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`c.��l s-�-�k'-�f _ , �...1.i-*��. a-1-t4 �-3, � <br />\Y. D. Fo�m 1--1f00—E.P.Co.-6-2fi-2� <br />City of Everett�—Water Department <br />APPLICATIOi� FOR wA1'E'� <br />All binn!:s must Le filled in or crossed ouL <br />- / _.��zg. <br />�µ.� _.... <br />Le�r�tti,........_.....__......������� /....i......_._._. <br />7'0 TiIE SUPtiR!NTliND�NT f1T'� THF. R'ATl?l: ll]:PARTiltENT: <br />CITI' OF 1?\'ti1:F.TT: <br />1}�er_by r.pp:y fur the use af wnter in :�rcordance ��•ith the niles nnd reE�' <br />InlionaDuring tliettime thntteny`of �thc u��icr mnins n �y�Ue taken up�LW renson <br />�Iley�in��w�liirh the�tmayhavezbecnYlnid,tie}C'lytWill iwt�bc requiredltotfurniah <br />��mtc; during lLe Prugress of �vch impruvemenle to nny con�umer whose suPP1Y <br />n�,��,y ihue Ur cut uf[, or fie IiaUle pfm� ���p �n���n6'es f�iL�fnilure so to dn. <br />Ap�dication No.._.......g..�d...�...F........_.. " % 3 <br />... . Add.... .: .. .... <br />v Z . .... . ..__. <br />P.lock._.P'2'........_../ . Lot �� .___. <br />/ p (�(f-L�i�.,s-�..` .....Street <br />No....�.� .__......._.... <br />........ . �. <br />. . _............ <br />.... ... .. . . /.� Q� <br />__ ... ....._ . ....._... � <br />.... ... . - JL:C.t—.-vv�'--��1 � �cr <br />The work to Ue execuled U} <br />St te size of inp. � � <br />U <br />/ 11 / � <br />.¢,......._Tap to be inscrted in the main. � y �i � <br />, . /.......R'nter closet � '� i ��� � <br />...�. .....I3nth 7' � �U(�' <br />.___,.,�:ZJrinal � �" <br />__�_.�_..Plnin faucet inside <br />...,....�..-Side wnik �cnsi�cr . <br />..._ �..�-.Hosc biU oul.iile . . <br />__.`.-.-Hose bib for Luild�ng Pu�'p�ses � <br />--�.-.]iose biU inside % _.. <br />....-._-.`.Bib for stnble conlnining.._........_...._etall.......;.f..�..... <br />_..i�'umUcr of Perxons in fanily / <br />:� <br />,..J. ......NumUcr of roums in Uuildmg /.. <br />.�._ . _. r.._._._... <br />The Premises xrc to hc vaed ns a.......... �� ��_� c <br />Thc owner of the premises is..... ... ._ <br />_ _ rr �a-.�---c. L , <br />he ngent ie.._......_.....__...._......._..... <br />..._._.....__......_... <br />................................................. <br />l�is npplicntion, nithough signed, shn11 nol bc bi�ading upon ihe City, until <br />- ��d by the Superinlendcnt uf the W�ic1Dc��^� APn��cent � <br />1 <br />_ /�'._..n L! <br />� _`'�,,,�..�z...... <br />