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, , <br /> �.�.-,. ; 1t- :� r_,-�f.�ti�_.; , � , , <br /> . . � - <br /> a.n.eo.m a–wco–e r.co.–c-se-x� <br /> City of Everett�Water Depai'tment <br /> APPI.ICA'I'ION FOR WATER <br /> p�� Ul�nl;v must be iilled in or crossed out <br /> —_ ..198.`�.'. <br /> L. ........._........_ <br /> •ccrett�................._........_.._........�.. . <br /> PO 17ll3 SUPERINTENDrVCITI' OF EVF.I`I TT U�PARTJili\T: <br /> I hereLy nPP:F tor thu use ut �cater in :�ccord�nee x•i'h thc rules nnd regu'. <br /> lutions ot Lhe \�'nter DeporMicnt, fm• �mrpases and ii�tures .�l:ded Lela�c. <br /> During the lime thnt �my' of the waler mnins mny Le lni:en up by reasm� <br /> uC any improvements authnri:ed by lhe Cil}' of ]i�'crett, in er nf•miy strcet or <br /> alleY in o'hich !hc1' may haec Lcen Inid, thc City adll not bc required to furnish <br /> watar daring the P�'ogress of such iui�irm�emenls to nnY consumcr �chose supP�Y <br /> m�p thus Le cut ntC, or bc liablc for �,�Y ������°F<s fur its [nilurr so to do. <br /> � �1 i <br /> Applicnlion No . ��-• <br /> �.. <br /> .........__... Add. '....'J � • � <br /> n a- �� . Loc _. ..__....... <br /> Rlock.... ....�t. . ........ � . <br /> . ..... . . ......Strcet � <br /> xo._._ /�v.6._ � . __ _._..._._....... ..... <br /> _. .... <br /> __...__..... <br /> _ .. _ _ .......... . _._ � <br /> . . .. .. .. . rlun,Lcr <br /> TLe ��otk to be executed b� --- �-- <br /> Sl le eize of tap. <br /> ,_�/�,,.��..TnF to Uc inserted in the main. , <br /> ..._�.........�Vntcr duset � . . <br /> ..�............Rnth . . <br /> . <br /> ................U n n n I <br /> '.,,,,.--..--Plain fnuceL inside <br /> ..�,.:...-...Sidc �call: �cnslur <br /> .�.....]Iose bib m�l,idc , � ,� ` <br /> ....—.--...IIose bib for building P���•D°scs � �� <br /> ,_......._...ftose bih inside <br /> ....._.........Bib for stn6le contnining....................slnlL........_ _.._. <br /> ,,.........._..tEumbcr of Pcrsons in fnmiiy <br /> ...._y"f...NumUcr o[ rooms in building r <br /> � � � � /�. ......__... <br /> The ��temises nrc l0 6e used n n.. �u' ��- -- P'�"`����"��q �--�� <br /> 'h^ o��•ncr of the P'eiaises is� �•-./ /�'�'�—�`�1 .............. <br /> � � <br /> ngentis......._.........._I...................... . . _......_............._.......__......................... <br /> ,;�.plicntion, nllliou�h si�ned, c 1 not e binding upon lhe Cil until <br /> � � Ly lhc Superi� n nl � he n •r�pnrUncnt. <br /> Y� <br /> .../_/�plicant /. <br /> _.._J <br /> Signed....�v� ../_.. _. .. ... .. , I <br /> _.....�........ <br /> ,��� .-1D2�j BY.... ��s / �. . . ........ <br /> � �.��- � {�-� �� �/ , nnten�ent <br /> . ........- <br /> _ � ' <br />