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E-✓�u.��_`.9.. 11-�' �` , r�.,/L.�?-7 . . <br /> i�i., <br /> . .` d.�i I- � j,ut� <br /> � <br /> 1A'_P.Ilnm J--IFpu� T P.Co.—G-2G.R4 <br /> Ci�t,y of Everett--�Water Depai'tment �"' <br /> APPLICATION FOR WATER <br /> All binnl;s must be filled in or cros=ed out <br /> --_ <br /> r���r��tt,...._......._......'�— /G ins� <br /> _....__.......___..........._.. <br /> ro •r�ir, sur�sic�NTrxuF�r or T�ir w,�Trx ne.enr,'r��t�r: <br /> ciTr or i;v�:�irTr: � <br /> I 6ercUv apply inr tlie u�a of o�:�ter in acrr.rdcuce milh the mles nnJ regu- <br /> Intions of ffie�R'atcr lle�.nrtmenl, for pw�poaca �nd fiz'ures sL�ted 6ala�:. <br /> lluring the time that any o[ Ihc �ea(cr m;iins mny Le tnkcn uP Ly rea=or <br /> oE nn}' impruecmenls nuiharized Uy thu Citp aC F.�'ctctt, in or nf nny strrot nr <br /> :;ll�y in �chich they m;iy h:n�e hecn laid, lhe City �cill nnt 6e rrquirrd to frrni=h <br /> �cc�tcr during Lhc prugrc=s nf such improecmen�s to nny consumcr whusc =;�piJy <br /> ❑u:}' thus bc ut oft, m• bs IyiLl• fnr any danmges for its fnilure so to do. <br /> Applicntion n�..._.�� � �/ — 7iy-� <br /> _. ............._... <br /> ui���.i�._/... ...._..."�/�-.�-_ ...... T.oc...._L.3_..... _. ..___ naa. _. <br /> \o.�Y �G. .f.. _ P.�l�Lt�G..4f.._...��.Strcet ..._ .. . <br /> . . __ . . . _.......__...__......._.__.. ____ _ . . <br /> . . _ ._.... __.._.._ _.._. .._. . . <br /> The �cork lo be esecuted by � ' <br /> - �` _[ .iLcu-r.r r..-�4 .PluniLrr <br /> tilntc sizc o: tnp, /3" c'_� <br /> � _.�/_Tnp to Le inscrted in Um mnin, <br /> ..._.�._....\\'ater clo�et � � <br /> ..__l.._.....BatU <br /> � � <br /> ...._�...._.Urinni / <br /> . .._7_ _]'lain tnucet insidc / <br /> - -_-......Side tealk wn=hcr <br /> ..._1.......I3osc biU oul�ide <br /> ..--�::.._.Hoee bib for buildi�iy; p:�rp,�r�,•s <br /> . .-...:.-..._Anse Uib insidc <br /> _— <br /> ..............Bib for slnble cunL•�ining..._.. .... __._slnll__.. <br /> — <br /> ..___........Nmnber o[ persons in famil}• <br /> -_.�_�...I�umLer of rooms in building <br /> Thc preniises nre to be used ns n__. _. . . ._ .. �. <br /> 'fhe ot��ner oL lhe pre�nises ia__.. ._._ � ............ . .. .......... <br /> The ngent ie. .---._......._. ._.._.. . . ..._ _...... . <br /> . . ..__.._..._....._. _.___... <br /> ....__....._...... <br /> 7'his n ilic:,tion, nithou�li ni .......................... <br /> nr��c �Icd UP�the S p �- �"ed. :.hull nnt Le binding upon the Cit1', until <br /> 1 y u erinten ncut af thc \intcr Departmeqt. <br /> t %'�' L t ��/ <br /> Signed . __. ._ __..�✓�� �//���-_.� <br /> Aarntcd ..__._r�- ,(6...1^^� IIv..[k C ADPlicant <br /> __��up�.nnt rlrm... <br />