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' • • `�-�.;�.{ 7��'f ' �-G -� <br /> w.[�.eo.m�-�ean.-E.eca.—s.se.z� � <br /> �;ity of Everett•--Water Department <br /> ,. . - - -- <br /> APPLICATION FOR WAT�R <br /> All 6lnuks muat be tilled in or crassed out <br /> . Evcrcll................................._�//.1.....................101�.� <br /> TO TIIP SUPF.RINTENDI?NT OR Tlll' lVAT1iR DEPAIiTMEN'P: <br /> CITY OF EVERPTT: <br /> 1 hereby npply far the u+e of water in uccorduuce �eith the rules und regu- <br /> Inllons af the Watcr Dcpartment, tor pwpnecs nnd Ciz'm�ca xtntrd bclow. <br /> During the time thut nny ot the wntcr mai�e m��y Le taken up Ly reneon <br /> of nny imp rovcments authnrized Ly thc Cily o[ Everrtt, in or of nny etrcet or <br /> aliry in wh{eh they m:�y hnvc Leen Inid, the City �,vill not Lc required to furnish <br /> �vuter during lhe p�rogre4a o[ nuch imprnvementa to nny crnaumer whose eupply <br /> nu�y thus Le eut ut(, or bc linble fur �m�� d¢mages for Ita fnilurc eo lo do. <br /> APP:Icntlun No.._.. ._. .�.�....:5.��..J....... GS R� <br /> D!ock.... . ..... ..... Lot . _. .... .... Add.. . ....._. <br /> . .....__........_.. <br /> _ . <br /> Na....... .�a�6... .___.. __ ....�. . .._..9treet <br /> .... .. ._. ._. _...___. ..__...._.. . . ........ ......... . <br /> /'' . ... . .. ..... .. _ . .............. <br /> The woik to be exccuted Uy _ ._.WR G.�.A--oL_L_� _ . .Plumber <br /> totu elze ot ta�� <br /> �� � J <br /> :.�.......Tnp to _e in.rerted In the mnin. I C v/, <br /> �..�....Nutc[ closet � � � <br /> ...�..—:::..00�n 'ly �� ' ' � � � <br /> ..--� Urinol ( t. � . � ' <br /> ....��'�:.-pinln fnucet inaide ` �-� �- � <br /> ._............Side wnik wnahcr � , <br /> �-�.�.Fionc bib outnide � <br /> — ..._Iioea bib for bullding purpnses . . ., �,�y� <br /> ...�..-.....floao biL Ineidc 4 �� 1 <br /> ._............Dib for eta6lo contn(ning...................ntnll.................... � <br /> . ......A`umbrr ot pereona in fnmlly <br /> .--$........Number ot romne in building ' <br /> The premisea nro to bo uaed es n.. . _. ........ <br /> . .. ._...._. ...... <br /> The uwncr of tho premieca le /(]�`��,, �ei-tt„`7,L.� <br /> The ngent le....... .. .. ...... V �� � <br /> Thie applicntlon. elthough nigned, ahall not bo 6lnding upon the Clty, unttll <br /> eccepted by the S pe*ryl,n�ten�dent ot thu Woytery,Depnrtment. <br /> SIg�H..../(.W�....�/Q�....././l.��.. ...'.......... .APPlicant <br /> Acceptel.._._......Y._���.�r.....1D2{.� By... .. <br /> A�' ... ._ . . <br /> ..................... <br /> - � uperintendent <br />