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__ .���.. _... . -- - - - <br /> . , . ., <� �� :. -. ___._.. _ - - J ; �!. <br /> W.D.Cn^m�F-i,]40—E.P.Co.—G-2G2J ' � - ' <br /> City of Everett�Water Department <br /> APP��ICI��TI�N FaR �3��A.TER <br /> All blmil:s must bc filled in or crossed out <br /> Everclt.................._.._....��..l........................192.� <br /> 1'0 THE SUP�R1NT�tii�L1NT OF TIIE \VATER UEPART:dLN'P: <br /> C1TY OF �V�RI;TT: , <br /> I hereUp apply for !he use uf water :n acem�nasce with tt� rules and re�u- , <br /> lations of the Wuter Lcpartmene, for Pur��.ises snd iix!ares stuted lrelow. <br /> During the time that nny of the �cacer mains map be tal.en nP Uy rcason <br /> of nny impco�•ements nutUnrir.ed by the C:y of Everett, in or of miy slrcel. cr <br /> r.Ccy in whiah thep may hnee bcen Inid, the City :vill not be required to furnish <br /> ��^�ter during the p�'ogrese of such isproce�nencs to nny cm�smner whose su7:p�Y <br /> m:ry tlms Ue cut off, or be linble foF-�snp d•.n �ges ior ds failure so to da � <br /> C {. •-) — r <br /> Applicnt',,n Na...._.d..C..! � . —r�n-n_..Ct_.�a.. �o o ..-� <br /> �....................... <br /> Blocic.................................._..Lot.:...............................,�..... Add.. .........................__. _. _ .. <br /> -" . — ! ': . : � , ; <br /> ....:.:......__-:;..:5::'.t.:..: � Street <br /> %�_.`].. � _. .....,_.,.. <br /> No...,... .. ..."'....�_.. <br /> ..__.. ..........._......................_....._...__._.............._....._........................._................................ <br /> 'Clic work to be execu2te� bY._ _�.y.�-_. . ..._..�._.._....____.........._..........P1umUer <br /> �Stat< <�.e of tap. �J<� - � y ',Lir <ippltr,e�iion i _iF:r <br /> Tnp to be inscrted m tlir �fain �6�P 10/.. r %Iln in.%l.�Zi`�Liu: <br /> ...19nter close: � . ..-.-_' ' . ��;��'6 Jl�rn COrini)r}ZOJ1 (i`i[: <br /> ;cc: �. rc�d <br /> .13ach <br /> I I:;'� x L��n gr,� ta p�y Q <br /> ........... \ ' .: <br /> -�R•4,:�n.ti�u�o 3•OU ,�:r r•o��'.'� <br /> �� <br /> . <br /> . ....._.........Urinal �;• c�L(�� �'�r N TCt� 003l1Y0^L.�_ � <br /> .....Plain fnucet insidC ........�/ : ' . •`tl �� '.'i;: �-'y <br /> ........ . .. <br /> .__...........Side n�alk �aashcr w ...�-.'�1. � � � ��� �'�F,. <br /> ................Hosc bih outside <br /> ................Hoce bib for building Purposce <br /> .............._FIose bib insidc <br /> ................Bib for staUlo contnining...................stail.................... <br /> ................Nun�ber of per:�ons in family <br /> ...._.........NnmUcr oi rooms in buildiu� <br /> - . The premises are to be used II9 ii.. �._/.� ..../- ...'�.e.... ./....__... /.__....... <br /> . The owner of the premises y,s.::�Ki[-l�..C�.L-f�Gf+--.���� ��� -��`'f <br /> ' Thc agmk is............................. .............................._.._............................................._..... � <br /> 7'his applicxtion, ulthovgh signed, :hall not be binding upo.i t City, until <br /> -�..ed by the Superintendeiit of Lhe Nnter Depnrtmcnt� <br /> Signed._:�_���."l.�.��"� �/..� ,APPlicant <br /> � '� <br /> , � <br /> -ed._.. � .. � ._-:...192�::� By.... . . .;.:, p'�.................::.........._--• <br /> _ .......... <br /> /:�_� �j � , <br /> / p-f`+Supermtendent <br /> � <br /> Ifi <br /> Y <br /> t <br />