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t.:.�� �r�3—x -f}- , �-.�J-.�._.Q �-1- �-�-7-1� i'nv� <br /> W.D.I+orm h iG�O—F..P.Co.-6�26-21 <br /> City of E�-erett�Water Depai�tinent <br /> A�PLICATION FOR WATER <br /> p11 binnl:s musl Uc filled in or crossed out <br /> Eecrett�...................._......... / ...1;12.9. <br /> y1.�................. . ... <br /> TO TI3li SUI'ERINTCNllF.NCiTY OP PVEI:CTT;������RT�I;N'P: <br /> I hereLy� apply for the use oC wnler in nccerd��nee«'illi tlie ivles nnd regn- <br /> Intions of lhc R'nter Depnrtment, for pwpo::cs 1��d fi�'�ures: shdrd bclow. <br /> Puring ihe time thnt any of the ��'�dcr mnins m:�v 6c Lnken up ��y�Lrect���� <br /> oC nny iwprovements nuthnri2cd Uy tLc Cilp uC Gccret[, in or o[ nny <br /> aIIeS in �cF�ch they may hm•e bcen In�d, the City will not bc requircd �o furnish <br /> �cnter durin� the progress ot such imp�'��•ements lo n»y can�umer wh��se suPPly <br /> may thus bc cut a[f, ur bQe 'Iia/U/l�e fm' ::ny dam:�ges for it.s fnilure so to do. <br /> Applicntion No.._......l�.T.!�.�......... �/��� � <br /> 6Z,............ t.�c.....3..Z _.. naa._ _. a-'ct.`;_ ._. . .... <br /> Block.........�L.._... .__. ...... . <br /> No...__��p2. � y.:�-`-A�-�....._...Street <br /> _ . <br /> _... ._.__ _...._. . <br /> ..... <br /> _ _...... <br /> � .Plumbcr <br /> TUc work to bc ezecuted by ._... ._ ..._ _. ��-����� - � <br /> S nte xize of tnp. <br /> �J� I� <br /> ��:..�.......Tnp tu Uc inserted in tlie main. � / <br /> ..�.._.....\Fntcr closet ' � (\ -t� � �� .� <br /> __�....._._B�[h I <br /> ti ��• � ' <br /> �...............T rinul <br /> ._�..:...�-...Pinin fimcet insidc ,- � � <br /> ....—.':..Sidc «•all: ��'nshcr , . <br /> L--. <br /> .._...........]losc LiU outside . .,...� . <br /> �_ . -� „ , ,c_..� <br /> .._............i�oec bib tor building purP��ses I.� . . ,..;. <br /> „' , <br /> _-...—�..Ilose bib insidc ' �.. . "� ' � , . <br /> _�..�:.-0ib for slaLlc contnining............::...:::stall..,.:::::::.:_:.... <br /> ................I�umbcr o[ Pcrsons in family. <br /> ...�.......Number of rooms in buildiug . <br /> sn..... ....__............ <br /> � Ihe premi=_es nre to Ue ns � �"� ��--� � <br /> � Thc o�rncr of the Prem�ses v..�M ww�--�y��' <br /> .___.... ..._..................................... <br /> Thc agent is..._....._.... .. ....... .___._ . <br /> . .............._.......__. <br /> �h�:, npplication, althoagh siF»��1, shnll nnt be Uindin n on the CitY� until <br /> F P <br /> bp lhc SttperinJ� cnt af th \Satcr ll/�c mrUnent. <br /> /%/ .4�� L..".6.% ' __�_�. . .npnucnnt <br /> �iRned "!�.� .. . . . . /J . <br /> / /'' 'G i�3/,�J�.. ...... ........� <br /> ' ._./� �,�...1)2(l!/ BY(_- ,t iiSuPcrmtendent <br /> _. � ✓ �/ <br />