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`L�-c.-!�J� f�- Je- � q . /�- i <.t . A c _ : 7 -= ' n , <br />11'. U. form 1—]L00—F..I'.Co.—G�YUT/ <br />City of Everett=V�T�ter Dep�rtment <br />APPLICATION FOR WATER <br />A11 blauks muet be fillecl iu or crosecd out <br />�� <br />licerett,......._.._......_......� —�� <br />l'0 TIIE SUPERINTl1fil\'P OF THS R'AT6R DEPAI2T.ISF:NT:......��....1�2.t <br />CITY OF E\'�RT:1'T: <br />I hereby apply for the vee oC �cater iu accord:mee wilh Lhe �vles and regu- <br />lutions oC the Watcr Drpartmrnt, far pu�poces nnd j��tures stnted bclo�v, <br />lluring Ihc timc that any oC Lhc n•aler mnins mny� bc tnAcn up Ly rcason <br />of any improvements authnriaed by Lhc City nf Evrrett. in or of nnp strcet or <br />����'Y �n t�'hid� they m�y hnve Leen laid, Uic Ci�y �v�ll not bc require�, to furnish <br />�cnter during tlie progress of such impro¢emenls lo �my cnnsumer �v,ioye suPP�Y <br />may lhus Ue cut off, opr be li/nble tm� ;uip ;��n���ses tor its fnilurc uo to do, <br />APPlicution No.....GJ. `.,�....a..� '- $ � � J _ <br />. <br />�,�o�k.. .....12 3 0� y - , <br />3� aaa��:s:r�.cr�r�t. ,._ <br />No...... .__ _.,_. .. <br />y _ �a� _ �,.� . <br />_ <br />. ..._.. L ....... . <br />/�-� . _. .. . _ . .......... <br />The ��•urk la be executed Uy .___. / �j� <br />Stnt size of tup. " - - -��"-`��� ��.Plwn6cr <br />�� „ �S �o <br />-���.e-...Tnp to be inscrted in the mmn. � � <br />..-..-�.......�Vntcr closct �,� � 1� � -�. <br />......�.......II�th . ' �J:� � . . � �' 1`-1J�. �. <br />......--.....Urinnl . �'�-.. <br />-�������,....I'lain fnucet iusidc � <br />.-.-..-..Side �cnik wnshcr <br />.-....(....._Hose bib avlside <br />����..�.�..Iiose Uib for building purposcs <br />......�.....Ilose bib inside <br />..-.._ ...BiL far atnLlc contninin <br />_— 5......._...........atall......._..... <br />__. <br />•�������........ `umber of persons in fnmily <br />-���.�?�...._Number of rooma in building <br />The premises are to bc used ns n........._._._..� <br />The on•ner of the prcroises is r <br />___ <br />.. .. ....._ �...Z!:...� <br />. . ................... <br />.�n � �s .......................................... <br />.......................................... . . \ <br />���cation, although signed, shnll not Ue �bindin� upon 6he Cit}l <br />.......... . ... <br />^ Superintendcnt of the {P�ter Depnrtment. � �until <br />�..._`.�..�„_.,t). ....�%!,'�_'li%� j . <br />.. <br />� /DPlibant :' <br />: ........... .... ..... ..... <br />'.....::-._...is�:J. nv.�!/.ZZY�.�..5 .'_ ./ ..�.�... <br />/ <br />