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F._�ra ,_ E-,: f <br />�,_n. �, . <br />\Y. a P��rm � c,no—e.P.co.—c..a.xa <br />City of Everett�--Water Depai•tment <br />APPLICATION FOR V�ATER <br />All blunl;s musl be filled in or crresed out <br />I:�•cret t,..... _ ....................._....�. . ......._...19°.�.. <br />....�............ <br />TO TIII: SUPF.RINTI'�.Nlll� VT OF TIII? R'ATI?It DEPAIiTi�fiiN'P: <br />C1TY OF liVI:P,ITT: <br />I hereLy� nppiy for the cuc o[ w�:�ter in arcardance �rilh thc ru:cs nnd regu- <br />Intion= of the �Pater Depar4nent, for purpo�rs imd iix�ures stated brlcw. <br />Dm�irg thc timc thnl unp nt the rvaier mnine mny Le taken up I�t• reneon <br />of im}• imp �oruments nuthorized by the City of liccrclt, in m• of nm• strec6 or <br />❑Ilcy in �chirh thry ma}• hm•c bern laid, tlie City �eill nut bc required� to furnish <br />ia��ter dw�in.; lhe progresv nf such improvemrnts lo qny ¢nnvunter �chose eupply <br />m:iy thus bc rut off, or Lc linLle Cor :my dnm:q;r.� for its fnilurc eo to do, <br />Applicntion Nu._..__�.� � � <br />. _ . ............ <br />I31ock _-:�.�. ...,Lot � ' � , � ' <br />. . ........_. ...... Add.. ... <br />. _... ... . . .. <br />No...� ��..2 ..liL,O ' . <br />� . ._.Strect <br />..... .. .._ ......._ _.._.... .... ___.__. _. . .. . . <br />_ .. . .._ . _. .._.... _.. <br />Thc work to be executeJ Uy...... _ .. . _ . . . .._ ... ._._Plumber <br />Stn e �izc of tnp, <br />.i <br />.�..Z.....Tnp to fie insertcl in t6c main. <br />.._..�.._....\\'nter claset . . <br />I� 1, <br />..._�..........Bnih (� � � <br />�_ /� � � �� <br />._.........._.Uri�nl / °-' �. � ,� � <br />� lam fuucct insidc ._ ' � 14� • ~\ /� . <br />, <br />L ' i _.. � ; , <br />_._.. .. I <br />� <br />.� i�H - � � �� <br />. � ....._E�de walk ic:vhor i;��i ;;� �� ^ ����, /�.�/ : <br />.........__...Hose Lib nulr:idc F1� ��'fRO�r • <p �•'.. <br />....... .., � <br />WdlrR �,..,, <br />....�.-�..Hosc Lib for Uuilding �iurpuses � . <br />......: . <br />._ .............Iiose bib i;isiJe / �7.......... <br />1-. <br />.....--:.Bib for stnblc wntnining.....____.......s�nll.........._..._. <br />..... ..ZCmnber of persons in Camily <br />��-� rumbcr of rooms in Luilding <br />Th�remises nre ta be u=ed ns a.._. ..�t.��_ <br />.... ....._ _... <br />Th�• nv�icr of thc nremiees is .. .. �.c.�' �� <br />T' gent is... _.__.... � <br />__._. .. _.. ..__...._.. <br />...... _. _ .. _ ........... . ... <br />"�� ,�plication, although signed, ahxll not bc binding upun the Cily, until <br />y the Supe��ntendcnt oL the R'alii Departmrnl, <br />�igned. . � l <br />........ . ...._.. ir�3"� <br />.. ... . A licnnt <br />�.'.�f �. ny �¢L/�'� <br />� /� ..�Suncnntcnden .-.. <br />�'�' ./ ' <br />