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� r, � - f <br /> zxt:f �f—r3�2G ,�i r�-,ti.l,����_<�� , � _ <br /> P/.l,l.l�urm d--ILuO—E.P.Co.--6-2G".4 <br /> City of Everett�Water Depai'tment <br /> hl'I'LICATI(�N FOR T�IATER <br /> All Ul�nks must be filled in ur cro��md o.t <br /> . <br /> Eeerc't,......1�:`�:/_t.. ...........�....... ..................1p2.�.. <br /> 'PO 'ClIP SUPliI21NTliND7:N'I' OF '1'I�R�. \I'.1'CER UEP:\IdTi�il:'d'I': <br /> CITY OR P.\i:IGliTT: <br /> I l;ereby appiy for thc nse oi water in accerS..nce �vith the rules and tegu- <br /> lutians uf lhe R'uter llepnrtmm�t, for pw p���.e.^, and fistm'es stateil Acicw. <br /> lluring the time that ;my uf the �vatec muins mny he taken up Ly rcason � <br /> of nny improrcuients autlior:zed by Uie City of licerett, in m' of aiq' slrcet or <br />� alley i� tvhich Ihey may h:n•e Ucen Inid, the Cit, tvill not b:,� required to furnn:u <br /> �cater during the progress of such improvnments to nnp cnnsumer �vLose sui�N�Y <br /> ntay thue Lc cuC oft, or�c liable far ::ny dnmages tor its fni!nre so to do. <br /> Applicntion No._. .:� �- <br /> _�.f_.....r.............. <br /> `�,/':.�......... . L�c............ i <br /> L'lock ..... � _ _.._. . ._... Add.. ._ .. .._........ __... .. __. <br /> No �> � � <br /> �. � . ........... . �._�._._ � . ...... ...Street <br /> . . .. ._.... . . ._.__ .. _. ..._ ... .. ... ..... __ .. _._. ............._ <br /> 1he v:ork to bc ezecuted LY..... . . _��Gt�! �) Q U..__. .PlumUrr <br /> i� ' /,C <br /> State size of tn�i. � ��_ -/ ` <br /> ..�z....._Tar to Uc inser2ed in the mnin. <br /> .. _..I........\Pntcr closet . . , -- _ :. <br /> _.....-.:.....Gath , . . � . ... � . . <br /> _....::.......Uriunl . - . <br /> _....7:......Pbun .C:mcet inside . . .. <br /> .__...........Side walk tvashcr � <br /> .._....1...-'-_Haee UiU outsiCe <br /> ._..:.:::...._IIose UiU ior Luilding purposcs <br /> .....:........SIose bib inside <br /> ..._.:::......L'iU for stnblc containiug_................_stnll._...._........_.. <br /> ................Nmub:r of persons in famil�, <br /> ._,.�.....Number of rooms in bmlding ) <br /> The premises are to be used as n �(J ...��1.�-�� ' <br /> � 1'hc o�vner of the preriises is_ , J'_...�.����LZ�/�_. �(. � � <br /> '(; �`e r.gent is....._........_........................._..__......_......_...........__............._...................... <br /> � .: applicntion, nithough signed, chall not he binding upon thu Citg, until <br /> , - • ������ y lhe Superinte�'dy{�t n�e \Vate epnrtment. <br /> // , <br /> SignedX.._�}/...... ./...��......`..�.'�.'r.�`.�....��...._Applicunt <br /> � ..� �...�...192.� BY...�ili��. . ................_....... <br /> ............ <br /> _��"Sup�rintendent <br /> . r <br /> l <br /> i <br />