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; � <br />N'. D. Fcu- < <br />�ITY OF EVERETT-�XiATER DEPARTMENT <br />AZ�P�ICATIOI� FOR W�TER <br />:\;I blanks must 6c lilled in or crossed out <br />�� � . � � .____19.�`.�.f <br />I'.vcrctt. _.. ._ .� ...___.__... <br />_...... <br />ZO'P1I7; SUPF,R�:dTF.1DF.N'CC`IP] OF EVERETTDFPARTMENI': <br />;;dh�nho( t�e V�a'icr Department, [or purposcs nd 1�xtureststaLed,Ue4o�ctLsu- <br />Durin; Uic timc that any o[ thc walcr mains may bc takcn uP Ly rc:isnn <br />o( :my improvemcnls authorized by the City ot Everett, in o^ of an)' slrect ar <br />allcy in ��4�ich they may have been laid, lhe Cily teill not Ue required to {m'nish <br />m;dar dur.ng the progress of such improvements to any mn=mner ���hose sup- <br />ply may fnus be cu[ of[, or be liable tor :�cy dam:.gcs :'or its [ailure so lo do. <br />Appli<ation No......./:...�1.... S..-/.... '� <br />/ , i <br />F31nc6. � . ..__...._. Add...,�.>.% , .. ...�.: <br />.. .. ...... ... ....... .. J ot . .........J. . . . .... <br />. . .-C: /.. �, /'_....�....._Strc�l <br />No..... _ _ ....... ........ _. ......c�.......L... S ...................�........ �-9... <br />..... _... .... _.. _ ............. ... _...... _ _ _ _... .............................................................. <br />. � C7.eCuled by. ..._.__......_..._._. .. PlumUr; <br />Thc mrck to ' • • _ ......_._..__.._...__.. <br />St:C� szc of ' :p. <br />�: <br />.... Tao I i 1>c inscrled in thc main <br />' �� _ <br />�._........�N��t� ' rlosc[ ; ' . . ' % � '`-- <br />. _.._ .�.....Bnlh � <br />.._.. __.....Urin;i <br />. . _ _.....Plnir faucct iusidc <br />_....Sidc ',calk washcr , � ' <br />S (.. . <br />. _......_Iiose Uib outsidc �- /' � <br />.., _ . �;c�'r �.�• <br />._.__ Hose Uib for Uuilding purposes �' !� •� <br />� ., ,, � J;. <br />. ___..._T[osc bib insidc � " <br />_......IIiU [or stablc conl�ining ...................stall....... .. .. . <br />_._. �.... Num6cr o[ persons in family <br />_ .i�:.....Numbcr o[ rooms in 6uilding <br />Thc Pcemises m�e to be used �s a....._ ......................._. .._ .. .. _ . _.. <br />'PPo owner o[ the pcemises is._.__..____. <br />__............_ ........_....... ...._......._. .. .. <br />I,ic agcnt is . . ... ... . <br />......._.__ _..._....._ . ... . <br />... ......._.. <br />�Ch�, application, althou h signed. <h�ll no' bc bindm;; uu n!hc Citc, u�':Il <br />,c� �•ptcd by the Superinlendent o[ Ihe �,1t'��le p/epa m n[. <br />� �.�.�.:�._`)...�k. )�/'..,�����-.F'jLL'1.ApPlicant <br />Sifincd i:7`._... <br />A,';.rnti�.,: tn, �3v. . . . . .,.. ._.... <br />' SuPrr'.ulrt ccnt. <br />