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E�—.-��=i�_—�'.. +� °o_�-, �i,. ._,� � - , <br /> w.0.Form a---loo--HP.co.-6:6-P� � <br /> rity of Everett^-Water Department � , Y <br /> APPLICATI�N FOR WATER <br /> All Ulanks must bc filled in ur crosscd out <br /> [1 -- � ?� ...1'J° .. <br /> P:cerett.................._..7............................_.................. .� <br /> YO TIiE cUPBItINiENDF.NT Or TIiF, t4ATER llEPARTDtI:NT: <br /> CITY OC EVliRETT: ; <br /> I hercUy apply for th� a c � ��r�ler in nccordance n'ith lhe tvles nnd regu- � <br /> lations of thc Water llepurtme7t, ior pu.Puses nnJ fis�ures stcted below. <br /> lluring the time thnt nny oC 2Le ��•ater mains may be taAen up Ly renson <br /> oC any improeements nuthorizcd by ihe City o[ Iseerett, in or of any strcet or <br /> nllcy in «�hirh �hey maY hn��e Lcen loid, the Cily �cill not bc required lo furnish <br /> �sa�er dnring the progress uf nuch intprocemenis to nny cun�nm�.r whose su,P13' <br /> may thus Lc cut off, or U linb!e for :mg dam�ges for its [r�iiure so to do. <br /> Z — <br /> �jiplicntion Nu....�.�... ._�..................... 7/� 5 <br /> . .. Add..._........ .._ � <br /> Btock.......`� -S^ ....._ I.ot �... ...... .__.._............_.. <br /> ,t ..,,7........... / _. <br /> No.....�..e��.0.._.....�C . .... ..... .. .Street <br /> . . _..................................._......�(�._�....�._....�....._._.__ .._...__..._..............._.. <br /> �/� (� ''Y� <br /> Thc ���ark to be executed by�. . (,e�CJ--(A . ._.__...._....PlumUer <br /> S.al sizc of tap. � {f' 7J�,5���" l�'�' � �� ��'S J <br /> � .�.� ..._Tnp to be inserted m the main. <br /> .....y.....R'nter clo=et <br /> ...../..........Bath <br /> ......-.......Urinrtl <br /> ...._�....Plain fnucet in�ide � ��if <br /> i <br />� . ....._-......Side �r�aik �snshcr �i� <br /> .._..L....._.Hoee bib oulside ;. <br />, � ....._�-....Iio�c bib for building purpo=es <br /> ......--:.....Hase bib inside <br />� � ..._—.:.....IIib tor stable cmita:ning........_......_..slnll................_.. <br /> ��� ...__.'.-:.:.Number ot pernn»s in family <br /> ��5. ...Numbcr of ronmt• in building � , <br /> ' -omisca nrc to bc uccd as n.... _..�..........�Cf.1�L1�t.�� <br /> . .......... <br /> �.^cr of Uie premisea is.....__.__. <br /> . ...............___._._.._ ._._._......_... ..._...._._.. <br /> . it is.............................._................................_..._._............................_.........._.. <br /> .� liration, nithough eigned, ahnll nct be binding upon ihe City, until <br /> �� � : Supnrintendr of the Natcr Depnrtnent. <br /> . � SiGned. n... .....:...L.'.r/..' 'C�%✓1�(iJ!/..... .... _ APPlicnnt <br /> -� ' -�' I <br /> n����t�a .. ._•_1�....- .. isz� Dv...G°,���,t/,�� .................. <br /> .�- ' � . - f/ uperintendent � <br /> ��� � ` <br /> 1 s <br />