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4-.-� -47 G .y �-)< -,. a . r <br />. . • � �a... ,_ � I, , . . , <br />�r. n. eo�� �_i ;,,o__r:.eco.-s :s-z� <br />�ity of Everett�--Water Department <br />APPLICATIOi FOIZ �TATER <br />All blunks must Le filled in or crosecd oul <br />' Eecrett.._.._��(..�C�'I _._ �..5 .............1'J2...fJ <br />� 1'O 1'I1E: SUPGRI\1'L•'Ni11sNT ON TIIF. 1{':1TE�B Dd1'Ai2TDIF.N'P: <br />CITI OP F.V7iI:GTT: <br />i herebl' npply ior the w;c of �catcr in accnrd;u;cr wilh the rulrs nnd regu' <br />lations of Lhe �Yater Departmcnl, for pmpo�es nnd iix'ures stnted bcicn�. <br />llm�ing q�e lime lhnt nny nC t6c n�ater mnins mny Le takcn up Ly rcasmi <br />of nnp impmrements nuthorized Up lho Cit�• of F,cerett, in or uf nng ntreet or <br />nllry in u�hich thep may hnre been laid, L;te City �cill nut be required to furni=L <br />�enler durin�; the progress of aurh improcem¢nts to nny consmuer �chose supply. <br />may thus be cut u:t, or be linblc fer :my d::mages Cur ds fnilure so lo Jo. <br />Applic�linn \o ...._.. 7�3' <br />�rf <br />BlocA .... .... .. .... _ a Lvt-7 � : _ <br />(� .. . _. .....:__. Add._.__ __.__.. <br />Na...._. -�-7 L.�.........�\... . ...._..StreM _. . <br />� <br />._.... _......_.___...__._...._...._.__......._ ................................_.........._. __...__............_....._..... <br />Thc n��rk to be executed by_...__..__ ._._....... ._......__..........Plumbcr <br />�tn'� sizc uf tnp. ........ ..... <br />� ) �-:.'... ._, ._ . . <br />��-...�.�...Tap to be inserted in thc rpa�; ��__ �� !iC� '� _ <br />. Nnlcr closrt � �`' -�� � `..:�� .� <br />.....{_...... '�. .II �n � ` � � <br />6aH� � t <br />.....,........ f.ITY � � • �(�7n�_ : <br />-.....�T7rinut �' F'r�RE1j.Iv�1t�R <br />�- ., <br />- ��...Plnin fnucet insb:� .. ... • � . <br />_-' <br />f ' <br />.__........._Side �anik wnsber �: <br />�-.....Ho<c biF out=idc <br />.._'—..—:....Ilose b:b for building purpo=re <br />.._—.:...IIosc bib inside <br />.__.._—=...Bib fot stnL]e contnining ............._.._stnlL..............._.. <br />��.....i.,....Nuntber ot person.: in family <br />7S_..Nu;ni>cr of rooms in Uuildin <br />The premises arc to be used as n... .. ._ ,. l�c.�y �-,,.�,�A.r <br />� ' ____ • .- � <br />The owner ot the prceiises is .::. 2�� /i � i` r ' � <br />.. ,.� ... _ .._....._:i.G.U:a. <br />The ngent is ............... ,. 1 •. <br />. .__........__ .............__..._..r..._...._._..._.............._. � <br />........................ <br />Thie npplication, nllhouFh signcd, �hall nut be binding upon the City, unlil <br />�epted by the Superinlendcn: Qt thc \latcr Department. <br />3 �9�,�� �� <br />SigoedL_!„Sl"NiDr .��....Applirnn[ <br />' z ��%�^.0 � ... <br />... . ... _._ 10 .._ . <br />y ._...._ .. <br />�_ ._.. <br />. ._ ............... <br />i � .<'�� 1-� �� �P�rmtendent <br />���,%�' <br />