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�,.,�,_.._,__--- <br />r�.. ��: d y._2a-� - �3j' <br />W. D. Ibnn 4— IS00—F,.P.Co.�—G :G.2i <br />�M��� �1' � � - �,.� L.�) ] <br />� <br />City of Everett�Water De�?:irtment <br />1�PPLICATION FOR tiU��-TEIZ <br />Alf Ll:ml:s umst bo fiiled in u[ crossed out <br />/ /- n�i <br />Pvc:ett,...._...._............_. __ .....................7._.�_. <br />7... .....�.�... <br />TO TFI: SUPP�.RINTENllENT OP TI�P•. NATIiR D�PP.f:TilIEN'C. <br />CITY OR F.VPI2�T1': <br />I heieb �PP� for Lhe uae of �cater in aecerdance wilh Uie i"�1es nnd reg°- <br />lations of theY�Pater DePartment, 1'or Purpoaes and fis'urce siated belute. <br />During the time that uny of the watcr mains mnp Ue tal;en uP �Y rcason <br />of auy iraptrovements autl:orir�ed l�y tlie City of P��crett, in or nf t�ny street or <br />ulley in �chich they mny have been lai,l, the ('�ity �vil: nut. be required to furni�h <br />a•ater during the P�'�B�ess of sucn impro�'entents to nny :unsumer «'hose supplY <br />n:�iy tLus bc cut off, or be liablu f4or :my damages for ite tnilure sn to do. <br />Application No ..............�6.. �!.:S..L....._... <br />Block ............... /. Lot... <br />....................... . <br />No.........�,./.�4-__—__�_f7.. L.:- <br />.__.__.... _ Add.. _._.. __...___..._..... <br />.... _ ................Strett <br />.... ._._...__..._._ __.. <br />...... . . . _ .......... . . . . .... .. . .. .. . .. � <br />The vork to bc exciuted by. ....._.... ......_........_... i'lumber <br />5t�ttc eizc of tup. _� <br />(�i <br />f<--_......TnP to be inscr.ed in tlie mnin. a�j <br />._....�_.....«�atcr closet � ( � i S w <br />7 <br />._...�........Bn[h � `� i <br />�r� <br />-.—._—._Urinal I1;. :.. <br />L:....Plain fnucet insidc -� � � � �� r",y�7 . <br />.......�---:.Sida t�'alk �vasher �1 . . � , " �� � ��. <br />.............. . ��,�,�n� <br />.t. � <br />..::"..Ilo=.e bib auLcidc � . j �.. , ; '. <br />..._.`—.-�.Hosc bib fo; Luifding �inr�oA�s C��``� ����. <br />�:i � ....._ .. <br />..:....—.-Iiosc Uib ins�dc ' ��'�'� � <br />.., _....../..�..�.. <br />�_,_... , .. <br />........—l3ib tor stnUlc contuiuinE......._.......:. st `I .................... <br />................A'umUer of persons in fnmily . <br />... �- .....Numbcr of robms in Uuildin�, • <br />Th�remises 2re to be used as n_.. �.�..'.�_�-e-c�.�p_ <br />� �` �� ry�`��.�_�......... <br />1'he o�vner ot the prer.iises is ,M.r r!^-..�1,C_<:� <br />"he agent is ..................__._..._._............._..................._........................_..................__. <br />� ii'- applicntion, nithough signed, shnll not be binding upon the City, until <br />:- Uy the Superintcr,dcnt uf the Water Department. <br />Signed..._ ......... ...._...._. ..................... . ._.� .. .. Applicant <br />n.. .. <br />-s� /� � � � <br />..19 BY .. . ................... <br />- �SuperinLendent <br />