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=^ -' *'�'�-zv-{�! <br />lY. il. Pnrn �-1fU0—F..P.Co.—L YG-^.d <br />/�., -� � , <br />City of Everett�Water. Department <br />A.PPLICATION rOR WATER <br />All Ulanks mus6 Ue filled in or crussed out <br />Gvcrett,_ ............................... ��:............................192 L.... <br />TO 'fi1C SU19�.RLN1'GKDBA`T OR THI3 NATI'sR DliPAItT➢IlN'P: <br />C[TY OP EVPIt�TT: <br />I ImreUy nnpl}• for the u,a of �vater in accord;mce �eith the rules and 1�egu- <br />lations of the \V:�ter Department, for pm'Poses and fis�_m�es stated below. <br />Dm•ing the time thnt nny of <nc water m�:ins may be taken up Uy recsun <br />o[ nny im n'ovements aulhnriaod by llic City ot l:eere6t, in or of uny street o: <br />nlley in �v�iich Ihe}� may hace bern laid, ihe City will not Uc requimd to furnisli <br />water during the progress o[ such intprovmnenta to nny consumer �vhosr, suPP�Y <br />m;:y thus Le cut off, or LeOliuUle f/or :mp dum:�ges ior it; failure su tn da. <br />Applicnfion No .............0 � � l7 <br />......... ......... <br />� ._. AUd........ <br />Black.......�.�i.........._.........._. I.ot.......3...p0..�_.........._... . .. _._......_ ............. <br />No........ pc...�% �.�_....-..,,2.a�-.`-�:�7...... _........_.....Street <br />/ <br />1'i�c wori: to bc executed bY..._._...__._.. <br />Sl:�te size �f tnP. <br />...���....Tnp to 6e inserted in the mnin. <br />I..........tt�:ter c�aset <br />.._�_.._....Bnrh <br />. ..............Urinnl <br />..._..........Plnin fnucet insidc <br />__............Sidc �call; �cashcr <br />....... .. _...... . .___ ...............PlumUcr <br />�� , i <br />S �_-� <br />................Hose bib outsidc <br />.............._IIosc bib for building Purpuses <br />................Hnsr. biU insidc <br />................Bib ior stnUlc contnining....................: <br />................ATmubcr of persons in fnmily <br />� <br />....J........NumUcr of rooms in building <br />The prrmises nrc to bc �sed ns a.......n. �.:5:: <br />9'hc awner of tlm premisea is.....,....�7�.` ��,_ <br />TI t ' <br />m.igen is....._..._...._._ .___ ............._....................__..........�.._..................... ........... <br />This npplir.itien, nithough signed, sliall not Ur, binding upon the City�until <br />�'^d Uy tl�e Suncrint mdcnt ot e Natcr DepartmenL � <br />S�gned...�. _ .. , .�.:Ji��l/�.:� ,... AppLcant <br />/ / � <br />. .CY."..2� 102.... B;•.... .y..,�..,:!' ..`��:� ._. .......... <br />��,;; 5uperintendent <br />i <br />� <br />