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„'�Ya�-�Sv'-�7��,�� � �i r � <br />t .._._�._�_"�-, . ' j �y'1'- I �>�' � <br />u�. t�. n,.�,� e. cmo—nr.ca.—c.cc-z� <br />City of Everett�--W.tter Depnrtment <br />APPLICATIO�( FOR WATER <br />All Ulanks nn•:t Le filled in or crus�ed out <br />— �,p�•/ �(� � <br />I�.ccrMt,._.........1.� l�. /...�..._ L. ..J I...../Z .>........._...1 �P...... <br />TO TIIL•: SUPGRINT'oNDENT OP Tllli \C:1TIiR UEPA�2'fJiF,KT; <br />CITP OP lVIiI:IiTT: <br />I LereLy np���:}' Lir lhe u:e uf �cater in occord:mce n�ith lhe ru!cs und regu' <br />lutious of thu {1'ator bep:u�tment, Cur �,urpoaes .�nd fisiures str.lud bde���. <br />During lhc lime th•.it any ot thc r.aler mnins nmp he lakcn up Lp rensou <br />of :mp impru��emculs uuthorirod by the Cilp ot lic<.rett. in or o[ miy street nr <br />nllep in wUieh thep may P,ace Leen Inid, Uiu Cit�• �cill not be myuired to furuish <br />�cater dm�ing the pru�res� uf such in:procoments [o nn}' consmner �vLose supply. <br />m:iy thus Lu cut of', or bc li:blc fnr nny d�nmgcn foc ils fnilurc =u ta 40. <br />AppLcdwn Ko �!�_'.�...`.%... . .... '. <br />' ✓ �.. aaa.' ' `-- <br />121ock... � ..... . ./ .. Imt . _ .._. . _.._.._ ... <br />�o.. ���J._.�./..c,c..yiGuc.c..._.,_, ..srr«t <br />/ <br />_ __ .._�_. . .. _... _... ......__. .._..... ... _ _......... <br />The a'm�k to be es:culed Uy_._.. _....... �.�5�=�..._....PIum6�x <br />Staie size of L•�p. � � • <br />....�,5:..._Tnp tu bc inscrted in lhc main. . Q-��- �{�' ��. ,; .� .��'. <br />t <br />..__(_....Al'nter closct <br />..... �......... I3 a t h <br />.. <br />. ._ ..........Unnnl <br />.....1,.......1'lain fnucet insSdc <br />... _ .`.._.._Side �xalk �ca�her <br />.....�........Ho=e Ui6 ouici�lc <br />....._`....Iio,c LiL Tar builJing pm�p�,s�s <br />.....�:.....flose bib insidc <br />._._L....I3iL for staLle cmilaining ....................stall._..__........... <br />._..�.. :...Numbcr of persons in Lnmil}• <br />...?.......1CumLer of rooms m bu�Liing ' � <br />The premi=ca nrc to be used us a_ i.-[e1� (/L� -� <br />�. _� ...... �.\ <br />'Plic otcner of the Premises ts .ij'_�� -e.!`/j.. ... .... <br />Theagent is ..........................__.......... ..__....___......................... [/�,......._................ <br />-'' apP��c:rtion, nitiwugh signed, almll not be hinding upon the City, vntil <br />' by thc SuPeriulmidcnt of LLc Nntcr. Peuprlment. -.� <br />s;����a.� , � ' � <br />/ j �� ✓ <br />1.L:�� t....._. LL.V_jl �/Applicnn <br />� <br />—.{�_/,?�-:7��_.. IIy /� :.. �f .� . . _...... <br />,.^'�� <—%��.�finri.itmident � <br />