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�.w«�-�' I- r �- �L• r I <br /> .F.U.Fl,rr,i ;--iSen—E.P.cu.—�-26�21 • <br /> i f ity of Everett�Water Department <br /> APPLICATION FOR WAT'ER <br /> AI1 bl�nks mv=t hc i�n�a in or crossed ovt <br /> Everelt,........`_1._.v_:F�.._2._4........_.............7�J2L.. <br /> YO TIiL SUPERINTF.A'DENT O��' 3 R'A1'F.I2 UEPAliTASEhT: <br /> CITY OP E\B12CTT: <br /> I hm�eLy app!y for the use uf�satcr in accerdance ��-ith the rules nnd regu- <br /> Intions of lhc R'atcr Department, for pmpo�es and fis'�w�cs etated bclow. <br /> llu:�ing the time thnt +my ot the �vater mains mny be Laken up bg renson <br /> of nnp improcements authorized Ly the City of Eccrrtt, in or of nny sLrect or <br /> alley in ���hich the}� may ha��e becn inid, qic City �vill not be requircd to furnisU <br /> w:rter dm�inq Lhe Progress of such improremcnts to eny consumor whose supply <br /> may thca Se <ut ��ff, or be liablc far any dnmages for its fnilure so to do. <br /> Ayl,licai:an No....�,.�.r...z:3............... "�€'f-� r4-.23 � <br /> Block...........�...�:.i2............ I.ot.............c�.....�._......._.... Add.__..__.........�........ <br /> /� ......_... <br /> No.....,2.U,..�..._.✓.�.l!�.C%C�.�............S cre ei <br /> . . _...._.... . . . ....... .. <br /> _.. ,�a� ..... <br /> Tl�e work to be executed by....... C � ._... Plumbcr , <br /> Slatc size of tnp. � .�5.G'�- ��9 i� ��/ /�1, <br /> � ! i, � . ./ <br /> _��2.�:....1'ap to be inser.ed in thc ronin. � ' • � <br /> ---.....L......15'ntcr closet ��I.'� �.� . . . � <br /> . . i:;.i�i) <br /> � - r, <br /> ..1......Buth .. �i i,�u'� ......� <br /> .._........Urinal ( ' . . <br /> _ j <br /> . ._�.....Plain fnucet in�ide � <br /> . .....—....SiJe amlk washcr <br /> -......1.......Iioee bib out<ide <br /> __...':..-.._ITose bib for UvilJing purposes <br /> ..._.:.-.....l�o.ac biL inside <br /> ...... .....BiL for stable containing....................alnll_..............._. <br /> .......�..-....Kumbcr of persons in fnmily <br /> .....�.....Number of rooms in building . <br /> The premises nrc to be used as a ...... _.�.c�.c;�.�_ <br /> h �.. <br /> The owner of the premises is._� riv��-c���---i..,����� <br /> Thcngent is.............................................�......................................... <br /> .............................. <br /> Thia npplication, nithough �igned, shall nat be binding upon the City, until <br /> nccepted by ihc SuPeriu/tendcnt aC ihe tiVatcr Depiartment. <br /> Signed..v.....�.......................... ........ pplicant <br /> ' P /'....13'L� By..... '� <br /> Accr led.._.__...J`./...�. .��. ..{e, �.�„r.... . <br /> ....................... � <br /> -� uperintendent <br />