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i <br /> I <br /> �,-r-F ,o_.. « � <br /> - �-z.s-c?t. � - _ ��,.,.-e( h�l w i�>�:,, <br /> lY.R.1'urm J .ISbn—E.1'.Co.-6:E f1 � <br /> City of Everett--�Water Department � <br /> A.F�'�.�CATION FOI� WATER I <br /> All Ulanls mcs! Le filled in or crosr.ed uut ' <br /> r•.���T�ec.................. �° / .1�..................isa�. <br /> _................... I <br /> I'0 THE SUI'EItINTEKDENT OR TIiE \4ATER UEPAItTDYCfiT: <br /> CITY OF EVECCTT: <br /> I hc eby app:y for the use of�vater in accurdrmce a�ith the �iules und regu- <br /> latiuus of the Watcr Department, for pulpn�es nnd fixures etstid bclow. <br /> During Lhe time Lhat nny ot the n�ater muins mny bc tal:a vp by reasm� <br /> of any improcen��ents authoriud by the Ci,y of Ecerclt, i��� or of uny etreet or <br /> cllcy in whirh they may ha�-e been taid, thc City will not be rcquired to furnish <br /> ��:iter duri;ig :he pragress of such improcementa to n�Y consum.er whose suPP�Y <br /> mcy thus Uc cut off, or bc liabCle cfor ..ny damnges for its failure so to do. <br /> Applic¢lioa Dfo...._...._��d d. <br /> _ .. ._......... <br /> I31oek.........7.�¢.�....._...._..... Lot.....�s-1!6.................... Add.........._ _...._._._.............. <br /> No........�2 3.�.._F'�..........................Street <br /> ..__.........._.... ......................................................................................_................................_-.. <br /> Tlm work to be esecuted by...............`...........................................................Plumber <br /> �Stntc sizc of tnp. <br /> � <br /> ...._..........Tap tu be inacrted in the tnein. �� U� , <br /> � .....`.._.......\Pntcr doset j�.' . <br /> ....:...........Bath . `'J ��,..� <br /> .— J <br /> ................Urinal . � S/� <br /> ' ................Plain fnucet i:�side "•�.. � p . Z <br />��i : ................Side w�lk wust�er ���: � <br />� ...............Hosc bib outside . . <br /> ................liose bib for building purposca /• l <br />� .............._Hose bib ineide I:� I . � <br /> � _..............Bib fot Etuble containing........._.........atall....._........._. <br />- ................NumUcr of persons in fnmily <br />{ � . .. ..._r..NumLcr oF rooma in b uldim _. . q ,,�, , n <br />� . The premiees are to be used aa n.��-�-�--�(�6-�c �v �'`-"�-d_, <br /> Thc otmet of thc prr!:ii�ca ie ��.•_��, �� <br /> � ..... ._.. . __..... <br /> Theagent ie.._....__.......__............... <br /> ............_.....__.....__.. ...._.........._......................... <br /> This nnGlicnqon, nithougt� sig���qqq rd, uhnil not Fc binding upon the Cily, vnti? <br /> acccrted >>v the Snperint ndcnt oy the F"¢tcr Depnrtment. <br /> �v� �G,/ �' e�;' <br /> � 'sned...\/.. .T...Lr.G.�-.�'�,.._.._. . ..........j PPlicnnt <br /> O . ... ., .......�A <br /> 3... <br /> -�.�Q..... 92...... By. <br /> -�� ��; ........ <br /> � g� enntendent <br /> � <br />��d��.'ts�S`tt� � .. . <br />