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r. �i�J' 3-sa-3.1��� � 4: , , . . , �, i( <br /> ,N.ll.Fnvn 1--1600—E.P.Cn.—L:G:! <br /> City of Everett�Watei� Department <br /> APPLICATION FC�R WATER � <br /> .111 blanks nmst be fillcd in or crosscd aut <br /> Evcrett..............�/fll�LG-..1<........���......._..l(�Y'..� <br /> TO 7'llli SUl'lIi1NTF.NP1?NT OR 19IP R'ATI:12 UEPARTNGNI': <br /> CITY OF GVBIitiTT: � <br /> I hereby npp1Y for tUc usc uC�catcr in nccord:mce �rith the ivles nml 7egu- <br /> Intions of thc 1Vntcr Ucpnrtment, for pm�puses nnd fi�lm�es slnted Lclo�e. <br /> Pm�ing lhe lime lhat miy o[ lhe walcr mnins mny be tnhen up Ly rcnson <br /> oC nuv improvcments nulhorized Ly tlic Citp ot I:vrre[t, in or oC nnp strceL or <br /> iillcy in rvhich thcy may hncc bcen laid, thc City will not be requircd to furni�li <br /> crater during the pmgress of such imprn�•ements to nny conswner whose supply <br /> m:�y thus bc cut off, or be liable for any danmges for its fuilure =_o to �o. <br /> � � � 7 <br /> Applicntion No........�.�'.,�`i............ la(o <br /> I31ock-......_?..'._:.._'.....'..._...._ Lot....._�....:'........._......._....... Add......:....' '.. .. ... .. . .. <br /> No......_._d�.�..�.�.....�.lLffY_?:r`Lc........_Strcet <br /> ..._..._.... . .... ... ... ...... .._ .'� �. . ....... .. ....__... . <br /> Tlie work to be caccuted Ly r..�l��. ._. ` . ._.. .1'Lr.nLrr <br /> �-' pa <br /> Stntc eizc of tnp. /�y /Jr <br /> ._���::.Tnp to 6e inscrted in thc mnm, . . .. <br /> i <br /> ._._-.......\Vntcr closet �. � , � <br /> � ....Bnth "�� 1 ' <br /> ............ ...�. LT A1�.KS��� <br /> .......-......UTIIIC� �., <br /> � .v�...>�_+f..rs . . <br /> .....-�?.....Plain fnucet ircid: � . <br /> ._._":�......Side tcnik xn=hcr <br /> ._...�........Hose bib outside <br /> ..__-......Hosc Uib for Luil,ling �iurp��:�s <br /> . .. . .....Hose hib insidc <br /> . _.._..-....Bib for stablc cuniaining........__.._... >tall... __. .. <br /> ..._�..... ...Numbcr of persons in tumily <br /> . _._�.......NumUcr o[ rooms in building /,/�ry7 � <br /> '1'hc premises nre to bc used as n .. . .�/ Le� . ... <br /> __ <br /> '1'hc o�vncr of the pr/em) ses is . � �� . �J'�e..i /� . <br /> Thc ngent is.........../!�/J✓. .. r-Q:.UC....... � <br /> . . .... {/.'._'.....�....................... <br /> 'Chis npplicntion, nithough signed, shnll not 6e binding upo thc City, vntil <br /> ncce.-cd by the Superintendcnt at the \i'nter Depnrtment. <br /> t ( <br /> Signed..�.......J:;k.ts.l...c.l.tu-Fny.....L�..�.........._.. . .........�. .....�i�lica� <br /> �-/L1- ',�! � �j��/ � <br /> .cd............... ................._t92...... BY._.E�! .. ... .�'?7L:.:?i-♦✓. <br /> ...���..�4,.. <br />