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� <br /> 1 <br /> `�Le�+-=�� Y� i3-:._� C�-v. i,t,_:�(� / ?_ ; . - . , ��) : <br /> 4Y.L.Porm A—tGGU—E.F.Co.(.-@�b:d <br /> City of Everett�Water Dep2i�tment <br /> AI'PLICA�'IO� FOR WATER <br /> All binnl:s must Le Silled iu or crossed out <br /> E�crc tt..................�.�!..�. ..............._...1'J2.5. . <br /> ..��............ <br /> TO TIi� SUPERINT�NDEN7' OR TIIP \VATTiR DdPAItTi+1ChT: � <br /> C1TY OP �VERGTT: <br /> I hereby apply for the use of w�ter in accard:mro with the tvles imd regu- <br /> latio�s of thc Nater Depnrtmenl, for purposes nnd fixture; statcd Uclow. <br /> Doring the time thnt any of the wnter mnins may 6e tnhen uP liY renson <br /> of nnY improcements Autiiorized Uy the City uf ��•eretf, in or of nnv ntreet ar <br /> nllcy in �.hich (hcy may hace becn l:�id, t6c City �vill not be require�l to furnisli <br /> �vater Jurin; t6e progress of such impro;emerts to any consumer whose suPP�Y <br /> mny t!:us Ue cut nft, or bhe linble for :ciy damnges for its failure so to do. <br /> Applicntion No.....�... � 6 <br /> -?......................... <br /> Blo�:k....__..-........................... Lot....i ' .. Add.. __ .__._..__. i <br /> ....:.......... ..........._. . . ...._..._ ...: . <br /> . .��' - 3a tfi� ,. <br /> Vo....._ . ...__�/�.._.:�.: ...__�......:._......_...�....:...._.....Street <br /> ...... . _..._........_............._.........._...___..............._...................__..... ..................................... <br /> The vrork to Ue e�ecuteci by._.....G(j.'�.y�Gi,��,,.G:. .__. .......PlumUer <br /> Stnt� si::e of tnp. ���S"'O <br /> ...��.��:.._T¢p t-.i bc invcrtrd in the mnin. � <br /> ..._/__....3?';der dosM <br /> r I s �� <br /> . ..._l..........L'ntlt � r. :.. <br /> .._.._.........Urinnl �s�'� .Y"�,i, � � j: i '. <br /> .....1......_Flain fnucet inside <br /> '' L`EC 1 � iS?5�'`-`� <br /> _.._...5idc �vallt mnshcr '�!TY OF cYC9E T)7�1TC{� G:�'T <br /> ......C.......FIose biU outsidc "' ' � <br /> �. .......................�................... <br /> ..... .......:iose Uib for building purposes ��� <br /> .__.. ...._I�Iase bib inside <br /> I .....:..:.......Bib for staUle containing...................stall......_.......... . <br /> .._............Numhor of person4 in family <br /> ���-�.�jl...-...A'umbcr o4 roems in building <br /> Tlm premises nrc to be used ns a.........__..ri.t:�.�_:.... <br /> _.......... .. .. . <br /> . .... .............. <br /> � owccr of the premises is.........C,��'.•......i:ri.L..C�<S.c' i'Y,c�.,...._. - <br /> ................. <br /> ,c a�ent is........_.............................:�.........._._.............---._........._........................... . <br /> '�PP��c:ition, t�lthough signed anall noY 6e bi-ading upon the C:ty, uniil <br /> y the SuPerintendent of the 1Vnter Den—n�rtment. <br /> Cigned.�.....�....N_�..'::".1...fi�.yLll..T.�../ plicant <br /> f �,, <br /> i�.- -� r� <br /> .. <br />, ��...._.ina.��— n}�......_,. ... �-G�. " <br /> �--( ,�............... <br /> mtendent <br /> i <br />