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r",.,1, � ,.> ii r7r . . <br /> , t . , _ . ._�h �.�'-`•• �_ •'1,_ . <br /> �c.u.n„���. c,00-e.r.co.-s-z�za <br /> City of Everett��Vater Dep��rtinent <br /> APPLICATION FOR �ATER <br /> All binnks nmsl Le Liiled in or cros=ed out <br /> /,-� � <br /> � , <br /> �:,��,���:................ .................. .. .............._._......._����.. <br /> TO 'f;II? Sl�l'I•:RINTL•'A'UENT OP TIIE R'A'CP•.R DliPA1:1':1IliNT: <br /> CITY OR I:VBP.ETT: <br /> I hereby :�pply for the use of wnter in arc�rdnnre �cith the ivles nnd regu- <br /> Inliuns af the \l'ntcr Depnrtmenl, for pmpu�es nnd fistures stalcd fieluw. <br /> Durinq lhe limc that any of the �eater mnins mnp bc taken up Uy renem� <br /> of nny iuiprorements nuU�nrizrd br the Ci'y of Ercrclt, iu or nf nnp strcM ur <br /> allc�• in u•hich ihep may hncc Ucen laid, tlu City will not bc mq�ircd to ;urnish <br /> �cuter dw�ing the pru�resa nf sucli im�irovemmlla to nny eonsumer �chose eu�iply <br /> may iLus bc rut oft, or bc linblc for an}• clamngcs for its failure so tu do. <br /> Applicnlion No....Z�..1.� .... � Q � <br /> ISlocl. ....../ � ... .... . Lot.��.� 3_`Y �...._.__ Add.i"t�!!re-�.__ . .. <br /> Vo.... � �s__......_..Strect <br /> 3.l �y...._ _ _. ' <br /> , p _ � <br /> _._ ___...... . _.....__ _ _.... _ ..__. _ __ __... .... <br /> 'I�hr �eark to Ue executed by...__ ._.__. _... ..._ __.. _. _._. ._.... ......PlumLer <br /> `� itc :�ize uf tnp. <br /> ���� ' .. Tnp to Ue inscrted in the main. <br /> .. � .....\5'ntcr dn�et ° �� � <br /> rr " I S ' <br /> ..j._.........Unth � <br /> . _ ._......Urinnl <br /> .� _._.Plnin faucet in�idc <br /> . .....Sidc �cnll: ���m:hu� <br /> _._IIose bib o»lside <br /> _._liosc bib for buildin6 Pm�p,�r�c. <br /> S� <br /> . .._._.IIorse Uib inside ,' � . <br /> .. ... ......_.RiU ior staulc conlniuiug...._._........_.stnll_......_..._.'._. <br /> .. _......Nurobcr of persons in fanily <br /> ..�'...._..NumLer of moms in 6uilding <br /> 'I'hc premises are to be usrd av a .._�1�l� �4�-� <br /> � _.__.. <br /> 7'he owncr of thc Premises is. G..�..._ �L:r �r <br /> . . q^ ....�.1 .. ..._ .. <br /> 1'he n�ent is................._............ ..........._..._..........................._.._4............_................. <br /> '1'his r�pplication, allhough si�ned, �hnll not Uc binding upun ilic Cily, until <br /> .���rpted by ihe SuperintIy�dcJ�t nf 1 t �1/I�cr Depnrhncnt. <br /> S�gned _-... 1 '.f- .' �Lry .�ti_ ...� . -. Applicnnf <br /> �_ t- �-yy ��.. <br /> ,. ,n��a__ � 2.q ��,- B, � �q��_,�,� <br /> G�''.�f�} �. f. <br /> i /.__�,_�`1Lrintendent <br /> . , <br />• <br />