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ra,...�.,o. �. _ _ _ <br />� <br /> c�i �-.� �_r'� <br /> ,_�-�. _ r _�; -2,-I� `z�— . <br /> ,W.0.Fonn 4—IGUO—E.P.f.o.—G=G24 , � ' <br /> Cic�,� of Everettr—Water Department <br /> 1�.PPLICATION FOR, W�TER <br /> All blanks must be fiiled in or crossed uut <br /> �verett,.................!�J/��..........._.._................192�.. ., � <br /> .....1���... . . <br /> TO 1YlE ::7Plii:INT7sD:U1�;N'��TY OP�VGI'�TT;DEPAItTTLENT: <br /> I tiereby �pP1y fur the use ot �catm• in :�ecordar.r,e �.vith the rules and regu- <br /> latians of the '�Vatcr Departmenl, for PurPoscd and fix'm'es stated bclow. <br /> During thr, time thnt �ny of thr, water muin� mny hc t�k�n up by reason <br /> uf nny impro�^ments nutliorized by the City of Ecerett. in m� of uny strcet or <br /> alley in a'hich ihey mny htwe bcen lxid, the City will not be required to furnich 5 <br /> wa!er during the progress of suc6 improve:nents ta nny consmner whose suPp1Y J <br /> r;::y f.u:= bc cut off, or be lGin�Ulr, fm• any damnges for 'ts fnilure so to do. <br /> . Applicntion No..._.....�...C.1'..5......_.. �1 <br /> � <br /> . .. Add.. ___.�._.__._._...._...... '� <br /> .._. LoL........ . __.. <br /> Blocl:....................._....._._.. � ( <br /> o ...._ ���� <br /> / <br /> �,;. t� t�. 't `__.._,,,., _Stmet �� �--f•-c.c <br /> -��c.�JL �--�yw.��r),`-' ....... ...¢,ti+'„'� C`—'-a_ry�='—�� <br /> __ .. .. . .Q Y <br /> ,_ __.,.._ . -.,_..Ylumbcr <br /> 7'hc «ir]c to be executed by . � �--� - � <br /> si• e s;ze of tnP. �y tihie appl3cation I egrse <br /> ��' �,__.TaP to be ins�.ted in the main. to pd}• IOY tt10 iri9tEt11&t19ri <br /> '� of a r,:etorod connec�ion en9 <br /> I........Nncer etoset � <br /> � I further egree to pay a <br /> �--���t' � �� r�i.nir�um of �3.00 per con�h <br /> --...L'ri,❑1 �I" on this metered connection ' <br /> _:`� .....19ain fimcM �n�idc ,e .qe;�ed upOn by the C:ity - <br /> ...S;ae �vnik vrushcr Cocncil oi Everott. <br /> �^ <br /> ... .. ...Ilose bib ouGide 5 " � � ; � <br /> .. .... Hosc bib for huilding P�rposes ���,f 1 C..J <br /> � :� <br /> ...._........FIn�e biu insidc l. , i - � 1��� . <br /> Bib for staLle cmitainin�.........._-......stap...._......... E f'�r a�,4rcR ;;y�i� <br /> ............... ......, <br /> .. <br /> • ..... .... . , <br /> .............._\'umber of persons in fnmily ' •••••-.,.,,, ` <br /> 2 �-�.... <br /> „�l._. *:nmbcr of rnoms in building • � � <br /> The premises arc to be used ns ¢....._�. . .......... ......... .. -........ . <br /> ...._'...,. ..'_ <br /> The o«ncr of the premises is.._�... ... �����������-��-���� -- <br /> _ ..... . . ..........._.... . . . <br /> The agent is....................................................................................................... <br /> ....._...-.� <br /> !a npplicntion, althovFh signed, shull not Ue binding upon the City, until � <br /> . � by the Superi endent of the ��ej D pnrtment. / <br /> l <br /> S i Sned. ... . .{fi. .�(!�'L2 ...........:... ... . ........ .Appl�ant <br /> _ . t <br /> c,}� . ....:::...... <br /> /...��...-.�0.._.1'J .5.�..� E>'..... ./�.:�...�!....L/�Su ' dent <br /> ( <br /> l. <br />��_�.., _ N ��■-:�— � <br />