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`Lct..ti " i _. 2 2 -.1 l -/[ L.oL�l1 i f ". f.ti � , .. . <br />{\'. U. Ynrm �-1:,00-F.P.Co.-4 .G2/ � <br />City of Everett�Water Department <br />APPLICATION FOR WAT�R <br />All blanks must Le tillcd in or crossed out <br />Evc rc t t�... _............ _.. _.... ���,T�D .........................192.. � <br />TO TIiF, SUP�RIYTI\IIi�;NT OR T{iL \l'A'Pi?R UF.PAI:Th11:\T: <br />CITI' OP' I:VliRIiTT: <br />I hereLy nPD�l' for the use oC o'niur in nerardance wiUi the rnles nnd Trgu- <br />Intions o[ tUe Water llePartment, tor pmp��=�s and Ciz'.urea st.nled bele�c. <br />During Uie lime Lhnt nny of thc ��'2ter mnins ma1' be LnAcn up by rensm� <br />o[ nnl' in:provcnr�nls nulhurized Ug the City o[ I:ccrett, in or of any strecL ar <br />ullre in �chich thet• m�y hm•e been l�id, the Cily will not Ue required to turnish <br />unter during Uie proqress oC su� - im�vocemenLs to anp cnn�umer whose supplY <br />mny thus Uc cuL o[C, or bc lia! nr .�np dnr.mqes tor its fnilure so to do. <br />(�'�j - isy� <br />Applicatiou No........Q..,/..e �.._.... <br />lllock ........ i.... . Lot._.. ...... Add.. ..__ ..__ ._...... .. <br />__.... <br />ho ...�i S .. �c�'{�-... . ...StrecC <br />. __....._ .. ........... . _._...... . .. <br />__.. �[� �� � ....._. ......_...... <br />Thc ��rodc lo be eaccuted US<- �� ---- ... Plwnber <br />_i s' °-�- <br />State vi oI tnp• � <br />_�...Tup tu Uc inscrted in LLc ronin. - <br />_....�.......R'nter closet .�� /� '�.;. <br />! Yi �,, <br />/ Bath �.,� n <br />............ f <br />...__�......Urinnl _ ....... ... .... . �.. . .. .. . <br />......Z.::....Plain fnucet inside � <br />.__.-_'-.._Side walk wnsUcr �� <br />.__..�.._...Aosc Uib outside <br />._._::........Hose bib for buildinq purpo:re <br />......:::......liose biU inside <br />...._�.......IIib for staLlc ronlnining......._..........stnll......._........_. <br />......_-.-:..I�`umUcr of persons in fnmily <br />....�...Number of romns in bu�lding e`� <br />The Premises nre to bc used ns a �'{y,�� •�����y�/ <br />"' � awTcr of the Premi=es is .1/ �'.•..�/- {Q �l��/L��XZ/f� . <br />.6ent ia ............................__..._._..... _................_........_....................................._.. <br />. nPP��calion, nlUiouqh eigned, ahnll not be binding upon the City, until <br />:� 1hc Superinlendent of- e Nntcr� Dej�nrtmont. � <br />'16ned.��l�1'..'..l....�G�-�-1-...-�-.�i...�.. �App 1Cnnt <br />�..-.�..Q....._192.�Q�.. BY_._��'iL..J.•... ..Su�.... <br />