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I <br /> �rti�G�' 'f-3o-3o�r" �S� H�^ 1�-?u-I(��:���" � <br /> . . I <br /> \Y.D.Fo.-m"d-1G00—E.S'.Co.-4TG-2� • . <br /> City of Everett�Water Department � <br /> APPLICATION FOR WATER <br /> All blanks nmst Uc filled in or cross i out <br /> Evcrett..........................._��_1........................132.3a <br /> TO TIiB SUP�RINTLNDI3NT OF TIiE R'ATER DEP�2TTSENT: <br /> C1TY OP iVEIiCTT: <br /> I hereLy npply for thr use uf water in cccordance n�ith the rulex and regu- <br /> lations of the Nater llepartment, ;o: ;mrno:es :ind fixlures atated Uelon•. <br /> During thc timc thnt any of thc watcr maL-a mny be taken up by reason <br /> '- ot any improrements autharized Uy Lhc Ci�.y of Eccrelt, in ur of nny strcei or <br /> alles in w�hich they mny hnce been iuid, the City will not be required Lo fmnish <br /> water dm�ing the progress of xuch improvements to any consumer e�hose suPP�Y <br /> may thus be cut otf, or be liable for any dmm�ges for its failure so to do. <br /> 9pplication No..... ..... .,.... ........_...�-,.,, `�9� _ <br /> �-�-v�c-i-`� <br /> IIlock..................�I_9.�2...........,/I—.o�i.........�.�?........)..........._... Add...._....._...._......__............. <br /> No......._.....3...��.��.�.....(L..�...Gl<C.f��.....street <br /> _ . .... ............................._................................................................._..._................................ <br /> The work to be executed by....._,..._........(�lL.�.ct�r./.2(��7................Plumber <br /> Stale sizc of tup. �r' .���:e.�-- /:/,.J��, W. b• <br /> .1��...Tap to Le inserted in the mnin. ' " . ��- <br /> ......��........Nater closet � <br /> .....-.......Bath .., . � ' � '. .' . <br /> �-� �- �� ..,ii�; i';;:�j <br /> ...._—.....IIrinal � '� .�.. <br /> .....;".�.-......Plnin faucet insidc � � ' '�'�"�"'�-��--- � <br /> ......._-......Side a�alk K�asher . �' . . . <br /> ...._�......_Hose biL oulside -�� � j . <br /> .......-......Idosc bib fur Uuilding purpoaea <br /> ._.....-:....Hose Uib inside <br /> ........-.....Bib for atable containing....................atall.................... . • <br /> ......'........A'umber of persons in tamily <br /> .....�........Number ot rooms in Uuilding <br /> The premisca are to be veed ¢s a...��1r..7�....��L.�Tlr......................... <br /> The owner of the preroieea is......_. ... .o.......� .. ...... .... ......... <br /> _ .......................... <br /> Thengent is..........................................................................._( ...................................... <br /> This applicntion, althovqh aigned, shnll not bc binding upon the CiCy, unHl <br /> �,^cepted by the Superintendc t of LI�VaLer De artm nt. <br /> Sisned..X....l. .�G!LrGf�...l..............�0—..........Applicant <br /> ........ <br /> .epted. .�..�'.t...:...��.,�.....-....1 Dy..../-.0... .. :. ........ . .... ...,(............. <br /> � /6'�ip .t'endent� <br /> <_�A►t�l�y����`� <br />