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ll'. It. I'urm .I - 1]�•.u__7?.P.Co.—; "_6 ^.f <br />'" "•�_Li. r. �i <br />City of Everett�Water Department <br />1�PPLICATIOI`�t FOR �TATER <br />All Llm�ks riust Le filled in or cros=ed out <br />I?vcrett. ................. ... /_SJ /.: 5..'.........._.............1'J°...... <br />TO 7'llI•: SUI'*3RIti7'h:\I�Ii\"C OR TftP �'ATBR llEFAP.TiliI'sNT: <br />CITY OR EVIsI:ETT: <br />I l�ereLy apply for the use uf a�nter in :�ccm�dance with tlie rules :md regu- <br />lations af the Watcr Department, for purposes nnd fixtures sl.nted Uclo��•. <br />Dm�ing Uie timc that any of lhr �eater muins may 6e tal;en up by rcason <br />of any improvcmcnts authuriuJ by LLc City ot ]'secmtt, ir or ot :my ptrceL or <br />nlley in which they mny hace been Inid, thu City tvil! not Lc mquired to fm�nisli <br />�c:rter durin;; the progress of such improvements ta nny consumer whose sui�ply <br />may tUus he cut oif, o(%r� }ur� IiaLle for any damuges for its fnilure so to do. <br />Applicntion No._.0....¢`.-.�!..� ................ <br />�io�i 3 3 I ..... Loc ..J `� 7!.. ._.. naa.____ .... _ _. <br />V� /G-.U-.� � .�'���:r .. . .. . ....... _Strect <br />:. -G< —. �G �: <br />_ _.. ._. .._.... . <br />. . .. ... .. _. .. _ . ......... <br />_ .......... <br />_. <br />7 u� �vurk to Uc esecuted Uy..._. R-L .�... ._.. U. ... __. Plmnb^_r <br />�l/�/ite size of tnP. /� j <br />_%.2-....._Tap to Le inscr,ed in the ronin. �Z <br />_.�.........�Vater do:et � <br />� ,. <br />_ _............L.�tl� <br />. ._�......Urin;�l <br />._ �........Plnin f;mceL in=idc <br />....�........Sidc n�all. �ceshcr . <br />.IIosc Uib outside <br />� ....... __�r <br />...` ..:..........I3ose biU far building p�rposes � <br />__�.`..__Hose Lib insidc <br />�— <br />.__......_...Bi6 for stablc contnining ................._stall...___...._..... <br />�— __ t <br />._ .............Aumber of persons in family <br />................Numbcr of rooms in Uuilding ( ,,—�//—�_—�� � <br />'I'he premises nrc to bc used ns a—�-'"�/�✓ W z�— ......__.. <br />'1'he.o�vner of the pre��iisce is._�/,.,�... �3��, , �._��. <br />Theagent is ................_._..........................._..__...._.__......_...�..._..............._....... <br />i.�s npplicntion, nithocgh siFned, ;hn11 not bc Uinding upon tl�c Citp vntil <br />.� ted by� the Superintendent of�hc �Vatcr Department. \ <br />Signed�"......_�..�..../✓.1L.�;�.....1...... .. /....... Applicant <br />� 1 ` �� 1 <br />/.3..�..2�..—is2..... rsy.__ . ,�j <br />j_ ......... ...... .... <br />-----5u}Scrintendent . <br />