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' ...-tr�.�-i���-fl,i � E..J:�s.._�(� ��. 7.. "t <br />w. u. ro�� e--vuo—e.r.co.—� zus� <br />City of Everett-��Uater Department <br />APPLICA'I'ION FOR WATEF, <br />i+ll bL•mlts must be filled in or crossed out <br />F.ccrclt. .............._......_. /.�.....�.�...J.... :....._._... ..1ff1.6.. <br />TO TIIC SU7'tiIi1NTliNDENT OR THE \PATIiI: UEPA3iTNG\T; <br />CI'C] OP IsVP•.1tliTT: <br />I hcrcL;: npply for thc usc ot w:�tcr in aceordancc �cith tlic ivles and regu- <br />Intions o: the R':�ler Department, fur purpases :md fix!ures sL•ited Lclow. <br />llm�ing thc limc lh¢t un}' ot lhc �vater mains mr.y be tnkcn up Lp renson <br />of :�ny imp^ovciucnts aulhorized by the City �f E�•crett, in or nf imy stmet or <br />ulleq in whicl. '.hey� may h:ice be�n laid, thr City u•ill noL be requircd to furnish <br />a�nter durinh U�e progress o[ such imprm�einents to nny eonsumrr �chuse supply <br />map thu� hc cirt ntC, or Lc li;�blc for :my damngcs fur its fnilure so to do. <br />Applicntion \o ...g�92 7� g`' . <br />Qlock....._....� � �.....� Lot ......�.� � � � .__. Add. . �� � . <br />�., '".""'' _ _ .._ ....._ _...... . .� <br />I�o �.O �� AJ �--�^�.....Street <br />Q <br />_ . _ _ .__ . ..__.....___ ......___....... _. ..__. ........_._._ .. ...... .......... .... ..... <br />1'he work to be eseculed 6y_._. ...._.. ..._ .... __. _...__.....PlwnLer <br />St. e eize of tnp. <br />�. � � o�� � <br />�..!"E...._.Tnp to bc in;er.ed in the main. L� (.r <br />......�..._...Wnlcr dnsr! � � ���f I�" <br />...�...._......11ntL <br />/ . � <br />__ �(�" �� <br />....._...IJrinnl <br />.�..�.......1'Inin faucet insidc �" <br />_--.�..Side �valk �rn.hcr <br />L_ <br />______._21nc1 U'lb oUlside <br />.. 1.....liuse Lib foe building pttrpu: es <br />�__ <br />...............liose Lib insidc <br />`_ <br />._ ......::.....➢iL for ;table con•aining.._.....:..........atall...,���_....... <br />...—:::.-...Numbcr uC persons in fam�l}• � � <br />..�.........A'umUer of romns in bnildir.F � • <br />Tlie ry•emises nre to i�c used ns n. .. ... .._..... <br />The owncr of lhc pren�scs is_..� .._.. ........ .... <br />..� ngent i�.. . .... .. _ ...... .. ...... . ....... _................... / <br />�� •ipplication, nitfiou�;li �igned, shall not bc binJing upnn lhc City, until / <br />,. b�� lhe Su�cri � tendcnt of lhc 1Va�er pn tment. / <br />S�gned ... ._.. /. .. .. ... _ ... . . . .. .... plicnnt i <br />. � �._._- _ ln _f.? By... ._ . _. . ,fj <br />erintendent <br />