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� <br /> i� <br /> w.o.Fe,m� <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPLICATION FOR WATER <br /> Ail blanks must be filled in or crossnd out <br /> _ , <br /> F.vcrclt�_ _ ._. . ..�. ,�'..t_�... . ._. ... .. _._19.�".._'. <br /> TO TIIE: til'Ph:RIN7'F.NUF:NT OF TIIE WATER DEPARTMENT: <br /> CITY OF EVEAETT: <br /> 1 hcrrFy apP�y fur l�ic usc uf walcr in nccurdancr wilh thc rulcs �r,l regu- <br /> lalinns nf the Wntcr Deparlmenl, for purposcs nnd fixtures stalcd bi•' �a•. <br /> Durin�; the tim� Ihn[ nny ot lhe waler mains may be takcn up �y rcason <br /> nf any improvemcnls nulhoriud 6y lhe City ot Everelt, In or ot an} streel ar <br /> nllcy in which they may have bcen Inid,Ihe Cily will nol be required lo furnish <br /> w:der durin� lhe prngress u( such improvements to nny consumer whoce yup- <br /> ply mny Ihus be cut o[f, or be IinLle tor any dnmages tor its tnilure so to dn. <br /> , . <br /> Applicalion No...._.....r...:_'.jr_.._..._.. <br /> Ulock ... . ...._._......_. ..._ Lot . .�:'�... . . .__ Add�.`•. ...i . ..�. . . i'.:... <br /> ' <br /> i Nn.. ._. ...� c ..� _�. n.�r.td�.«....G�. '-..-._.. .._ . . . Sl�erl <br /> . ..._ ._......... .. ......__.. ......__ __ _.... ... ._ ._... .. <br /> 1'he tvork to Ue excculed by.. ... ... PlumUcr <br /> St:dc siZe n[ lnp. <br /> .�-T��p Lo be inser�ed in lhr in:�in <br /> .. R'aler closet <br /> ..._.IIalh , <br /> . . _Urinal . . � <br /> . . .Plain faucct insidc I'�� � .l. ' , ' <br /> � .Bidc wnik washer _„ <br /> ftasc bib oulsidc <br /> liosc bib tor buildinF P��'Poses ,.�'. � <br /> t• ^ ' <br /> . _Ilnse bib insidc � , <br /> _..I3ib fnr slablc conlninin�_ _._..___..sln❑ �� <br /> ..__._.._. .. <br /> .Numbcr nt persnns in family <br /> ...Numbrr uf romns in building <br /> 'I'iu� premisrs nre lo br used ns n _ . ... . . . . _. <br /> 'I'hi• au•ncr ut ihr pre�nisos is.... . . . .. . <br /> 'I'lir agent is. _ . .. . . . .. . . .. . . <br /> 9'lu, npplicntinn, allhnu4h ci�;nrd. �hall nol bo hinning Upon �hr Cil}'. until <br /> ncmplrJ hy lhe SuP�'`�'inirndrnt of thr lPnler Dep�n�tment. <br /> Sil�ncc�Y7•� < <-.. -�/.. _.�i •.�t � ..� �. V . . . APPlicanl <br /> 1 <br /> A,.rrp;r.l 1P. ❑p . . . <br /> tiup��rintondrnt. <br />