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: _. . .. . . ��:A�.�,_� - �-- t� - �;"P.���., <br /> 1Y.Il.Furm�� 1600—E.P.Cu.—M1•q6�Y1 � <br /> City of Everett--Water Depa�•tinent <br /> APPLICATION FOR Wl��?'�R <br /> All blm�ke muet be filled in or cmeec/d out <br /> Evcrelt...............................Y/....�.............................10� <br /> TO TFIE SUPERINTGNPENT OP' TIIR NATF.R UF.PARTAIEN'C: <br /> CITY OF EVE1tETT: <br /> I hereLy npply I�� �ne o+c oC w�nter in nccard:mce with thr rulea nnd rrgu- <br /> Inlione of the Wnter �` �unm�ut, fnr purposes nnd tixtures etntcd bclow. <br /> During the tim�� t.�at n•+y o[ the wnler mnins mny Le t¢ken up Ly rcaeon <br /> of nny i�nprovem�ntx a�tn.�ri::ed by thc City of Evcrctt, in or n[ eny ntreet or <br /> nlley in wl�ich they mny heva Leen loid, lhe City wlll not bc r�equhed to furnixh <br /> wuter durinq lhe prngreee of auch improvements to eny consumer whnxe eupply <br /> nmp thus Lc cut ot(, or 6rliable for nny dmm�gee for 1te tnqurc eo tu do. <br /> PP on No......._.�L.rz...S..:........ <br /> Iilock.............r ,,. �_� /� , . <br /> cat <br /> ........ . ...._...... Lot............._...�..................... Add.__......`. .. ...._....................� <br /> No......�y�-.�io. . ..�l.L./�,......................9treet <br /> ..___ _..... ..... ....................._........_....... ........................................_...��,."""................_................... <br /> Thc wurk to be executed by...__ ._ ...._.�..v�.�:{.��w�...........Plumber <br /> Slote efze of tnp. � <br /> :'�p.........Tap to be inecrted In the mnin. e u <br /> �� <br /> ................Nutcr cloect � �� 1 �J <br /> ................Dach �/�' • <br /> .....:..........Urin ol <br /> .........'-:....Plnin fuucet inxicle <br /> ._-...........Side wnik waeher <br /> ..:_...........Haee bib outside <br /> � ................lioee bib tor buildinR Purpoees <br /> ................FIoae bib Inelda <br /> ................Bib tor etublo cnnteining....................etall.................... <br /> ................Numbcr ot pereone In fnmlly <br /> ....a.......Number ot roome In building �p <br /> Tho premleee aro to be ueed ne n...... ./1.R/_J-c--c�.S--�:S.�.�.5...{` <br /> . .................... <br /> The owner nl the premlees le.......�_,`�..J3.G... p,.- ., ..,�,,,,,,,`,._,,..__ <br /> �.. .�� i <br /> Thenaent fe..................................................................................................................... <br /> TLIe applicntlnn, althou h nigned ahell not be bindinQ upon the Clty, until <br /> .+NYd by the Supc Inten nt o�lhe Watcppepartment. <br /> _ <br /> �"�� ��- <br /> Signe� .............. .. ...... .............._.../......._..................Applicant <br /> ,:ed..................... ...._.......1Q7���Y..........y_�_ .-:��.../....�................ .......... 1 <br /> 2 _ � _ �vt'— ,�_L{—�uperintendent <br /> �i� '�� � <br />