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. <br /> � , ,; ,� �� . <br /> W.o. Fe,m, <br /> CIT>' OF EVERETT-WATER DEPARTMENT <br /> ' APPLICATION FOR WATER <br /> NI blanks musl bc [illed in ur crossed nut <br /> -- � , <br /> 1_ �J�_ . 19. �-',% <br /> Evrrclt�.-.. . ..... - .. <br /> TO T}iE SUPF:RINTF.NOENCITY OFFE FRETTnEPARTAtF.N'I'�. <br /> ]otionl�u[ Iie�W�ler Departmen[, for�purpo��s ,in�:�fixtures�sLd���l bcluw! �Fu� <br /> During thc timc Ihat any n( Ihc w:itcr mains mny bc taken up by rcasnn <br /> of any improvrmcnts authorizcd hy thc City ot Everett, in or uf any strect or <br /> nllcy in �vhich thcy may have bren Inid, lhe City w:11 not Fc required to [urnish <br /> �t:drr during lhc prutiress ut such improvemrnls lo any consum�r whosc sup- <br /> plv m;iy thus bc cut ott, or bc liablc fm� any damages for its failure so to do. <br />� . �C D / / . . �. ' � ., ' <br /> Application No _.._ _ .. .._.. . '� ' . <br /> 'i - � ,. �• . � �� % <br /> tsi���k _ _ _ � ��t , / _ _ .. Add�... <br /> Nu. .....__.�.f/..[,.....�___. ,L.��< .�.•.�<�..�y..�c:.[u.�,l'.Slreel <br /> ✓ <br />. ... ._............. <br />,' __. .. __.................................._............ ..... . <br /> _ . _..... ..._ <br /> The a•ork to l�e exrcutcd t�y�. . . . ... . .. ... ._._ .. . .._._ . . <br /> Plumber <br />��� . Stalc siac of tap. <br /> _ ..... ..1'ap lo br inscrled in the maic �! <br /> tl`J`: G(' ,� <br /> . ./r_.....R'nlrr doset .yf' <br />� � /� �'I=-_..Dath � �f. .� „ . <br />'� . _.......Urinal t ' • - � <br /> _...Plain taucet inside � ' '��"� <br /> ...__ ....._Sidc �valk w;�sh��r <br /> , ......._Ilocr bib outside �'j ' <br /> .. _..liasc bib tar bui;dinp pm'pnses <br /> .......][nsc 6ib insidc '.,' ' ;', : <br /> ._...Bib [nr stablc contriininp . ,..�I ' <br /> ._Numbcr a[ persons in fan� !�� . <br /> � __NumLrr ut rooms in huil�l�.nr. <br /> �i�ii�� p���mises :u'e la be u°.:d ns u <br /> 'I'I:r awner nf the premises is_... <br /> 'i':�.v agent is__. . .. .. . . . _ . . ... . . . ... <br /> 'Ph��.> npPlicatiun.allh��uFh siFned, shnll �ol bc binding upon thc City. until <br /> u,�. ,�p����i 6y thc Superin���ndcnt n[ thc �5'��ter Deparlmrnt. <br /> - . , ��. � <br /> / J " ' ' � � %-' '`" ....A i lic:int <br /> SiCned7.�'.�.._-.,. .�_ l.�.i.•.,c.,�.� ; _ ...�. . . ,�__ . IP <br /> / <br /> � :1�����•p:o.: �n, Ht� tiuPrrintendrut. <br />