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�=n.:.l' i i-`1-1'; ;� .. �-�-ra^-a �- z�--y� I'n�� <br /> � <br /> . 1\'.D.com:J�-1;oo—P:.P.Ce.—u-.0.6 ' <br /> City of Everett�Water Department <br /> APPLICATION FOR �TATEI� <br /> All blanl;:i must Uc filled ia or crosscd out <br /> fiverett�_....................._..._�Z�........................192�. <br /> �.. <br /> YO TflE SUFERINTLNUENT OF THB \FATIR DF.PARThiSNT: <br /> CITY OF �VES:liTT: <br /> I hereby app'.y for the use of�cate: in accordance M•ith the rules and regu- <br /> lations of thc Natcr Depariment, for pwposes and fiz:'�res stated beluw. <br /> During thc time that any of thc wutcr mnins mny be taken uP Ly rcason <br /> of �ny improcements nuthoriud by the City of Ecerett, ir. or of nny street or <br /> nlley in �vhirh they may hnce bcen laid, thc City �vill not Uc required to furnish <br /> water during the progrees of suct� improvements to any con�umer whose eupply <br /> m:iy thus Lc cut off, or 6eO liaLlc�fu(- nny dmnages tur its failure so lo do. <br /> npplication No..._.......C�.6.�...L........... .�""`� • � <br /> IIlocic........................./.�....,....__�.�I.ot..................................._... Add...._......... ........................ <br /> No..........�.�.�.1..��--y....................8treet ' <br />- ........................�........................................�.............................,.............................................. <br /> Tl:c a•ork lo Ue executed by_..............._.. . ,!—_ —......_....._I_�Plumbe_r <br /> .. .....`/ .............. . t...i.l. e <br /> Statc size of tnp. �_).� '- �- ` . , `"�� - <br /> ..�.��........Tnp to be inserted in tfie main. � � <br /> ....�...........Natcr closet �n. <br /> ---- �o -� �' ' � <br /> .. ...........Bath � , <br /> .. ............Urinnl �, �) I..., <br /> _��......_...Plnin faucet inside . �.� ��� � �� , . <br /> �— .' , <br /> ................Sidc cvnik washer ! ::.. - �'1,��� <br /> _ � <br /> �.....:.........Iiose biL outsidc - � � � <br /> ��: � � � � ' ' �' I <br /> -...—�..Iiosc bib for builling purposes , '� � <br /> � v,.�' <br /> - fIose Lib inside �.. � . . � ..... . ........... <br /> ................ <br /> l <br /> �._._Bib for etaLlc containing....................stall,.__......:.:::. � � ...� . <br /> .. —.-.:.-....Tumbcr of persons in family <br /> ::... <br /> .....�.........NumUer of rooms in 6uild. � , ' <br /> " pre� ,es nre to be used ns,y�. .. . .. .. . .... _................................... <br /> ,1 _... <br /> �.cr of Lhe Dremises is._.y.,.. _........ .. .fL/...'_7�.<�..���...'.�.-,.-.-r�� ,.�..,�...� . <br /> � 0 \....... <br /> � .enL ia...................................0................................................................................. <br /> �pplicntion, although cigned shall not be binding upon the City, until <br /> �y thc Superinf,�ndent�ot u R' D^Portment. <br /> � 1 � <br /> � <br /> . I . : :�nc�...../.�,_. ..................................^ .. ........ ... Applicant <br /> +d .....,�-.. ....'f....-........1D2.. .. By........ ... .f// ........ . ......... �'"� <br /> � �uperintendent <br />