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- `�,.�� s-4--,?S-K' � ti �l�:n�_ l_�j-; �_ S :. <br />� <br />tc. o. r orn� J—iSnn—E.r.ro.—fi�zfi 2/ <br />City oi Everett--�Water Department <br />APPLI�ATION FOR �TATER <br />All bl:m7:s mu�l Ue filled in or crossed out <br />l:ccrett� .............�-� :.�'� . '7 '> ...IDE..r.. <br />_...a _., ..... ..................... <br />TO TIIIS SUI'I'.RIn1'ESD7;\T OP TI{i5 R'h 1;1t DEI'AI:T1I141T: <br />C1TY OI' I:\'G1:STT: <br />J hercLy anpiy for the u�c ui ���nler in nccordance «•ith thc rules nnd ngu- <br />urtions of the R'nter Dep.artment, for puipases nnd fis'm'e:; �t:�;ed belo�c. <br />Dm�in� the lime that any of the �c'der mains may Ue falcen up by rea=an <br />o[ nn}' imPrnvementc OtILIIOPUCA Il}' i:1C Cii}' ot IicemtL, in or uf nn,y eLrecl nr <br />ulley in �^hi^U �hep mn}• havc Lccn Infd, the City �eill noL bc required to furni=h <br />�vater dnring the. prugress ot such impro��ements to nny cou�umer whose sapid}• <br />m:�p thus lrc cut n([� or bez l/iablGe Lar ;;m dmnages for its failure so .o do. <br />Applicntion No._._.....Y.k:._R_�._......_� `7� ����P �3 <br />131ock........�...,'��.,...�.1.._...._....'..ILof'7�/&.:�.`l._....._.._.. Aad..._.._......__. __. .. <br />Ro.. .2`2 � �......._V� _._j� '•�' �.�'.`� ._Strcet <br />U <br />._.... ...... ._ ......... .............. ...._............� _._.._....... _..a... _. ._.. __ ......_ __. . <br />Thc «'ork lo be executed Ly.__ .... O-...... �... ... __... .. ..._ PlvmLcr <br />tate sizc a[ tap. � - <br />�f. p � <br />_...�._...Tap to be inser.ed in [he mnin. �p� y� <br />_..�.........R'ntcr doset `X <br />J <br />.�__.........13nt�1 /� J � �� � . <br />._.._....._t�.^i0:1� `�J �� _'� 1'. <br />�. ....._Plain faucet inride <br />r� <br />_.... ..._Side �call: ticashcr � y �. . <br />� � � � ' i <br />_..........Hoae bib aul:^d0 � . � <br />' . ... 1p 't' <br />; <br />.�-....IInec bib [or Uuilding pnrp..,=rs �.. ..... ' ..' <br />.— .-r.�..ITose Uib insidc � �; i �. �. . . <br />...::..—....Bib for stnblc caclnininn,... ................stall_.__............. �� �.�, . , . `� <br />.......--'..Nmnbcr uf pereonv in fnmily \\� <br />f-f. KumLer of ro�ms in Uuildir.g <br />..... <br />Thc Premises arc to be used ae n.... %Z��-P <br />� � �`� . .. . ...... <br />7'he a�vner of the premises is.�tS.�C�'7�.�..��"=�l. _ <br />�, <br />__ __........__ . <br />ThcngenL ia.._..-...__.._..._..._......_......_...._............_._..........._..__........_........... <br />Tliis npplicntion, nithoug',� si; ned, shnll not Uc hinding upon lhe Cit}•, until <br />acepted Uy the Super�ntend4nt uf Lhe 1i'nlcr Pepnrtmmt. � <br />Sisned.__........ �V..... y �..._.".:«- <br />4ccepicd .. ... _ 9 ._. <br />� �� ... <br />. <br />