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w.n�r„�n�a .isou-t:.r.co.-_�:e.sa <br /> City of Everett�Water Departinent <br /> AFPLICATION FOR WATER <br /> All Ulant:s musL be tilled in or crosaed out <br /> Pvercll.......................�../...�:................_............1�2.�. <br /> TO TIIP SUI'13Rt:d1'I:NDI3VT OR ;9iE 11'AT6R DEPARTDIE\T; <br /> CITP OF �VIiRtiTT: <br /> 1 1mreLy npp�y for the uae ut���aler in ;�ccordance �eilh the rules and mgu- <br /> lutiuns u[ the R'uter Department, for pmpnses nnd fix�.urce stu:ed Lclow. <br /> Um�ing lhc timc thnt nny oC Ihc �eatcr mnins nmy Uc takrn up by rensan <br /> o[ nny improcemmris nnUiorized by the City oC F.cerett, in or oi nny sLreet or <br /> sI1rS in wl�ich they may hnce Leen Inid, lhe City witl not be required to futnieh <br /> �anter Jarin� the pToFre=s of such imProcemenl� to anp con�umer whose supP�Y <br /> m:�y thus be cut afC, or be IinUle fnr any dmm�ges for its fciiurre-so—lo—do--. <br /> Applicnlion Na......���.................. "�a..t_.t_L_�. � <br /> Qtock......... .. . ..... .. n _... /..�. ..__ . Add. .__.__ __... .. .. <br /> No... . . �y�� ��.r c_u�L.�.-`.Strcet -. <br /> ..____ ... . ......_..._. . ........ ._... . ........_.. .._ ..... .. ...... _..._ _._.....__...... . . .. <br /> Tlic wm�k to be executed by.__. ../..� . ____ .._ �.//._.__..... ......PI��iUer� <br /> Slnte eize of lqp. ��`L��"""�i�,{��'."�,}"- �- � <br /> _ Y �J' o � <br /> ..�..�� 1'up to Ue inecrtcd in thc �i✓ �C TC�'� '. <br /> ........._..\��nter closet /a-+�A ���i1�u�� 33�% <br /> G <br /> ... �•k. �. ; ' <br /> ................Bnth �' <br /> ......_......_Urinal �ir��' ' ' i��� ' <br /> �ITV OF ECLfiy�T 'dF���� ��. � <br /> ................Plnin fnucet insidc � � <br /> ......._.......Sidc �cnll: washcr C:�' . . /, <br /> ................Hosc bib out,ide <br /> ._.._.........Aose bib for buil,ling purposes <br /> ._.............Itosc biL inside <br /> ................11it for slaUlc cantnini»g................_..stn1L................_. <br /> ._.............Kumbcr uf pr.rsons in tamily �a.�y�- �� � <br /> ......._......A�umbar o[ rnnms in building " ��� : <br /> Thc premises ar� to bc used as n��ric�_��7".r�-f7..g�.._G(i�jjr:�;�,,, ._ <br /> The owner of the pren isrs is ,_.,,, <br /> ,' / ............ <br /> s <br /> The agent is...... .. ..�, ,7'. . ,._Gt��LUr �_..�.. <br /> ............................_... <br /> This np�ilicntian, nith h signed, slmll not L� hindin uPon llie Cily, until <br /> nccept.ed by the Superin dcnf of lhe 1Pnter,�/�,1y�inrt e <br /> Signed..�._.Q'�'�:-e� "' '� �APplicnnt <br /> ... ....... .Y...... .. .................. <br /> Accepled.._. ...... ..........•.�.�..102,.... B �"'�.- <br /> � ............. ... . <br /> .J _� � .. .. ...... <br /> ' � 7�� rmtendent <br />