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r„ti�: , _ � -� , <br />�v. n. ��:�r� a i�ra -e.eco.—s-�s-x� <br />City of Everett�Water Department <br />AppLICATION FOR �TATER <br />All ld:ml:s must Uc filled in nr crossed out <br />�---- <br />%��c'j ...192.� <br />Et�erclt. ................... ......... <br />. ................._... <br />...... <br />1 <br />10 TIIIi SUPCRINTLNDE'-�iC1TY OR E�`�ItETT:U�rARTDiGN' : <br />I l�ereb�' �PP�l' far the use uC ��•nter in :�ecnrdauze ��'�th the rules �md :egm <br />lationsDn�ing tletlimethutenny oftthcUrltcr mai sfnmY,�c la�kcn�upiLY renson <br />oE nn}• improeements nuthorixed by Uie Cil�� ot F.cerett. in or nf nnS street ot <br />nlley in wluch Ihcy m�y ��n�'� Ucen laid, thc City �vill noL be mquired lo furnish <br />wnlcr dnring lhc progress of such improv^_ntenls to nnS ronsumcr �s'hosc s�pP1Y <br />�uay thus be cut off, or b�l�bl�Cm� anS dnuwges tor ila fnilure su lo do. <br />Ap� (i �" <br />ihcatiun No -d ��� - 4i ��" <br />I' r�... .. Lot .._ . Add.. . ....._..... <br />..._... .......__.... <br />I31ack /� ,�] /� <br />........ .. .. . . _. <br />od `� �` �� (1 � � C. . �:.`. S�trcet <br />U� <br />\ o...... ... ...... ... . � . <br />... ... . ........ ... � <br />.......... ..... . <br />. . . _....... .. _. . .. .. .... . % <br />�,�t...:G:L .. . �. i. ...P1umUer <br />qhe ��ork to be executed by . / �-%��- �- <br />, �� •� . � ' , �. <br />Slnte size of tap. � � '� � '� '� ) <br />,' i -. (7 . . . . . <br />-��.:.....TnP to bc inscrted in lhc mnin. _. . <br />� .,,, ��'ntrr closet �.z i,, <br />..../._.......BntL �_�� � O <br />__.-........Urinnl Is �)�'l. �; ^ �����J <br />�..._....Plnin fnucet inside CITY 0� E4EAET7 WAiER DEP'T <br />.._..".-:.....Sidc tcnik n�nslier GY ..................:.....:......................... <br />..../..........Hoec biU aulside - <br />.._-.........liosc biU for building P��Poses <br />__-........ iIose Lili inside <br />� ....:..—:....IIib for stuLle contninin <br />g ....................s t nl 1.................... <br />..,.,-.........Nunthrr of persons in fnmily <br />..... ..::....Numbcr of ruoms in Uvil�ling y7 <br />'/ � �.. �.....'. ........ .. .................... <br />' m premises nrc to be vsed ns a...�;:�,...... .�..... / <br />Tlic o�aner of the prer.iises is{ � <br />. i/. .�!,. :.-t�L1/L-CC.�!L <br />. . . ............. <br />. _.___........._ .................._.... <br />The�gent is....._ .............................................. <br />Tliis nPPlicntion, nithovl;h siBned. almll not Uc ' ding upon the City, unLil <br />,�; �pted �y LUe Superintendcnt of the \Pntcr Dc� nrtmrnl. <br />/ � . �.t .,�yv.. p ,. .Applicnnt <br />Signed....,�..G..L�.v+<�.'l�.tid.1/n-. � . �� � <br />��?`, <br />/�7 ' ..�.f./.,:c ..................1 <br />_ .... <br />.... ... <br />. ..�pted .,ye�=...�...- ... ..19�/.... By..__.,_�. .. � �uperintendent <br />