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. <br />� <br /> �...c�� 5-7 ? f,/(, 4�._���—:�� :, ._ � � , <br /> W.l).FarmJ- IGuI—F..1'.Cm--S."l:_'1 <br /> City of Everett�WGter Department <br /> 1'��'PLICAT'ION FGR ��ATER <br />� .II bl:uil;s umst 6o filled in or crossrl ont <br /> rPvcrett,.........S�/1.5........__....._._......................1 U°.fr�. <br /> I <br /> TO TH� �UYEI;IA'TENDI�.NT OF THE R'AT�R DEFAR17ili'v'"P: <br /> i CITY OF CVEI2liTT: <br /> I liereLy upP11' r�r the use of waler in uccord�mce u•ith tha rules and i�egu- <br /> latians of the ��'ater Department. for purpo�es in� fix!ures stuted belo�c. <br /> iluring Uic timo thnt any of thc watcr mnins mny bc L•:ken up Uy rcason <br /> of any improvements acthorize� by the Cily of G��crett, in or nf ¢n,v s'r��t or <br /> nllcy in a•hidt they mu�- haec bcen laid, tl�e City �cill not bc requimd tn furni=h <br /> ivater during tLc p�rogre=s of such imprnvements to nny consumnr whuse supply <br /> rn:.y tLus Ua cuL off, ur be'L/uLle for ::ny damages for its Failure so to do. <br /> APp;icltiori No._..�i .� 7...�?............_�� J 3o y <br /> Gluck...__..._..�.�.}'....12..�. ' �: , Add..l � . .. <br /> .. �....__.._. l.ot....,,..........._..___......_... _.__ . .__. . .__ . . .. <br /> no._.�.5�. ./.�f._._-.�?.�........................_.....Street <br /> '1'im wo.l- to Ue executed by__.. . .... .. ..... ___. .. .___. _.. ..._ . .. ....PlumUcr <br /> J�-o r <br /> Stnte size af tnp. � <br /> ._�x....Tnp to be inscr:ed in the main. � <br /> ...._�.......�Ynter closet <br /> .....0........Buch <br /> .......-.......Urinal <br /> .......zz..-...Plain fnucet in�idc <br /> .__..... ....Side �call: wnshcr <br /> __..._�...._Aose UiU ou[sidc <br /> ........—....Ilosc bib far building pnr7ia�s�s <br /> .___.—'....I3osc bib ineidc ��' <br /> ......_.—..Bib for stablc wutaining........_. ..._...stall.....__........ . '� <br /> .......-.....A'umber of persons in frm�ily <br /> � ..tdumUer of rooms in buildinq <br /> ............. <br /> "'� � premises nre to be used ns n..._._.... . _ _ '__.....>.�.. .........._�.___ ._... <br /> _.... <br /> " �� owncr of the Premises is.__...�._`f1:L.-.... . .. . ....... ..__-�-..._. <br /> '<f��-sJ'�..:. <br /> V <br /> . . . ....,;it is....._............................._ _._........__............_.............._............................... , <br /> .�;�:, ,:pn'+cc�'�r., nithough signed, slmll not 6e binding upon the City, until , <br /> ,.^_d ' ,upn•intendent of thc Water Depurtq�ent./J ; � <br /> �iBi�ed...��.�....../..�[.�....(..�..�w!z!i.L)....................Applicant1 <br /> Accepted . . .. �[�j p� By.__ . . ....._ .. . ........... .... ........ � <br /> _y{���--�� _. /�- ,+ /,' Superintendent <br /> � � .c- �. �." . :S"�/i�:�� <br />