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- _ � <br /> ; <br /> � <br /> .r..--.. . '. ^ ' � <br /> ..�.v'_ . .� - - <br /> . . _ , , , .�:`% -- . <br /> ll'.D.Form 4--IJ00—.S.P.Ca.—!,.:G.2C ' " ' ' <br /> �ity �f Everett--��3�Tater Depai�tment <br /> 1�PI'LIC.�TI�N FOR �TATER <br /> All Ulanl:s must Le filled in or croemd out <br /> . <br /> �veret t�...................._........:_�i.'..�./.,1......._..............192�.r... <br /> I'O TIIE SUPGR7VTCNDLNT OP TI�IE \\'AT�P. DPPART\tCNT: <br /> CITY OP P4�22GTT: . <br /> I hc�eLy appl}- fur the use of�cster in accordxnce with the rules and regu- <br /> lations of thc Wator DeparLmant, for purposes and fixtures stated hclow. � <br /> During the time t,hat auy of thc ��•ater mnins rony bc taken up by reason <br /> of any improcements cuthnrized by ti�e Ci,y of P•.��erett, in or of miy strmt or <br /> allc�� in �shich ihey m�y have bcen ]nid, thc City wiil not be requ'red to furnish ' <br /> o•cWr duriug the progross nf such imtirorements to any consumer whose suPP�Y <br /> m:�y tl�us Uc cut off, or�/6-e cl�iaLle fur uug dauiages for its fai]ure so to do. <br /> ,l�..on tio.......0...1.....��..�.............- �"r' d� /� . <br /> ly....l-�.. _.._.. ... <.��.;tr) , <br /> Blocl:nP�:1ut"l...Z:..........._ Lot...... .� Add.. .:' <br /> . ...... . _._.............__.... <br /> No........ .. �� Z — �G ...........................Street <br /> .......... ...........................�. <br /> _... .. .._.......__...._.............__....................._........................................__..... ........___.............. <br /> The �eork to be executed�..._._.�li-i.s..Ge.:�.e......_......_... .....P'.vmUcr <br /> Eta�t�e size of taP• y ' �,S 6— <br /> - .:/.7c...Tap to be insened in the mnin. <br /> - -�.........R'atcr closet <br /> ._.�..........Bath � . <br /> .....-�:......lirinal j- . <br /> .._�......Plnin fnucet in>ide / <br /> .....-^-......Sidc ���alk wasLer <br /> ����!-.........IIose bib outside <br /> ......—...._Hosc 6iU for building purposes <br /> ......_'-....I�Iase bib insidc � <br /> ._.....-.....Bib for staUle containin�...................stall.........._. ...... <br /> ........ .....NumLcr of persons in iumily <br /> -��-�.,i. Jumber of rooms in buildin� <br /> Tl�e prmniees arc to Ue used as u........_. <br /> J. <br /> ._.__ ..__..._....__....._............................. <br /> ihe owner of the premises is............. <br /> .. ._.._.. ...._....._........_................................... <br /> 'i!ie ngent is.........._........................................ .. � <br /> . ................................... <br /> ......................... <br /> This applicntion, nithough signed, ;hall not be binding upon the Qity, until <br /> eccepted by lhe Superintendent of the \9ater D�pnrtment. ��.., <br /> Signed ....�p� � - <br /> (J«-G(�L..._ . . <br /> /.......... AdyL pntr <br /> .. ...... <br /> .1c eptetl_.-'1 .,� ..]�� .. � �— , � ,;� <br /> ,''__ By.. .. .(�Q�(,��...,.. ... ,�/-"'� <br /> . � <br /> ,� Supcai»(rafcrnt�� <br /> � <br /> - �... - �r.a�„�.J <br />