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� . � � <br /> I <br />� <br />� <br /> ��u._: . � � <br /> �,_�_�__, <br /> 0.'.U.lk�rm J--0fUO-L'.CCu.G.2G24 • .. . . . ,� <br /> City of Everett�--��T�.ter Departi;.ient <br /> 1��'�'I,ICA�'�ON F�.R WATER <br /> .411 blanl:s nivst be filled in or crussed out <br /> E�erett................ �6 2.��..............._...l:l�. <br /> _................../.... <br />� I'0 TFII; SUPI�,RIA'TI?NUEilT'C pF TIiP lVA'Ph',P, llGPART➢I�N'C: <br /> CITY OR PVE1:L'PT: <br /> latiunsIof tho\��ater Dnpartntent,�fnraputposes ar,d f xt«rc'�sl ited��bclo��i tcgu- <br /> During tlie Lime thnt any uf the �vater mnins may be taken up by te.tson <br /> of nny iu;pro:ements au�hnrized by thc City of Ecerett, in or of aup s6reat „r <br /> :�lley in which thry m�y have been laid, the City mil] noti bc required to furni:�h <br /> �t�ater dnring th�� progress at such imnrovements to nuy consumer �ahose suj�ply <br /> ❑13}� LI]p9 Ue cut n[f, or Ue IiCa,Lle fa� �ny dauu�ges fcr its failm•e so to do, <br /> APPlicn:ion No.................D..�.�..�.... �- �RO �i . <br /> ftlock.............:.:f....................._ Lot._...i..... ....._ Add. . <br /> /y .... .._. . . . . .. . . .. <br /> A o........ �'�� Q._� `'�L'�-(L�-.t <br /> � -�� .._Street <br /> �... <br /> _ J :_ <br /> /� _ . <br />� i lia �vorlc to Ue esecuted b} . . _ V _ .-et�g�ci-L -P��,�C1• <br /> _.. <br />�I �a , sia.e of lap. , . . ; <br /> �.... <br /> � <br /> � Tap to bc insarted in n e mnin. ��`�-��� � �- `� -'-- <br /> /..... <br />� <br /> -. �.�..........R'ntcr closet <br /> � <br /> I ...............rae, �, J,- <br /> __..-�:.—i7rinal � `� � <br /> _.�.--�_....Plnin faucet inside <br /> .�-............Side wnl!: •.casher <br /> .�_.,iIose bib out:ide <br /> ' �-..�.._.Flose bib for building purposc, � <br /> _._fIose Uib ittside <br /> ..�._..-:.-:EiU far stuUlc co��tainin�......_.......... stall.....__........_. <br /> ���........Numbcr of persons in fami;y <br /> ...�.........A'umUcr of rooms i� �uilding ,� <br /> Tne premises arc to 6e used as n..._..r.� .\,_,G�.-���,LLt r <br />� i hc owne� of tl�e premises is ._. / ���� r�.. . ...-- <br /> n-�J� ,.. .. ..Q-�-�. <br /> __ _ <br /> The agent is.....................__.........._......._ ............ � <br /> ._........_._... . <br /> ...._....._.......................... <br /> i application, nithou.^h sifined, :;hall not Ue binding upon lhe City, until <br /> y tl�e Superintendcut of tlm �Vnt Department. <br /> i �) / / <br /> Fiened_ �� h`--'� . '� �. - 7'"7�'�� <br /> _ �......i ....,, u �..."_m,�vl/ <br /> "' ..... >..Applicnnt <br /> � <br /> ,�..:,�/ -_.. ��� BY Gf, � , <br /> �s-e r-- 3_1��;��....... <br /> �. /Superifi�ndent <br /> I <br />