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:.Y 7 IA'k' 1'4 . . '� ' <br /> • � . . .s—.1.!.t�:—.� . _ � .. " l:'!.-7 <br /> 1P.D.Pnrn1�..:Lob._E.ilCn.—L.2G21 •J .• <br /> City of Everett�Water Department <br /> APPLICA�ION FOR �JATER <br /> :lll blcnl:s must be filled in or cros=ed out <br /> � F.ve ret t.._.___//�,3�.7..................................]'J 2...... <br /> / <br /> PO TFiE SUPLk1NTENDENT (J.F TI�F. 1CATEP, UEPAP.TDilitiT: <br /> CiTY OF EVEi2L'TT: <br /> I Le:eby apply fur Lhe ux oC n�ater.in :iccordanee w�iih Lhc rules und regv- <br /> latimis o[ thc Nalcr Department, tur purpu�es and fix�ures staled l�elcw. <br /> During the time that nny of the water mains mny be t�lcen up Lp rcuson <br /> of any improecments authorized by the Cicy ot Ecerett, in or of nny atr..et or <br /> alley in w�Uich �heF inay haee Lecn la1d, ihc City will not Uc required to Surnish <br /> vrater dcring the prugress of�such itn�:rwements to any consumer whose suPP�Y <br /> muS t!�va bc cut off,orp/be liable for any dmnn�es for its fnilure so to do. <br /> Application No.__.a...�..�� <br /> ................ <br /> L'li�rl:_........................�... .___.. L_o/t._...C�..-_'/0_..........._..... 9dd.._......... .._...__. _....... __. <br /> Ko.._._..Z J.�.J�.._._�-LL�[.f/..�...........8treet <br /> .__ .._. ....... ... ... . _.........A �_ /._.... ... . .... . . . .... ........ <br /> 'Ihe �vork to be esecuted by .�L(/�a'�. f/u�—........Plumber <br /> St/a/te size of Lap. <br /> ...%,Z.....Tep to be inserted in the main. <br /> .....�........R'nter closet <br /> --...,........Bath . . <br /> __.._........Urinxl <br /> ....Z_..Plain fnucct inside . � <br /> ................Side n�nlY. w•..shcr <br /> ...,/........Hose bib outside .� �.- � <br /> ��1 <br /> ..__..._.......Hose bib for building purpoaes .-�—.i. � <br /> � �, <br /> ..............Hose bib insidc ���� ' �? � <br />� ................IIib for stuble contnining....................etall.................... <br /> �� <br /> .. .......Numbcr of persons in family . <br /> ..... <br /> . Number of raams in l:uilding <br /> .... ....... � <br /> 7he premises nre to be used as a..._ .. .... (��-C ._..._... <br /> G <br /> _ _. <br /> The owner of the Prernises is_.��. ,__....__ ,..�Gf� <br /> The ��gent is........... ! <br /> ....._._......_......._._.. __...... ..........._.._. ......__................Y,..... ... <br /> �� �� •�PP>>cation, althouqh =ignrd, ;hall not Ue Uinding upon Lhc Cil until <br /> aceeptcd �, the SuperintendEnt of tha �Vnter Depar[ment. <br />� Si�ned. _............����1..>.....�.Q��..���"-��..."".\./� . .._... .A licant <br /> / � <br /> Accepted_..��.- ....._.�......18�-�..- IIp...�/%y✓f'rLl�/... .. <br /> � . ..� ............ <br /> ' tcndent <br /> i <br /> s-:���. <br />