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. �� . - zi,- ;�6 ,�. .��. .� ._ . . <br /> —��� r� � �,� -� <br /> N'_il.Por.n 4. ISno—E.P.Cu.—b26-2/ . <br /> City of Evei�ett--�Watei� Department <br /> APPLICATION FOR WATER <br /> All Llanks must be filled in or crossed eut <br /> /r/ <br /> lit�ercit�_...._.....�..�j... .._.�..f�'...:..,f,t......................._l:t'L_.... <br /> TO TIII: SUPliRINTCNUENT OF TIIS \tiATrf: DEPAI2T1fENT: <br /> CiTY OF �VEIt�TT: <br /> I hereby npp!p for the v=e of�valer ir. nccordance w�ith the n:les and regu- <br /> Intions of the 1i'ater Departmcut, for purpnses and tix!m�es stated below. <br /> Dm�ing the time tF.at any of the v:ncrr mains mny be taken up by reason <br /> of any in:provements authoriud by the C'ty of E��erett, in or of unp strcet nr <br /> alley in ahich they may hnce Lcen lo�d, the City �eill not bc required to furnieh <br /> tcnter during tLe progress of �uch impro��ements to uny covsumer whuse supply <br /> mny lhus Le cut oif, or�be liable for c;ny damngcs for i:s fnilure so to do. <br /> APPIic¢lion No.... O...,`"�,,,.,� d <br /> ................. <br /> �:.9.�—_�_....... �t. _ _14 .-._t�-_. ... <br /> r.i���, aaa._ ... <br /> y� _ _... . _ <br /> No .02.3/�C�lv.,;�ti(� ..Street <br /> . .. ...... .. <br /> l� <br /> 1 ........_..__.........._. . _. .._............ ... <br /> _ . <br /> __. <br /> The u•ork to be executed by.___ __. . .. _ _ ........__.....PlumUcr <br /> _. . _ <br /> State size of tap. � ��-�-0 <br /> ...��'.L.....Tnp ta be inserted in the mnin.���i , / � dS � //�j <br /> �vl� �� 7 � <br /> ...._/.......Rnler clocet . , _, <br /> / ,�., <br /> .. ...........Bath ; _ .. .�. r <br /> �... r . � � y /t�/1 <br /> ......../ . .Urinal - �;� r� .� <br /> . .. ...Plain fuucet mside ° ', r �� �� ~ f�� !) � •` <br /> ..........._...Sidc ���nik a•asher ...���jf17 L�'p'7' <br /> ...............Ilo�e bib outside ��•'•.... <br /> ...... <br /> ......., <br /> ...__.........liose bib for building Purposes • <br /> � ................liose bi6 insidc <br /> __._.........IIiD for stnblc conlnining..........._....._atnll.............. <br /> .... <br /> .-..._.........Numbcr of persons in family <br /> �.......Numbcr of rooma in buildm6 <br /> The nremises arc to be vsed es���u. ��� """ ��7��� <br /> ��7-c-2-k� <br /> The o�cncr of ffie premisee is� �� ��-7�: <br /> a�— . <br /> Thengent is........_..............._.......__......._._....._......_. <br /> .................................................... <br /> This application, nithough signed, shnll not be binding upon ity, until <br /> nccepted by the Superintendent,qf t�W�.tyq Depnrtment. - <br /> `, �A YL/�/—'�1-- <br /> Signed...h..... �/ ✓ . .. <br /> � ....,�,,.._ �..........�_ ..... ..... ��.. .. .. plicant <br /> Accepted. . ...... . <br /> �'-�=.-..��.... BY..._ z .. <br /> ..... . <br /> ✓����� 'ntendent <br /> . . /i'--,-= .. . <br />