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- �u_f-:rG' n- ��._2 s f��1 �c„v�{_,_ ._ . 'i - � . �.; <br /> R'.0.Fnrm i. Ifiln—BP.Ca.—GSGYI , <br /> City of� Everett�Water Department <br /> APPLICATION FO� WATER <br /> All Ulanks must Ue filled in or ::o=sed out <br /> Eecrclt,.� . ............��.........._.....1D2.J. <br /> PO TIiR SUPIRI\1'PNPE\T OR Tlfl: \PATI: DPPAItT\iLNT: <br /> GITY OF I3VGRtiTT: <br /> I hereby npplp for tlie u.e nt�c;iler in acrocd:nce w'ilh lhe rulea and regu- <br /> lati:,ns of lhe �S'nter Department, tor pmpnzes :mA fixtu.es staled bclot�•. <br /> Dcring thc Limc thnt nn}� uf the �c:der mnins msy be taken up Ly ri�ason <br /> nC mrc imprncements nuthm�ized Ug the City of Lcerett, in or of ung et.reet or <br /> ull�y in •vhirh tUcy may haee becn laid, thc City will nol bc re,uired tn turnish <br /> e•aler during the prugress of such im�n�acements lo nny cun�umer whase suppl)� <br /> may lhus Lc cut off, or bc liable for any dnmagcs fot it.s fnilure sn to do. <br /> � <br /> Applicntion A'o..... . ...J.Q_.�D........... <br /> � -a � <br /> Qlack....._...................!_.......... Imt._...........:::._.___..... ..... Add... .__'... .. <br /> . __..... ._._._ _.. <br /> No......�..� ..I/_._. .. �.CfC..G:��.��.__8treet <br /> .._._._...... .. .. .......... .. . .... . . /..�..... .__.... ....._..... <br /> The amk l0 6e esec�ted bY. .�a�c-al {�.� � < �G _ Iwnber <br /> Stnlo Svc of lnp. ����a,� —1 �,- /'� �� . <br /> ..���..._Tnp to Uc inscrted in lUe mnin. %w' � � <br /> .....�........\l'ntcr closcl ���'� � <br /> ....._(........11n t li <br /> .._.s.^.....Urinnl <br /> .....2......Plnin faucet insidc <br /> .__._—..._Side ��•nik �casher _ �. <br /> .._�_.......Ilosc bib outside <br /> ..__.-.:.......Ilosc bib for Unilding purpnses <br /> .___�.....Ilose bib insidc <br /> _...._'.-...IIiL for stable eonlninin�....................stall.................... <br /> ........ .._I2umbcr uL Pcrsons in tamily <br /> . .. .. A'umber of rooms in bmlding <br /> ... ^� <br /> TLe premi=.es nre tn b� used ns n ._.. �'1..�� . _...... .. ..... <br /> The uiener of the Prem'��s is .-.�/'i.t,.rt.��-L..R��--__. ...... <br /> TLc �gent is........................._.._........................_............................................................. ` <br /> is npplic:ition, xithough signed, ;hnll not 6e Linding upon Uie City, until <br /> .i � � lha Superintendc�� of ,(1'7c�Vn�cf Depnrlment. <br /> / i7�. <br /> SiSned...,�.�..__G...��.1...../..f.����17/..(���.�. .. , . Applicnnt <br /> _....._. <br /> .l _.aa.-.�.�.�..".'...19P-3. By.. „l _ � .. _ ` <br /> . . ... ........................ <br /> � �� �i�' ' erintendent <br /> i � _ <br />