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�s;�.��,y. <br />. . ��.x=d � _ z _.� , _ � �_ <br />lV. It. Form i— ILoO—F..i•.Co.—L :P2J •• , <br />City cf Everett•--Water Department <br />APPLICATION FOR WATER <br />All Ul:mks musl Uc C.Iled in or crossed out <br />_ } <br />Everett ..............__.........._._...`�.r..�,�'.. ...._........._...]B� _./ <br />TO TIIE SliP6RINTENUENT OF TIII; R'ATFR DF.PA6T11EtiT: <br />CITY OI' EVli12ET'P: <br />I hereLy npp;y for the use ��C water in accrrdancr �vith Uic ivles nud regu- <br />Liti�ns ot Lhc �d'nter Uepnrtment, for pury oses r:id fixtures slnted bclaw. <br />Uuring LUe time thnt anS �f tli� �salcr mnirs mny be tnken up Uy renson <br />o[ nnY ��»Provements nutLorized Ly 1Le Citq nC Ecerett, in or of sny st:eet ar <br />all.�y in which they mn}' hnce 6een In'd, Ine fity �cill nut be required to furniah <br />tvatcr during the progress nf such improrements to ony consume.- u�ho=e supply <br />m�3' tlms be cut off, or be l:nble tor nny demnges tor its 4�ilure su lo do. <br />ApplicatiunNo......��I.�.�.._........_ .bl�-I_�.J"{g^'_ - I� <br />Block ...... .. .. . . Lot.. - .__. Add , >,�--c-�_....;'.' O�-f � .. <br />L ���..�-�^-4..^�w:R ..�.c �1A�La_�-- .. . . .. <br />No . ...... _ � _.yi.T�'c-��,_...StreM � - � ° -S i y��G 5 0+� <br />7_,_ 3,��s� � <br />_._ _ __ ... .............._................................... .__...... _..___ . . . _ ....._... ..... __.... <br />The �vork ta be execuled bY.--........... __. . .__,. _. __.:..�.__.-__. Plumber <br />i$��t e aizc of tnp. �%y th�! applicntion I agroe <br />G�.�_I.._Tnp to bc inscrted in the main. t0 p¢y foT the inetallation <br />.._.-..—...19ntcr ��os<< � of n meisred oonneation nnd <br />1 furth�r ngrse to pny a <br />-.::.:....n��ch minimum oP 33.00 .,er month <br />-::::::.:Urinol on thie metered conneati, <br />�.::.......ria�n r,�cet :��;a� ue ngr�ed upon by tho City <br />` ..^Sidc wnik �cnslier �OLLfIC11 Of �verott. <br />._....... � '- <br />.-�... ..._Hose Lib oulside �j�� ` - � � � � �, ��..� <br />.� -! �f <br />-. ..:.............Iio�c bib for UuilJing purposes � uy��`�-� <br />,__ <br />_.,.__.,:,....Hose UiU insidc �%` � s,�w 5="-� (�'"� Qyn.� <br />.__...._..... Bib for stnble contniring............_......a!all ............._;�` y- �'�`A" <br />....::.::......I�umbcr a[ persons in fnmily •-�""� � <br />. . Number of rooms in building t��`�^�' ' <br />�.... . <br />The Premises nre to be used as n........�. ._W�_-q_--L.x-L� <br />. ........... .... .....�'-c.. <br />The o���ner of the premises i=...._C�....,. �._ '� � n n.5 <br />Thcngent is._.._ ................................_.._..... <br />_._........._ ._......._._.........___ ...................... <br />�'his npplicalion, allhougli =igned, ;hall not be binding upon lhe City, until <br />-d Ly thc Superintendcutgi thc /1V'�n'tcr D�epnrtment. <br />��ignp� . �...........W....:....CiL�u/..Clt4Z`?%......._ . p�a�� . <br />_/ .... � , <br />eP'� d....._ L...Z.;...,....1...19..._... 13y._.:� .�/�_ .<` %�dcnt . . <br />� — - � <br />