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; <br /> ,� �, ' <br /> . .J-il . , _` -r-...�..1-�.e�r i� ' G- i� � r <br /> \K l).1'arm 1-1G)0—E.CCr:—G-2G-36 ' . <br /> City or Everett�--W�ter Dep�rtrnent <br /> 1��PLICATION FOR WATER I <br /> All Ulanl:s must 6e filled in or crossed out <br /> Everett......._........._..11_..-....�.__........................1D2._S I <br /> PO IFIE SUPERIVTI:\DENT OR TI�P 1{'9TI;P. DEPART➢fENT� i <br /> CI7'T Or �VLI2CT':: <br /> I hereby .�Ppl•; for the use of w:der in :iccc:dance witn thc rules nnd regu- <br /> lations of the Nater Department, for Purposee and fixrm�es stated Uelaw. <br /> During tLc tim^ thnt uny of thc �vater ronina mny be taken up by renson <br /> of any im��rovements authnrized bc the CiLy of Ever,tt, in or of ony strcet ar <br /> alley in whieb thcy may hnve bcen Inid, thc City n•iil not be reqvired to furnish <br /> •�vater during the progress of such im�irovements to rny cunsumer wliose supply <br /> m:�, tuus be cut uff, or be IiaUle qfor :my dumnges for its fnilvre so to de. <br /> .applicaiion Ko.....�..3_.�.f.. ./............_ �'1 <br /> Bluc:c................................_..... Lot.....�_ ^- / G ... Add�...�_c..�. '. � .... ..__.._..... <br /> � f�....................... . _._ . �. <br /> . a � `� �---�- <br /> No......_�3._G.._�._.�.../ .T`�"z:tT3Z-r"��"aj./...Stre et <br /> �i'!!/. <br /> .__. _..... . . ....... .......... _....... . . .... /......7. .__... ._ ...... .. ._ ......... <br /> TLc � ik to be executed by (���-��(�_ . ._ . . ...Pluni�m• <br /> Statc tiize of tnp. ' I <br /> � ..�f2.._Tnp to be iuscrted in the mnin. <br /> .....L.........tVntcr doset <br /> .._�..........Bath , '" - a <br /> � (u i <br /> ................Urinal _ `-J/, <br /> ....,........Plain faucet inside <br /> .__:_-....Sidc n�al:c �voslicr <br /> _....�........Hosc biU outside <br /> ._.._. ...Hoso b_b for Luilding purPuses <br /> ....... ....Hose bib insidc <br /> ..._.-........Bib for staUlc contninir.g....................stnll_......._.__._. <br /> ...._-......Numbcr of pc.+ons in fanrily <br /> ..._.�.1� .f..__Nw:�Ler oY :oor.�s iu bui:ding / <br /> The premises nre to be u.;ed a9 n............._..�c..-YL.G ' �_5,-�-#.,..... <br /> J ' :'�/ <br /> a owner of the premise�• is.._y.(��ei.n�u.�-.-�..... ..�1-r.(..:�.:�..:L... <br /> ' .l6Cllt 13.............................._'..........................._................._..................._.............. <br /> hi., .:oplication, nitLouFh sigucd, c3all not Ue binding upon the C:ty, until % <br /> �� !ed b�� tUc Superintendent of the Wnte� Deparlment. <br /> 5igned.../..:«.�f^.-..1..::..�.....s:��._......L..t... ..... ._'?... ......�f.ApplicanS <br /> � ...,ted...,�/.. ..(9 - ...19rc. By...... ��. ../. f.G��...3..._.........._....... <br /> .......... ^� �-%�v�.. <br /> i� -'�j�uperinten�lent <br /> f <br /> i <br />� „"--..o__ :._ ... . <br /> - __. ____ . ___. .. ._ -�.,�.� _ _.. .. . . . �. . <br />