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�—.�L.��.c_<L..Ir. ,. , � ,_ <br />' i .�r`.LC���� �:, — i . , ,.� r,-. <br />R'_ D. Fnrm �-1600—E.P.Cu.-6-2G SI <br />City of Everett�--Water Depai�tment <br />APPLICA.TION FOR WATER <br />.411 blunks must be tilled in or crossed out <br />Evcrntt._ ............._..._.....�/�l' . ..1A2l.... <br />. ......................_.. _.... <br />TO Tllis SUPP•.RIN1'l1DIi1'i' OF THR \l'ATER DL•'PARTDili\T: <br />CITY Or EV�IiETT: <br />1 hereby apply inr lhe use ot �cater in urcm�danee n�ith the ivirs nnd regu- <br />lalions oC thc \Vn!cr lleparUnent, fnr purpo�.es and fix�ures sL•ited 6clo�e. <br />lluring thc time that ang o[ thc a•:�ter nmins nuiy bc tnken up by rcason <br />uf nn�� improecments aulhnrizrd Ly the Cily of h;vcre(t, in or of nny strcet nr <br />alle;� in ��-hieh ihey may hn��c Lcen Inid, thc City will not bc mquired to furnish <br />�cater Jurin�; lhe pro�ress af such intprn��emenle to nny coa�tnuer whose supply <br />n;ag thuF Lc eu[ n([, nr Lc liablu fm� any damngce Im� itx G�ilurc eo to do. <br />APplicntion 40..__.._.Y'.7�.�..........._`'1 /7 / <br />Ulock ...... ::... ... Lot..... .. ._.. AdJ � <br />No ..�..�.�I. __ __.._. ._._____.. ._._ . <br />- - - - �- � .....StrecC <br />..... _ _.._.. <br />_. ....... ....__......._....__._ .............. . __.___..._........._.._..... ................................_... <br />The �eork tu bc esecuteel Uy._._.. ..._. �- — <br />.._. .. ._ .. . ... . . _ ._ .._.. __...PlumUcr <br />�''�tc size of tnp. � / <br />/d�,I . � i <br />�,y-..._..7'np lo bc inscricJ in lhc mnin. �%� <br />_...�.�....._l5'ntcr closet � <br />.....�.........Bath �� .\ <br />— <br />................Urinni J, <br />�..�:.........Plnin faucet inside <br />__ _.... <br />..._.._..__.Sidc �t•nik �vashcr <br />.�-.......Ilnec bib oulside <br />-.-.-.:.......Iiosc Lib for buildinq purpases <br />-.-.., :..:.._ Iio�e bib insidc i : � <br />.—..—.-::....Bib for stnble contnining ............._.....slall...._.....� ,- <br />/ <br />�*.r:-�;,..1<umUcr nf persons in fnmil�� <br />���..�.......\umUer of rootns in building • <br />The premises are to Uc u.ed as n �Z-(�� � Q_�,L n <br />. .�C._� ..___. <br />�I,e nwner of thr pre�tises is_ �%r.�.��y.L � �1.�_� <br />W 1�-Q.a1>- <br />'ent ie......_......._..........__.._...._ __:l <br />...... . ..._...__.. <br />..... _.._............_ ....... ......... ...._. <br />^licn;ion, nithuuFh si�;ned, ,hnll not 6c binding upon thc ty, until <br />he SeperinlendcutJ of the \\'nter D�e/[�arlment. <br />fk�lyned .L�t4 /�j�/,���q�n! LLCiL <br />....L.'�, ✓ _ /G . . .. APplitant <br />� �. <br />�liC_- ]'J2. �'J llY... _ , <br />./ / - �up��rintcudent.... <br />