premises arc tu be used as a._... _ .�5<�Z�f.......-- -....«iA� <br />The owncr ot the premises is.,,�..._ ... .. ............._..__......_..._............................... <br />Theagent is........._ ..................__..._................__.........._........_..............._..........._........ <br />'"s :.pplir.ition, nl(hourh signed, sUnll not be binding upon thc City, until <br />_' Uy thc Superin�y�Lnt o thc '„tcr Deyartment. „ <br />/ : . � �' 1��y, <br />Signed. �L:�""'�''"'�`".u.....(!�-�f!(r�!`.... ......_���rtPPucnn: <br />. ... ... ...... ... <br />� / ., <br />�J . . ___3D21� By.. ` .../ <br />,J�.:�s..s�..: � .. _ ,�......_ ................. <br />� _ Superintendent <br />