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i�-.:.f 6-r -Sa'-,l'_ �r�_:. I �I... �)�ti' C�'�:: <br /> �ti•.n.r��.m a—iroa—r;.r.co.—c-:s.z� <br /> City of Everett�--Watei� Department � <br /> APPLICATION FOR WATER <br /> NI Ulunks tnuet Ue filled in or crossed out <br /> i � <br /> E�•erclt............._...._._s.7. ...L.`.:�...............................192..�. <br /> TO T}IE SUPGIiINTPNUP?I'C OP TIIP \1'.4TF.R DliPARTDiBNT: <br /> CITY OF EVC12liTT: <br /> I hcreby npply for ihc uu; ot�entc: in necerdnerc tv;th the rulrs nnd regn- <br /> IaLimis ot tlic Watcr Deparlment, tor Pwpuses :md fis,ures s;:ited bclaw. <br /> Dw�ing ttie lime thnL nny ot tne �cater mains mny be tnkca up bc reasun <br /> oC nn;� improceu,uits nuthorizrd by lhc Ci:c oC EcerMt, in or of nny atreet or <br /> nlley in �ahich thcy mny hn��e becn laid, thc Cily n�ill not Lc requireJ to furnish <br /> water during the pingress uf euch imi�rovements to nny conswner ��i,�s�� 5�nn�z• <br /> may Lhus Le cal ofl, or bc linh�e Inr ::ny� Jamnges fur its fnilure su lo do. <br /> Applicntion Nu.. .. � <br /> � b'.;�_...._............. '7 >1-� <br /> Block...........�.�.:....._._......._ I.ot.....2.c......__.__....._..__. Add._._.`._..._.......__. _._ . .. <br /> No...._..yZ. .//_.G,/�ut i��s_�.�,�jreeL <br /> ._.._._._......_..............__..........._._............._......_.._.._.._..........._. ..... .........................._..._._. <br /> The work to be executed b}'. ....—�.iue��-��--c..-�+_�-.... ..--PlumUer <br /> State size of tup. �y / S�GG <br /> .�2-....T:�p to be in,cried in the nmiu. '. �. <br /> ..._�........�{'atcr closet � ' � <br /> ....1...._....IInHi ��nr�l, � � . <br /> '- Urinnl � `.' :' . . .�� <br /> ... j <br /> G <br /> ._.._'Z.....Plnin fnucet insidc - �� .� <br /> ......_-_....Side �ealk �ansher <br /> ....../........IIoee biU oulsidc <br /> .._.. ......Hose bib for building Purposev <br /> ................Hose bib insidc <br /> ._....:.._...Bib for stnble containing...__.............stnll...._....._..__. <br /> ....._._::.-.....NumUer of persons in fanily <br /> � RumLer of romna in Luildmg <br /> 7'lm premises are to be used es n.. _��.�/ --��.� �-��--�--�����/�.��� <br /> " � -wncr of the Premises is ���'�'.y'��/��rf G[�..riLa-�---�_ <br /> gentis........................._.........._._......................_................._............................... <br /> � � •�pplicnticn, nithough �iFned, .^,lmll not bc binding upon thc City, until <br /> � ih . Superintendent nt thc A'nter Dc+inrtmeA t. <br /> �gned:�.'.......XF'!�-.......F��..._W'��(/�'/"Q1:1.............Applicant <br /> i� <br /> Accepted..__.._................_.......1!12.(�. IIy..._..._... �..� .........................-- <br /> � � - ��x'.� Superintendent <br /> � s/-3—� G )� ,�" <br />