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. C,c�.4/ G.�i-- - . — � <br />. `_c-c�6? ..,—. . � ... <br />W. D. I'orm 4—I6:�0- E.CCo.—G.2G-:i � r I' r'- <br />City of Everett--+V�Tater Department <br />�'-�PPLICt�TION FOR WA� rE� <br />dl1 b�nnks nmst Le filled in or crossed out <br />r��,��c,...........__. �.-:�.1.z�./ <br />1�o Ttz� surraixT�NDr,u�r or , / _/ . ... i�z3� <br />� TQPs \\ATER llLt:AItTnIE�'P: <br />CITY OP L•'V�RETT; <br />I herebY �PP�Y fcr the use of �vnter in nccord;�r-,ce �vith fhe rules nnd regu- <br />lations ot the Watcr Department, ior purpases and tir�_ures st;ded belo�e. <br />During thc time that any ot thc u�ntcr m;�i:is may bc tnken up Ly renson <br />ot �ny impro��ements authorized by thc City uf li��crett, in er ot nny strcet ur <br />ullcy in whicli lLey may haee Lecn lnid, thc City wil! nut be rnquirod te turnish <br />wnlcr dm�ing thc progress of auch improvcm�:ms to nny cunsumcr who�c sup�>Iy <br />n�:�y thus Lc eut oCC, or bc liablc Cor any d;:muges fnr its fzilure so to do. <br />APnlicntian No.......3.:sG �_ o . �.� <br />131ock ........ .. ...�.b.� . Lot. 5 � . . <br />� I <br />.. ] . ...... ....... Add ''-•� � 7 � -.; li . , � <br />. _.. <br />A*o...._.....✓ . .��...�:Z-.....-... � . -- ........�.. <br />- � �- .......................Street <br />. .._.. . . _ ..... _.... <br />.. ........ _ . <br />_. <br />-.�, o.... . <br />.. ...... . .. . .... <br />The «mk to Ue e�ecuted by ., _. c„ .... ...... <br />State size of tap. � � -=".� ............................`......Plumber <br />` � � <br />....�...yTap :o bc ;nserted in Uie mai � ;� <br />......_L.._..{1'atcr rloset -•`"' <br />:, <br />_....1_.._.Bncn ' i�lii�l' i - 1930 � <br />.........-.._Urinnl ':1�� t,��' :vw�T ��i �C�}°1! <br />-.-...� L..Plain fimcet inside � <br />.__..._-_Si�c �eall; �vnshcr <br />..--../._.._IInsc bib oulsidc <br />.......:.:...._IIosc Lib for building purposes <br />�..»......,....�:�...�..�.._�......�_. <br />-.......—...IIosc bib insidc <br />.......--.....73ib for stable contnining..........._......stall..........._.... <br />���-�� .....Numbcr uf persmis in family <br />--3......NumUer ot rooms in Luilding <br />'fhe premises are to 6c used ns p �� <br />. <br />7'he o�ancr of the ren' � 1 / � <br />P �ises is� L%_v . ._ /_......... <br />1'he ngent is ................. . .../{�(�:..C-(�T_ <br />........._.. <br />.. ................................. . ................... . <br />This nPplication, nithaugh signed, ;hal] uot be bindin ............... . <br />......._ _ ............. <br />`��pted by the Superintc dent o[ t( /Va�ter Depaftls�,��1} t,� <br />��,J }�p� C upon thc City, until <br />Signe�....i'i�.�.�..r.....l.....�--e �'!/..��1A �7 <br />�r ........_....AP,�li nt <br />epted .. S..-.�—..�L�r 92...... IIy... ��C/F�a .�/�� <br />