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Yx.vL.� /f' �'-� 'I . �1 1�t;t.`I 7_:�- ':�r. ,�' <br /> W.D.Farm�-160o—F i'.Co.-6�2G-:� <br /> City of Everett�Water Depai�tment <br /> d�PPLI `" 1�TI �� l�d� �O� �` �T�� <br /> All Ll:ml:s must Ue filled in or crossed ouL <br /> //�1�..!..........f�...`.............192,.�... <br /> Gcerett�.............................. <br /> TO TFI7: SUPtiR[NTPNDF.NC�TY OF I:VBI:I•:TT;D�FARTD[EN'P: <br /> Intiuns�ot theYNater D Pnrtnent for�purposes�nn�d�fie!u es sh�ted�bclo��� regu- <br /> Durin� thc liruc thnt nnY ot the waler mnins mnY bc laken up Up renson <br /> of �my im n'uvemenLi nuthorized by tLc City of Eccrelt, in or of +my strcet or <br /> nlley in x�ich theS' »>ny hace been Inid, thc City n�ill not bc requircd to furnisli <br /> n�uter Juring the progress ut auch improvements lo nny consumer ��'hose euPP�Y <br /> � may tUus be cut off, or�/bc�ljinb,le!fo'r/a»y dam3ef��ts fxilure so la do• <br /> ppplientiun No.......0...l...7��7.�..... . � ' � <br /> ^ � � ^ .__. Add...._..._ � _ . _.._.__. <br /> lllock....._.:'....:.:.....:................. I.ok..[�... �.�._... �._"..�...... <br /> _ ._ <br /> No.....�/r � � �..L�l/Y!!.G�^'.�SSreet <br /> ......... ...... ... <br /> _._....__._.. <br /> ......_._. <br /> . .. ............ ... ... <br /> ..:.. � �� er <br /> / �,�w �/�lumb <br /> Tha �cork to be esecuted by/. - L ��� /,� �. <br /> � r < <br /> Stnt eizo of tnp• �Y- I� , �� � ��� , ' `�; <br /> ...�:1.�._Tnp to U� inserted in lhe mmn. 5�� /:>.��� �. <br /> �....... <br /> woi�r �ios�c '�' 6?11R �t — iA�q�� <br /> � ._..�........Bntfi F�ji i'r c�:l�L'�'�4AT:R L.:i't <br /> ..._�......Urinnl �:. ............�..._ �� -........... .. <br /> .. <br /> r_.__. <br /> .._.`�:....Plain fnucet inside <br /> _.....�.....Side «�nik ��•ashcr <br /> .....�........Fiosc bib outside <br /> „_.�-......liose bib for bu:lding purpuscv <br /> �....Hose biU inside <br /> ...—:.......BiL for stable containing....................stall................_.. <br /> ,.,.,.`„_Number ut persons in fnmily <br /> , �I�umUer of rooms in bu�lding ��� <br /> Thc pren�ises nre to 6e used ns n.... <br /> ... . . ...... <br /> Thc owncr af thc Premisce is....:G��c.e.ac� �`�S��a-'�'�� <br /> i_� <br /> • ............. ............................................ <br /> Tic ngent is......—_............................_._........._. <br /> �..Ly npplicntion, nithough signed, cli��ll not Ue binding uPon the Ciry, until <br /> .'. by thc Superintendent,/o�f,the \Vnter 1lennrhnent. , <br /> � � .rned.�...........�/ ..I���..C�i.'.ti.'v�'�... ....Applicnnt � <br /> �/ .. ........... <br /> .. <br /> � 9192...... nY... ��:.: . . ..�/.. ............. <br /> ? J'� r,, ' uperintendent <br /> � <br />