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�.�-.o-L!�\.s.� 1'.- �i- 'r'� t:� .. �-^'�-llAe��) ., ,i `� . . " <br />r, i <br />l�'. D. I"orm I—Ibnu—E.P.Ca-6-2G-2J <br />�i�,y�of Everett--��Tater Depai�tinent <br />APPLICATIC�N I�OR WATER <br />All blmil;s must Lc iilleJ ir. or cro�sed out <br />� <br />liveretl,..._._...........��'...5........_ ...1D`L.:% <br />. ................... <br />i'U TIIE SUPERINT�nL'PtiT OR TIiE \i'ATF.P DCPARTni�i\'T: <br />CITY OP EVF,P�TT; <br />I hereLy aPpl}• for the use u[ �vater in accord;uice �vitL tLc riiles und regu- <br />laticna of thc Nater DepnrtmenL, fcr nurpo�es :md fi�tw•es stated 6clow, <br />Dw•ing thc timc that any oL tiu �vater mains mny Lc tnLen up l�.y renson <br />nC any improvements nu;horized by Ll:e City of Evcrett, in or of nny strcet or <br />ulley in whirh Ihcy may Lnve been In�d, tlic City ���iR not bc requieed to furnish <br />water during iLe progress of such improvmnents to a;iy consumer whose suPply <br />mey tUus Lc cut ott, or by ]iubly ior ::ny damuges for its failure so to do. <br />Applic.dion Ro.....0 G_<�........... -=_ "7 � � 3 <br />.. <br />Qluck ..................,..6...�.._.... Lot...... . . �.�...�..�....... <br />. Add ............. . ..... <br />.___..._ ._. <br />, � , <br />10....._ �� —. _� � . .. <br />� _ _ .............__. _L...................................Strcet <br />......__ . . ._......._ _ .. <br />... . ...... .......... .. .. .._ . . . <br />The ��ork to be ex�.cuted by -.�.� m .' . __.-.Pivut�cr <br />Stnte eize of tap. - N.c�j �.(/ • 0� ,3 3 3� <br />I <br />...1.2.--TAn co be inscrtcd in Lhc main. <br />.......�..._...Nnter closet <br />.......� 13atn ' <br />....... j <br />..........—.Uri�inl �� / <br />i <br />......%r..-.....Plain fnucet inside � <br />......:........Side w:Jl: washcr <br />.....�........Ilasc bib outside <br />.._.....�....Iiose Uib for Uvilding pivpo;es <br />._....-:....Ansc biL inside <br />.._...:..-....Bb for stable contnining........_.........stnll..........._....... <br />�..... .r...:..A'umber uf persons in fnmily� <br />...,J -..Number of rooms in building /f^�/, <br />':e premises are to be us�d as n.._. /��., <br />_ . ;. <br />�he n�ti�,cr of the Premi=a is._�[n, �.:c�« ��� G� �' <br />. ..... .:-.:[:c.. <br />'he ngent i9.........._ ..................... <br />............_ ........ ......_.......__.................... _................. <br />T���9 �PPlicsstiun, although sibmed, shnll not be binding upon tlte Cily, unti] <br />��ted by the Superintendent of the �Vatcr Depnrtment. \ <br />L-�" � <br />Signed ...............�R,fw�,�..a�.CvP�^ �`A cant <br />. .............. � pL <br />.. ... ...... � . <br />hecepted...._�.�., .�.l..r."�... -..1'J2� By. . ,�- . <br />. _. . _. _ .......................... <br />_ �'� 5uperintendent <br />