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l" \ <br /> ��' I �1 <br /> �o��� ��-3` �s _ �,;���.��e.,� - . , > 1" . <br /> . <br /> 11t Il.I+orn.1._IGbo—F P.Co.—G%-2� � • <br /> City of Everett—�Water llepartment <br /> APPLICATION FOR WA.TER <br /> All Llnnks must Uc filled in or crossed out. <br /> 7�.�` % ...19��5_ <br /> 6rm�ett,........_._ ....2..5..-._......./.. ........._...... <br /> YO 7'Ilis SUPGICID:TLNUF.NCITY OF rVGI rTT,UEPART,IIL\'P: <br /> I l�erebY ^PPIy fnr tUe u�e oI�vater in accordanee��•ith the rules nnd regu- <br /> lations uf thc lVnter Depnrtment, for pmp�'�es and t��!mrs vtated beloa'• <br /> Dm�ing the lime that nny af tlic ��'n�c: mnins mn}� Uc tnken up b)' rcasnn <br /> of nny improremcrds nulhoriacd by tlie Cilq n[ Geetett, in or oC nnl' strcet ur <br /> ul�cy in �chich thcy may hnee bcen la;d, thc City ��ili not bc required to furni=h <br /> water during [he P�'�Rress a! such iwpracemenls lo anp consumer «•hose suPPly <br /> m:�y tLus Le cut oft, or(/6e linbla fm� :my dmnnbes Cor its fnilnre su to do. <br /> Appl�cntion Na �'S ... <br /> ._d . ...... y•:.S� .. Add. ... <br /> /� <br /> .. Lat9/%i..._ ./y.� .... <br /> B'�ck.�. �1,b (� � _._ . .. _. .. .. <br /> No......�/�/�/t...�"`'`tit_ec_.�_F.fY1$trect <br /> �l � �, j1,. .... . ..._..... <br /> .......__. ... .. ..... ... .. ..... . <br /> ... .. .... ._.... <br /> The ��ork to Ue executed by __. _ .. .__. .....PlumLcr <br /> Stnte s�ze of tnp. . ... . .' �' � 1i '� �., .! . � . <br /> 1�:......Tnp to I�, iuscrted in lhe mmn I � �'' � V� � � � I . <br /> i <br /> ..._ �.� , i ., . � . <br /> i)L'C ! � � -��,J' <br /> �Cnter closct Q i�__'J I <br /> ..../.......... C.IY' OF [4dAEiI 1,d'�cl; C�P'"i <br /> ...�..........Bndi -- � <br /> � - , <br /> . .":................:::R............ <br /> ....�..........Urmnl � ................ <br /> ,._�........Plain fnuceL insidc <br /> .....-:........Sidc t��nik wnsher . , <br /> ....../........Ila=c Uib oulside . <br /> . .......:........Ilose Lib for builJing Pw'po�es <br /> ....:.::.......iiosc LiU inside <br /> ...:._.........Bib for etnblc cont��ining....................atall....._............. <br /> ..._�.........NumUcr oC persons in family <br /> �.........NumLer of rooms in huilding � <br /> C:��_...... <br /> The P�'emises are to 6e used ns n.._ . (�'�-� ����� --- --��- <br /> � ! ' -11 ;�>:.�L.�.= <br /> . -� <br /> 'fhe owncr of the prem�scs �s�+ . .. . •A-�`^-� .. .1..."-.. <br /> . ....._..................................._..... <br /> . .. _.._._...... <br /> 7��e n• i is....._............................ ._...._. ... <br /> , npplicntion, nllhaugh s�ned, chnll not be binding upon tlie City, until <br /> Uy the ¢uperin n i of lhe 1Vntcr/D;ePnrtment.�/p� <br /> 'igned..��...:.�.. ...... ..........¢"`6_..J:�C :'.. t.._ . icant <br /> _ ' ���� <br /> --...193_^. BY....a. .f.. .. . ....................../ <br /> �l�-=��� � � i �, 8 icrintendent <br /> �_ �r <br />