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��,., �, ,t �t-�v NI .�I� .. r� ;. .,-,.� <br /> U'.D.1'rrn-d. .]SOn—E.P.Co.--6-:6-2� ' - � <br /> Cit,y of Everett�Water Dep�rtment <br /> APPLICATION FOR WATER <br /> All bhmks mu.,t be fiiled in or cros�cd ont <br /> �,.�:��:,...............................''.��................. _...��� y <br /> ro Titr sut�eRrxZ�Lrtni:�.r or ��iir �v.��rr�� oei�ntcT�.L�T: <br /> c�Tr or r:vri�i:TT: <br /> ] hcrchy r.ppl}' fm thc usu of•aatcr in accr,rd�ncc ��'i:h L`�c rulcs nnd reg�o- <br /> latioas ot thr 11'.iler Dec:rtment, fur purpo�cs nnd fis�wes sinted 6dao�. <br /> Uuring the timc tiv.. nnp of tLe ��'�ter nmins may bc lnkcn up 6y renson <br /> nf an1' impro��erw�ls mrthorir.cil by the Cily oE Everctt. in m• uf omy sLrecC or <br /> ;:Ilrp in which they msy hncu Leen laid, tLe Cily will n��t br. requ�ced lo fm�nish <br /> a�:rtcr duriug the progr•ss uf such iropr.:�vemrn's to nn}• consnm:r w�hose supply <br /> cu�p thus b�� cut o.`f, or Le IinLlo tur :m)• danm;rs [or ita tnii•ero so tu do. <br /> Applirnlion No . g� / . <br /> __ ?y-._ . �7 3 .-�-��.�>�� <br /> I31uck _L�cj. .. . _.. Lot .�.Z.Y�*'^..�'•A.G'�Add..�i...�.� . . _ ._... . ' <br /> 0 <br /> \*o.. �e2.� !l�a...e,�-�.. __Strcet <br /> �Z?..3�._ T. r_c^ � /�S.�l� ... . .. _.. . <br /> i <br /> 7'hc u'odc lo bc execute<I Uy._ _.. ._ . .__ . ._. .. _ _ . .....Phunbcr <br /> �tat eizc of ln�. <br /> .y�'f..._Tnp to hc in=�•itcd in tho main, 3�f " � (� �- '� <br /> `........::...\Yater J�,.,ct <br /> _._......Batli <br /> __.�-_......Urinal <br /> .. __`. ...I'I�in favect 4 sidc <br /> ._._-.:..._..Side tvalk w:c,��i. <br /> . ....--.-:.:..11o=e Ui6 ouUidc � <br /> ._............Ilose bib for UuildinS Purpo=cs <br /> . �: -. _.__..Iluse bib inside <br /> .. .._.._.EiU for staLle con',aining...................sinll.... .�...:..., .. <br /> ....__........numLcr ut persons in fnmily e� � <br /> �. ....Numbcr o[ roonis in buildiag �l �� , pp �- <br /> 91m premises nrc !o bc �sed ns n... /��?—�-�.��CS�-C�' _._.. <br /> _ _ , <br /> • �� <br /> 1he o«'ner of the preritres i:...�Lv}�y-L,U�-�t—a-'�->—� _..... <br /> Thcagent is_......._.___._._...... .___..._..__.._ _...... .. ...........................................__. <br /> This npplication, olthovy;h sigucd, ahnll not bc binding upon Um City, until <br /> accepicd by t6e Suprrintendcut of lhe Wate,r�Dep:n�lment. <br /> ySigned 1'j���.t...�� U[,rY9�: . . Ap{�licant <br /> ��? -�_ 1 <br /> Accc�ited._.__.....��. ��.__.:SJY7- By. .1//e �./2 �� � <br /> . ......... <br /> / —�-}�� mtendcnt <br /> ✓ <br />