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� " !' � � . .'I� I <br /> !�.<zI �_N _.���A ��)_. , <br /> :��-!r <br /> N.U.Pmm�- ISCO- F..P.Co.-6-26�Yt <br /> City of Everett�Water Depai�tment <br /> APPLICATION FOR WATER <br /> All Llanl:s must t•c fillcd in ar cro�?ed out � <br /> s`� J r7 ��-� ' <br /> � <br /> �.% � ^......�ns._ ._ <br /> Lcerett......_.._......._......_...... ....................... <br /> TO TI�I: SUl'F,RINTIiNDF.NT Oi' Tlli: R'ATI;1: UEPARTTfEN7': <br /> CITI' OR EVB121iTT: <br /> 1 hereLy nPP�l' t�r the use uf�raler ir. arcer:l:mce a'�th :lie rvies :md re6u- <br /> lutions of the R'ater Depm�tm�nl, for Pwpuses and fix+nrrs ��n1eQ Udu�c. <br /> llm�ing lhc time thnt nup oi lhc w'ater mnins mey be lnken up Uy rcas'ni <br /> o( nny improeements uuthorized b�• thc City ot I;crrett, in or of any etrcel i�r <br /> ullry in which thcy map hnce bern Inid, Lhc City will nol Le required to furtiieh <br /> u�ater dnrius the prn�ress af Fuch impravemen.s to anq consumer whose supp�S <br /> m:�y thns bc cut uff, ar 6epliable for any damnF^-s tnr ils failure so to do. <br /> ApPlicatiun Nn... .C /-..�1..-� -.... p <br /> Lot. . ..__.._. Add. 7'l�F.}�`." . . _. . <br /> Uiock..... . . . ....... . <br /> .. <br /> _,_ <br /> h�. S6. s�r�� <br /> __ _ <br /> y ' ? Z IC'v_ (, �—�,,� � <br /> � � :� .�_:,� __ _........_ <br /> _ _ ____ _ u <br /> The x�ork ta be execuled Uy _.._. . . . .. .... . ...Plmnber ' <br /> ,,, ; � 4 � n _ <br /> �S�t/�{,e `size of tnp. iy thie npplict+tion i ti�rec <br /> !//ic_�.....Tnp to Ue inserte� in the mnin, ta paY fer tne ins'tallatien <br /> ...._.........Nnler closM Oi 4 flCtBl'Bd COttt10t�'i,lOri Clid <br /> _........Raih I further egroe to pey a <br /> ___._......Urinal minimum of 93•BB De: monti: <br /> .__......._.Plnin taucet inside On '.f11e GOtoCed conT:BC:'iG�: <br /> as a�roed upor. hy tie City <br /> .._.. ........Side ���nik u�nshcr �OUriC'il OI EVCT'9tt• <br /> .......__...Ho=e bi6 uutsi3e � <br /> ...__.._......13nse bib for building purposes <br /> _.._.._...._Hose biL ineidc <br /> ................ISiL for slable conlnining.._......_..._.stall.......:...........�� <br /> __._......._I�umbcr of persons in fnmily� <br /> ....... ...._I�umber of rooms m building/ � • <br /> The premises are to be used es a 1..�' . 4 <br /> _..._ _. <br /> � <br /> 1'he u�vner of Lhe pretnises ia � _.. __. . � <br /> ...__._._. . <br /> Thengent is....._..........___...._ . ._..........-__......_.... . ............_.._......_..................._... <br /> "his npplicntion, ellhough si�ned, shuil aot be binding upon the Cit;�, until <br /> td by the SuperinTl-endcn: it c ntcr DePnrtment. <br /> Eigned.....4�...-..�... -�.. ..___a...,,.._.___;�_._................Applicant <br /> __.. . <br /> . ; <br /> �� ' - .......192..� B3' 1. �.. .. ._/ � <br /> d. . . .._..:_ ....__ -�....__,__..... <br /> .. ............ <br /> . ' Superintendent <br />