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`i..��L.rl q- y .��1 �l� _ L� ,Sl''/ 1' "�9 ' �� <br />ll'.U�i'�,nn! ti.pn.-LP.fn.-:-Z6-21 <br />City of Everett�—Water Department <br />APPLICATIC�N FOR WATER <br />A_ll Ulmd-s m��.st Ue ii]ed in or crosxed out <br />--- J� <br />1?ccrctl,........._... / _-__......___............_..I:Y�`�/ <br />L <br />............. _ _ . ....... <br />TO TiIG SUi9iIi1Ji7'ILKI',?:'.dT. (11� 'CI3F, ICL�Ti:R llEl'AI:T�1GNl': <br />C(TY OF GVF.R�TT: <br />S he, eUy n��.��'y fur [he r.�:e oC watrr in accr.rd:mce uith the r::l���: ::.nd re�gu' <br />latim�a ui the Watcr Ucpnr.ment, inr pu;poses end :ir'u�cs st:!1ed h�'�.`°. <br />Puring Lhe time thtd any o[ thc wster mnins niay be laken uP Ly naenn <br />of an�� improcemenls authuriacd by ihe City of Ecer;lt. in or of mq' ctrccl nr <br />nllry in v:hich �hc}� miy huee Lcen la�d, thr City will not be re�uired lo furnieh <br />w�ter dm�ine :h^ p���grc=s of auch imprm•om^nts ln nn�• c�mFumer �chuse suPply <br />nuip thus bc cut c;f, on c� �aUlc for ;iny damnges for its fnilure so lo ua. <br />nnpu�n���n x�.._ _ � � ? 656�f � <br />- / <br />T'1ncA ...�.y.. �- qL ... ... t . �/1 . . . .._. Add.� .. n � l.l'_�< r�.�� <br />\o..._�05.� / ._....�/�^^��>'.'�—"�w...._...St:ect <br />.. __. ....._._..._ ...._._ ._...._ . ... ........._......._. _. ... <br />..___....._ . .............. <br />... Tim �acrk lo Ue �xecuted by.__ ..._.., . _._ . ..._...........Plumbcr <br />S ate eize of tnp• � �� �.(, <br />�1:.��.......TaP to bc inscrtcd in the mniu. � � <br />: ' � � <br />. ..—_..._ii'Ri^i C�OSC� �I. � I'1 f� (/ <br />ra�n . �u " � � <br />� �' " l"� lL��f <br />.._..—:._..Unnal /,�yj.i �v^-T-f "ti _ . . _ � . ��,��, <br />� .........._....Plnin fnucet ineide �- -. <br />� �.� /:; � <br />.......—.':�ide �enik �eea6er '- °•:•:, . <br />, .. ' ; � '�/i��. ; .� � . <br />.......`.......13oea Uib oul^,ide `.,, . �, : - .� `. <br />�,...,_...liosc Lib for building pvrposes .. ,��!7� ���� <br />\ <br />__._.......Iiosc Uib insidc � ^`. .� <br />_.._.—:....Bib for stublc containing.....__..._......xtnll.__... _._.. _ • '� �_ <br />._�..._ �..Numbcr u[ persons in Lamily <br />�j NumLer of rooms in buildir,�; �� <br />.-1..._... <br />Thc premiscs nre lo be used ns a/.�... . - ......... <br />Thc owner of the prcini�es is__FSL-�—�-'-�- <ti�-�� ...., <br />Thengent is.......... _....... __.._...__ .... ._.. _.__ ..._.._. . ..........__.........._..__.___...... <br />Thia npplication, nllhnugh rigncd, zhnll not be binding uP�n thc City, until <br />pted br the Superintendcnt of the 1Vnter Depnriment. <br />. Si�ned�.N.�..�,,,Q.Q�tq......(...(.X-(/L . ...�.�.. ..�Plicnnt <br />> <br />�.cd_.�'/-c�.. ...�....lp7�w� I3Y. _....... .. ... <br />�..� � _ -uperintcr.denE <br />