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.,�.-�.n' D -.= E+'.-'• " � i l <br />�5'. �. Form �—]L00—E.P.Co.-6-26�2i <br />`r�-•.k �y I-27-SI-lI <br />City of Everett�Watei� Dapartment <br />APPLI�ATI�ON FOR WATER <br />All binnl:s must Le filled in o: crossed out <br />Evc ret t ...................�.. �..-..:2..�................................. _192�.. � <br />TO TIIE SUP�RINT�NllENT OR TIIP 1PATPR DEPARTNEN'C: <br />CITY OP liV�liI3T'C: <br />I hereby apply fur the use of tcater in accord�nee with the �vles and 7•egu- <br />Intiuns of thc \S'atcr Deparhnent, for purposes nnd fistures Sl„LC(I UCIOR'. <br />Dm�ing the lime that nny of the «:iter mnins may bc tnken up by renson <br />o- nny improvements authoriud by thc City of �verett, in or of nny strcet or <br />ulley in which they mny have bcen lnid, the C:ity will not be required to furnish <br />wnter during the progres� of such improvements to nny cunsumer wLose supply <br />may tlms he cut otf, or be linLle for any d�imcges for its fnilure so to do. <br />Applicntion A`o_..........�..%..�_..�.� ............. <br />Blnck........................._............. Lut..._..._.............................. Add.........___.._.........._............ <br />No....�.��w �d �..... .��-�: �0.-.....:�-�. �.e'�/�,��- � �1 <br />...._ _ __ �-�...�.v_�.d.-�-�r.R.,:e...... �,11-n:�-u,,-...... LX-�-e�i1�=G-...... _. _ ............. <br />1'he work to be executed bY...........__........__._ ... .........................._........PlumUcr <br />State size of tnp, <br />....�.��.......Tup to Ue inserted in the mnin. <br />....._.._..._�Vnter doset <br />................ II a t l � <br />...._..........Urin nl <br />................Plain ftmcet inaid^ <br />..........__.8idc �enik wnshcr <br />.............._Hose blb oulsldc <br />................Ilose bib for building Purposes <br />P <br />1,` � � a�z3 <br />W <br />f�/\\\ G'' <br />1P� � ( ( <br />r.n�� „�AR�� 79� <br />� � �fRETT µQTfp�� � _ -. <br />, !!F� : .; � <br />......_........Iiose 6iU insidc <br />................Dib for stable containing....................stall._................ <br />................A'mnber of persons in fnmily <br />......_........NumUcr of rooms in building1 p . <br />The premises are to Ue used as a_ ......l.U.a�!L�.. ��.1 >>��� <br />. ....... .. ...... .... ............... <br />The owner of the premises is.........__............_............_ .......................__.................. <br />The ngent <br />Tliin nPP��� <br />��ceepted Uy th� <br />C <br />Accept ed. _ _..1.-..�.�..-......18T�f <br />not be binding upon thc City, until <br />{ Depnrtmenl. <br />r <br />