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•i :,:z-.� �-�i . .. , t_,_� � 'i, 4,-� `1- �" . , � <br />l\'. D. Fmm 1—If00—F..IICa.—'.9d-'.'� <br />City of Everett�Water llepnrtment <br />�r -;: �ATION FOR �v'ATER <br />' All blanAs must Uo tilled in or crosscd oi�L <br />E�•crctt .........................._ _.�.�./.�..b.................._.....19?../.. <br />'�J TIIE SUPI'sRIYTSNUI:N'f O� TIIP: R'ATlilt DEPAI4TAIE\T: <br />C1TY OR I:VPI213TT: <br />I herel,y apply for lhe u�e of a�ter in nccerdsnce o•ith Uie rules and regu- <br />lations ot lhe Wnter Department, Cor purposes and fi'<'ures slnlyd 6clu�c. <br />During thc limc thnt anp oC the u•:rter mnins nt.q� bc lnkan up Ly renson <br />oC nr,y impro�•emenls authorized by Nir City of Gcerett. in or of nny strect or <br />nllcy in which thcp mny hnvc bccn lnid, the Citp �cill nnL Lc rcquircd to Curnish <br />�cater during lhe progress o[ such improvemeuts to miy enn.=umer wLose suppl�• <br />map thus be cut of[, or be IinLlc hfor ;�y �i:muige>�= fiiilure so lo do. <br />Applicnt� No . .._.�.� 7 i �. / — % -7'�` � � `�� � <br />I31ock..../ . A ._ . . ...... L __ �:...N........._....... Add��.�!�dY <br />No....�.b../�%.... ...._.._....._... .. . _. ._ ...Street <br />...._ __ . .......... ... _... .......... . ....... . . . .... <br />_ _... ...... <br />Tl�e ��•ark to be executed by ._..._ __... .... . .....PlmnUer <br />Stnlc size of tnp. <br />I ^ <br />�� .............1'ap to bc inscrted in dw mnin. I r� "_ <br />r� � <br />....�.........R'nlcr clnset � <br />...�-..........Bnd� '. <br />��Jrinnl <br />� <br />......_........Plnin fnucet in�ide <br />�— -_.'.Fidc n���lk �ea.:hrr <br />_..... <br />_�......Hosc Uib oul::iJ�• - � <br />i <br />___._....::.Hose bib fm� building purposes !' � ,. <br />��[o�e bib insidc <br />.. .........Bib tor stnble cuntnining..__ ..............ytnll.._................ <br />......._.�...A`umbcr uf persons in fmuily. <br />. .�%� .....Num6cr o[ romns in bmldm�,` - e � �n <br />The prmnises nre to bc used ns n /�--��-'C_t-�' <br />��., - P ,- . � _ _ _ <br />The o�cncr ot the nr,sni�es is. t-� -.rF_-�i� .r[J_-'-s.-...,. <br />Thcngent is........._......._.......___.._ _............_........__............_.._ ........................._...... <br />This applicntion, nllhouFh signed, shnll not be binding upon the Cily, until <br />nccepted b,v the Superintcrdcvt�Oot ihe \\'n��cr Dye,pnriment. <br />�igned ................:!�..�...'^'.!.�..."✓+'.�� /�?-Y.Z.,.—.._.APPlicnnt <br />AccepteJ....$...-�p......—_......102.7. IIY_.G! / �-/,T/�. . .. ............... � <br />� �i ',vrndeudent � <br />