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,�u�-o �'`7 'L75 n . .-_ . . . . . _ . . . , <br /> ,\V.U.3•mm 1-46U0--F..P.Co.-6-2G-21 . <br /> City of Everett--Wnter Department <br /> �ATTON FOR WATER <br /> All Ulnnks must Lc fiiled in or crossed out <br /> �,��,�a,._�::.1....c...t`...:........:3-.-::.......................iai:'.... <br /> .,i; SUPCRINTENllENCI'CY OF PVL•'I'.1 TT;DF.PARTAIENT: <br /> I hereby :q�Ply Inr lhe use of v:ater in accordnnce�vith lhe reles nnd tegu- <br /> 1¢tions of ihe \Patcr Depattment, ior pm'Poses nnd fixlm•es eiclyd brlo�v. <br /> Dm�ing lhc time thnt nny oC thc �enter muins mny be laken up Ly reasmi <br /> o[ nny imVrucements nuthorized by lhe City o[ ��'erett, in or of any s6reet or <br /> ulley in wluch thep mny hnve Ueen Inid, thc City ��•ill not be required to fu:nisli . <br /> �a:rter Jurir,g the �IIOFCC45 OI such �mpro�•ements lo ony wnsumer wlio=e snpply <br /> may LLus bc cuL off, ocr Ue linLle for anp dnmaCes for its fnilure so to do. <br /> Applicntiun No.....0..�..�....�.�.........._-..7:1 a� "� � �� . <br /> IIlock................._�..s�... . I�ot._.�.:::............. ._..____. Add............. ...................... ... . <br /> xo.....�L..3.Q..�—�O�h-a�-4_. �..2usa�t. � . <br /> . �. <br /> _ _................_.....................__................. <br /> ......................__ _......................... <br /> __ , ,, n . � <br /> The ��'ork to be esecuted by........ _.�1'�-�`''•'�'"��'L--�--��Plumber <br /> r� <br /> St•te size of tup. <br /> ,�,Z....�....Tnp to be inscrtcd in lhc mnin. � <br /> a / <br /> i <br /> n <br /> ....:.'....R'ntcr doset ,� . \ � / <br /> ..........nn�,, 'ry - <br /> ................Urinnl <br /> !��........Plnin fnucet inside � � <br /> ................Side �vnik «'nsher . <br /> �...........I�osc Uib out=idc � . . <br /> -,-,-:....1[osr, bib for building Purposes , � <br /> �� '• 1 <br /> ,.,` .—,,.-1losc bib inside I <br /> stall�..:...::::..j:.:..� ....... .. .. <br /> _.m...,,,....Bib for stublc cunt�inin�.................... I � . <br /> ,.,_-,.�:..Numbm� oi Persons in tamily <br /> ..�........tiumbcr of rooms in building � ' <br /> . �_��p <br /> �The n^emises nre to b.: u:�ed ns n _� � ���-�`����� -�--�-�-• <br /> The awner of ;. ,ircrcises i�. _ . -'e��� r",`l.r ra./� <br /> � . k . .. <br /> Thc ngent is. ... ..... /� ....... ......... . . <br /> ....... ..........................'. .`�... <br /> 'I'his np�iLcalion, nllhonqh siC��ed, ahnll not be binding upon thc Cily, until <br /> nccepted Uy the F��perintendcnt r,C the 1Pnter�Depn-r[ment. <br /> Signed..��:�!�Q�....V.�..f1.1G..(�-L.f�'S'`.,.�.1�.-_ APPlicnnc <br /> Ac:epted.._✓J��....:..'�J..'�._.....192.��... BY-. .. 4 ._ _...... ........... <br /> ................ � <br /> � ���� � "�uperintendent <br />