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1 <br /> i <br /> � <br /> �� <br /> ,=;,T„_ ;1-v—<u _:._.. - . <br /> � ' - - �--.-_�. . _. . ' i� !-�. _'�. � i. , <br /> � <br /> W,p.Form 4....IfifiO—E.CCo.—S.YG-".d <br /> l:ity of Everett�watei• Deparr.n�ent <br /> .APPLICAT'ION FJR V�r�TER <br /> AII blanl;s muat Ec filled in or crossrd out I <br /> I?ve.ett�..........._����'/...�.'�...._........................1;2...... i <br /> TO 1'IlP EUi'P•,RI:11'15NDli;:'C OP THP R'A7`ER DEPAP.TbIliNT: ' <br /> C!TY OP PVL•'?;T'.TT: ' � <br /> 1 hereby app�p for the use of water in ;ircord;n,ce c�ith the rules nnd regu- � <br /> I�tions of lhe �i'nter Departiue��t, fcr purpoaes :md fix'ure; statrt] b:l;w. <br /> Du�ing lhe time thnt any� of thu tvater utains mnp Le taken uP hy rc.�son <br /> of any� improvemcnts authorized py the Cily of F.ecret�, in or oi �ny strcet or <br /> nllcy in whirh thcy msy hacc bcen laid, C�c City will not Ue required ro turnish <br /> �•:eter dm�ing the progress uf such imprm�c�nrnls to any censusicr �rh���c supply <br /> ir.�:y thus be rut off, or Lc lipa�bie for :�ny dnn�ages Ccr its fnilure so [o do. <br /> Applic�ition Nn..._�Q 5 Q : <br /> ............................ <br /> Block................:......___.......... Lot.......� :3.........__. Add.....__:.. <br /> / __ , ...:........._......_ _._ � <br /> c'� C/ i <br /> � N,o....._d .�.� 3 .Street <br /> . ._.__ . __....../.._........ <br /> _................_..... � <br /> ._._... ......... _ <br /> _. .._........__................. ... <br /> " . ._........................ ......_ ........._.. <br /> ...� __.......... i <br /> The, work to b�. ��.c_�uted by._..__.. ,/Z� <br /> ficGC/Yt...............Plmnbcr <br /> Stute gizc of txip. <br /> f-�� ..�.1.�...`...Tap to Ue inserted in tl�e main. <br /> .....�........1�'nter closet <br /> __�...._.._Barh <br /> ..... ..........Urinal <br /> ...��:.::.-...Plnin favicet insid�• � <br /> i <br /> ...._.._...._Sidc n�alk �vn=hcr .� . <br /> . .�..._......Hose bib �6 ``_..� . <br /> . . �tsidc ;�—�` ' <br /> ..-.-.-..._IIose bib for 6uil�ing p;�i•p��es �_�% <br />� . . ...........fI�:ae bib insidc �,� <br /> � <br /> . ........_....Bib for stab:c containing.............__..sta]I....__............ r� G <br /> ................Numbc•r uf person:� in family <br /> �� - — <br /> ��� . 'QumUcr of rooms m Lvildir.g <br /> 1 ie I?remi=es orc to Ue used �s a... �u��,�i� ��� -' <br /> ,! �� y - �... ...,,,_,�. <br /> TI e owner of the Prcr.ii es �s. ..�! . . <br /> . ./�. ... ...__......_. <br /> .. .. . __. .. <br /> Thengent is....................................... <br /> /...._..�j__._...... ..._....._._..................._. <br /> Pl.:s npplir.ntion, altiv�ugh sinned, ;hnll not bc binding u�,m lUe City, until <br /> -� �.hc \V/a�ter Department. <br /> e-t <br /> i Y;/��uperintnnd� t of�.—.::...f/.1:� c . <br /> � <br /> ....... .�-..z.... <br /> . . t ... . A.n Itcnnt <br /> . ............_. / <br /> �, � /-p <br /> �.?- _ .r�_.. 8;;.._...� �/:1/,. ............... <br /> .. rintendent <br /> I <br /> Ili <br /> _ <br /> __ .'". . ._.. , . . <br />