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-,. . -- � <br /> �.-.,,"�.,_._��. �, —.� _�.� . . ..�.,�`._ : � - -�.�. -- ,� .;�.,,1 , I <br /> P;.i�.1'orm 1 1500—E.P.Co.—G-26�2 f <br /> City of Everett�Water Department ' <br /> � pPT.TCA'T'ION FOR, tiVATER <br /> I All Ulanks must be filled in ar crussed out <br /> ' . . �ve-rett,....._.... . � :!�-�.......2...�...........102.� <br /> P�) 1'H[: SliPIRfNTENLEN'C OP ':'IIE 'ATEP. I�liP91,T1iL•'NT: <br /> CITY OF EVF.I:liTT: � <br /> I herehy apnly fm� the tre o[ wuter in iiecord;mce �a'ith tlie rules .^•nd regu- � i <br /> Inliuns uf the \Pnicr Dcpnrtmcrt, for pm�puc�:s nnd fisim�es st.:ted Lrlow. <br /> Dcring thc ¢ime that :my ot the wr.ccr mains m:r,� be taken uP bY reason <br /> ni �ny irqn'ovementa aulh��rized bp Uic C:ty of�P��erett, in or nL uny slreet or <br /> alley in a•hi_•h !hcy m:iy hnve hcen luid, thc City �cill not be rnquired to furni=li <br /> water during Lhe progres� af such improvements t.o nny consumer whose sUPP�Y , <br /> r�ny tlms Uu ru1� off, o�rjbc�7IiaLlc Cor ::ay cenmges tar its fxilure so to do. <br /> tlp9lication No..._O../....�'.�..._.:._7/.�8 � ,'�-�"� � <br /> B7ocY...s..�......_........._G........_...._ Lot....../.............. ..../_y/,�....... Acld�....^<..".:.:..'"_..:d. . <br /> :10.....✓.f¢S...O...._.�..�:f.-"C.c-�..»c.-:.(.:.. ....Street . <br /> � <br /> . . __.._......__............................._._......__....._.. .. .._.._..............._......._.........._...........,......... . <br /> 7�he ��•ork to bc e::ecutoJ by._... ._ _._.......__��..U.�__......_._._......PlumUer <br /> SLat� sizc of tup. �/�� � <br /> 4',.���..�......1'np i�, be insected in U�c main. � <br /> ...._-_......Nnb-r closec /- . <br /> ...:c.......11nth ' . [�%/. <br /> _..__........Urinnl ��/ . <br /> .._�.-.....Plain fnucet inside ' � <br /> ...--......_..Sidc �cnik �cashcr ' . <br /> ._.r:....._...I-losc bib outsidc � <br /> _:......::..._Fiase�biU for building purposes <br /> .._�_..::�......Hose bib•inside � <br /> _.-_..:.:......Bi6 for stn6le containing...................stall.................... � i <br /> ....::..........Nurober of persons in family � <br /> � <br /> .._�J.......NumUer af roon:r in building /�) � <br /> The premises are to bc used ns �-.....1/...Z.�.cQ. .'. ........ .. . .. . <br /> ,rT / __ .. <br /> Thc o�cner of the premises is.... .. _� .. 1J'� • .,}!����.................... <br /> Theagent is....._....._...................._......._. ...._....... ..__.._.._.........................._...--..._ . <br /> This npplication, ��lthough signed, shall nat be binding upon the City until <br /> uccepted by the Superintendcnt of lh �V�/a�/:-e�' D cpnrtment. � <br /> Signed!'......,L.�L�/ ZtR....�1��/,...,..�..�:::Y"''!. ....:._......_..Applica <br /> � � <br /> Ac. .pted....... . ..... ��...y...._192?. By... .. .. ... .............................. <br /> � � - Superintendent � <br /> 1 <br /> "ae_� _ � <br />