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I <br /> :.w�-9 i-. .. . .. r� ! '71 rV 1 � � <br /> �,. �rr�.—ct <br /> 9:.D.form�1--IG0o—F..P.Co.—G-26�Y� ' ' �' <br /> City of Everett�Watei� Depai�tment <br /> APP�ICATION T�OR �TATER <br /> All blavks must be fiilcd i� or crossed out . <br /> � . lirerett,......... G��......./��........_...........192.�t.. <br /> TO TllP SUPERINTLNLI:NT O •. \PATF.R DF.PAI:TDIlitiT: <br /> CITY OF EVE?3ETT: <br /> I hereby apply' for the use of walcr in ::ccordance with the rules ar.d tegu- <br /> Ir.tians of the 1Vater Depnrtment, for purpoaes nr.d flx:Ures etnted Uel:�e'. <br /> During Ihe timc that any o[ the �eater mains may be taken up l�y rcason <br /> ot nny improve;nents authorizcd by the City of h:��crctt, in or of any sL:eet or � <br /> alley in �chich t6ey m:�y haee Ueen Inld, the City will nut be re�uired-�o furnisN � <br /> wnter during lhe pro;;ress of auch im�irovenenls to nny consumer whosr, suPP�Y <br /> m:.y thus Le cut off, or Ue liable for any dumnges tor its faiture so to do. <br /> APPlication No....}�..��. �� .. .. ....._........ Add.......... __.......__............... <br /> I3locic._........_......�...I..V.... .. Lot......._....ry.�...........SLmet . <br /> � < 1� <br /> ro. ��'z.�.—......�G � ; <br /> _ _ . . ...._ ........ ..........:........._.. . ._... .. .. .. ..._ .... .............................. <br /> Thc work to be executed by..._ �/ .��.�t4� Plumber <br /> /...�.� . 0..........\ � � <br /> Statc sizc of tap. j'�Q ��`� �.c �'. ,{'� ,• C <br /> dr, . •. �' <br /> !�z . Tap ta be inserted in the mnin. . —�` `��� �� � <br /> - ./..........Nnter doset � i�^ i '. ` <br /> ' ..., i � I �; �� �- <br /> .J.........13ath I r � . ��. <br /> _-:.......Urinal ,J;'.,"d i c+. �t'1�� ` <br /> Z • • Cli'P GF CVERETT�1'-i1 ���'�T <br /> .....__:_...Plan fxucet ias�de / /�i <br /> .__.-.......Sidc n�ulk �vasher 3'f...................(y.r • •,................, <br /> ......{........Iiase bib ovtside <br /> .......—.....Iiose bib for buildirg purpnses � <br /> .....�......Hose bib insidc <br /> .......�._..Bib for etnUle conte.ining....................etall.................... - <br /> ......:-.:...Numbcr of persons in fnmily <br /> _.�...Number of rooms in buildi�g <br /> The premives nre to be used as a.... .._ �.Y..��..'__...... ... ....... ............ <br /> T�^ owner of the P�'er.iises is....��.•.. ' . ....... _.. <br /> 1g�nt is............_ ..... C(i.,_.:�'2!��.. . .................... <br /> � � nlicatian, ough signed, shell not bc binding upan the City, until <br /> .�lhc Supermtendcnt of lhy Na! r De artment. <br /> , C�� (\A� <br /> Signed.�.,,�j �... ...`.�I:1/ .... ......_......._ ...�.. .. Applicant <br /> .:• �'-..I_..l-.�......._......iyZ(d BY... � . . .G1�� .................._.. <br /> yZ C�.... I <br /> intendent <br />