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��.-..� -T- ^ <br />'r <br />� <br />� <br /> __�. _c � . , . . �� _.i-� . . - P.._ .. . ' . i <br /> w.n.r��m a—�a�n—c.ec�.—s.:a,s� <br /> City of Everett---�Water Depai tinent <br /> APPLICATION FOR W�TER <br /> !ill blanl:s must Ue filled in or crossed out <br /> GvereLt,.........._���.�./.. .�i....�...��...._.d`..L...__...__I'.13.-5— <br />�' TO TIi� SUPERINTisNDLNT Or T}IG R'ATIsR •. AI{T1IEI4'C: <br /> C1TY OP �VEP.ETT: <br /> I hereUy app;y for the use of wnter in uecord:ome tvith 6hc riil��s and regu- <br />' lations uf thc R'nter Depnrtment, for pw�Puses imd fixtures sL•itcd Lrl<<c. <br /> During thc timc thnt tmy of the �sater mnir•• may be tal[en up by rcason <br /> of any improvcroents authori-ed by tLe City of Gvcrett, in m• oP any titreet or <br /> allcy� in «�hicli they� may Lnce Leen lafd, lh¢ CiLy will nut Ue required to furninL+ <br /> wuter during the m'ogress uf sucl� improvements ta nny eonsumer whose cu��pl�� <br />, m::y thus be cut oif, or bnc liablc for :my damages for its fnilure so to do. <br /> Applicnlior. iYo....�O�.rc�...�_._.._....... . _I. <br /> Bluck._ � �]...� _�. f Lot _... . . -_ �..... Add.. .___. . . <br /> No..�1 !7�� � /O������ - ....Street ly 16— 11 �� : . <br /> , � , <br /> ..... .......-- <br /> t ' <br /> . , , .-'-• ... <br /> ..._..,._�.�......�................._..._::.. ._.._................... _......_...... ....__._.._... . ._... <br /> __..._..... . .... <br />• The �vork to be executed by.._._..._. . . . . ._ .... . . _.. .......P1un�Urr <br />, Sla/t/e sizc oY tnp. �;_ � �'`—� <br /> -.-;�2.._Tnp tu Uc insc.:ed in thc mnin. <br /> .....�........�Vuter closcl <br />� .....I........BatU <br /> ......G-...Urinal <br /> ..._�..'__.Plain f;mret in��idc <br /> .._...C_..-.Side �vnll: e:asher <br /> ......�._......}Iosc biU o;:t::idc <br />, .....�:...Aose bi6 tor buil,ling p�rposc; <br /> ....g...`......Fiosc biU inside <br /> ..._�...Bib for stablc containing....._.............stall�.:.:.�._......_. <br /> .._�..�-.Number uf p�rsons in family �' <br /> -...�....Number of roums in Uuildinq � <br /> The premise9 nrc to be used ns a__._... _(�C.���....�. <br /> The ou•ner-of the pre���is s �3 __._. . . . . _._.. .. . ..... <br />,I ' � .igent is..... . w'%!��..C.,.�'l t;c.�' .... .... .. <br /> ............ <br /> � = applic:ition, although :;i�ned, :hnll not b �binding upon the City, until <br />` � b�� the SuPerintendcnt oL� R'uter DepnrtmenL �� <br /> f Signed . .....�....�-/..r/.o...`��`..:...S.Rr......... _- 1.......:.._. pplicant/ <br /> �:: � , / <br /> �......... ..f.1�2:=� By._CG��GZ!..�Y.'�........ <br /> .__Sp1iSLutr�dent j <br /> / <br /> i <br />