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. <br /> ; -�. <br /> W. D. ioim 6 � <br /> CITY OF EVFRETT-WATER DEPARTMENT <br /> � APPLICATION FOR WATPR <br /> All binnks nwst bc filled in nr crossed out / <br /> — / /, � <br /> C <br /> I•Ivcrotl�_ . � .. � .. ......- i.. . . . . . . 19. . . <br /> �1'<i 'I•IIF: RGI'h:HIN'1�6:�DENCITY OF ECERETTDEPARTh1ENT: <br /> I:diunv�>[ it�e�Waler Departtnenl. tot'�Pu�pu ics":ind fixlures`slatc l��hcluwreqU <br /> UurinF the limc thal any ��f lhe watrr mains may be taken np by rcason <br /> of anY imP��occments autharized bY lhc City o[ Everett, in or of anl' street or <br /> ;illcy in which lhcy nmY h:rve becn hid, the City will nul be rcquired to furnish <br /> ���ater durinti th�� p�'��I;�'rss o[ such improvements tn nny consumer whose sup- <br /> ply may thus bc cut off, or br liab`c (or any damaGes for ris failure so to do. <br /> Appliculion Na. .�..r.�... ,�...:�. _/,.;___. i . . - ! <br /> ..__, Lnt � �. ... ._. ... _f. Add'�. � ... :_.. . � .' ' . . <br /> I31ock . _.- . <br /> � ..... .. ' ,, � 'i •_ .�f Streei <br /> Nn. .. / �� r_ . t... . . ...._... ... . ....�.�. ...��.. <br /> ._.. .......................:.................................._... . .... . _.. __.. _ ._... <br /> ........_........._..... � <br /> 'I'he work lo Ue executed bl'.. ....-.-. - . . . -......-- . Plumber <br /> �:t:��c siu of top. ' . <br /> '_.._.Tap lu bc inscrled in thc main ,/,i� ' � • � � ' <br /> ,.�._.R'ater closet �/ � �. <br /> � d <br /> . ......IIatii / ; , <br /> _.....Urinal .�, - ' ,� � . . <br /> ..._..Plain faucr� in�aJ�� � , • <br /> ._.....Sid^ tealk �c:c:in�r <br /> .._........Hosa bib ouhiJr <br /> _.__I{osc bib fnr bullJm,' Pu:�p.. .... <br /> _ .......ftosc Uib insid�� <br /> __.....I3ib fm' slnblc conlaining ::i:�ll <br /> .I�umber o[ persons in f:�ni!I�� <br /> . .. .Numbcr ot rnoms in bull.lin:t <br /> 'I�hc pre�nises t�ce tu bc• used as >i . . <br /> 'I'hv owncr of lhe Premi<es is � .. . . . _ <br /> Ilic aFent is.. .. . . . . ... . . . .. ._.. ... . . .. <br /> �I'h�., apptic;lliun, nithnu;:ii siFncd. ehall nnt br bindinF upon thc Cil)', until <br /> .�. . �p��•d by the SuP�'�'intvmlrnl of the �'�ler DepartmenL <br /> -. ' . • ' ., _ n��i��.�„� <br /> siCncd.•. � . _... .;..,_ . .._ . ._._ _. . . . <br /> n <br /> � .\�r��p•.���7 1" . �'. - . tiuDorintuvl��nt <br />