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c��. ivi.t_. � �' ._ � 'c—v- w:J�c. _ - _ . <br />1V. U. }'vnn <--1SO4—l.P.Co.—G-2G-:J <br />City oF Everett-�Water Depai�tment <br />�,ICATION F�R `3��`��r�� <br />dll blanks mus, Ue fiiled in ot cros�ed out <br />� . ` <br />� / � ..1noJ.. <br />�Vl'IC�Cr_ ....................._......._ .......... .....___.....__... <br />TO TQ� SUPEP:NTLNDIi�'T OT' TIIR NATI;R DF.PAR'P:IIG\'I': <br />CIT'f OP I�:Vfi12I?TT: <br />I 1mreLy apP�l' fm• the use of «'aLer in nccerd;mce ���ith the ruLt3 :md regu- <br />lutions of the Nater Deparhnm��, F��r �iurposes and fixlures stated bela�r. <br />lluring thc timc that any oC thc �ratcr m,iins maY be tnken Up b}' rr,�°"❑ <br />of ang improvements putliorizetl by Lhe City oL Eccrett, in or cf anp strect ur <br />nllcy in whidi thep may hat�e been 1¢id, th�! City will not be rc�uirefl to furni: h <br />w�ter duriny; the P�'ogress of such improvements to ,ny consumer «'hose =upp1S <br />m;iy tLus Ue cut off, or bq.liuble for any dan:nges far its fuiiure �o lu d�,i• <br />?S f7 I <br />Applic.dion No._...._..._.�_.a.�..'.....--7 �O <br />r� . . ......_..... Add... �.r..:_':':. _.. <br />ISlo�k.....�- �_.,1. .. Lot. � �._.... . . . . .. <br />%..�. U.._,_ � _ ... _.... Street <br />\. .....�. .... .... . .__... . . <br />..___ _ ....._._ ................._........__..........................c..............,.,...._/.......... ............... ........_... .. <br />Thc wm�it to 6c esecuted by...........__._..�3.-�...._ .... ........._ __]'�umL,.i. <br />�S•ite stze of tap. p � <br />�.��...�_Tnp to bo inserted in the mnin. L o ��� <br />.:-...�-��'utcr closet �'� <br />\ � . <br />-�—Bath � � � <br />.............. � <br />..-..—...�.Urinal <br />.(-�....Plnia faucet in:ddc <br />—.....�..-51r�f :F'SI��S R'8FJ1Cl' <br />� .__—'.Hose biL outside <br />�_ __.._._.Hosc biL fm• buildiug purpn,-o,v <br />.-,....�fiosc bi6 insidc <br />...—..--Bib for stablc .. rainin� ................_..stall..........____�. <br />-�ICumUcr of pei .,�s in family <br />....�... _NumUcr of rmms m building � <br />The premises nrc to Uc used as n..... .���'-'�-� ___ ,, <br />� The oa�ner of the prnmises �s L�,/-; �/.���. . <br />Thc usent is ................ ......... .. ....._.... . _.__.......... <br />.. ..................._J. _.. _. <br />This upplicntion, although signed, shnll nnt Uc Uinding upnn the Citp, until <br />n�cepted by the Supe/rin/te'ndcnt�f thc Nnter Depnrtment, <br />Signrd..(//;..../.0 .,....._.. ..��.//�.�f�t�.� ....... ......._Applicnnt <br />� .� <br />Acccpted._.�..� .-/j _�...__...19^_..._ Bg....�_..,. ... <br />- , . .............................. <br />SuPerintendent <br />