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_ _ � <br /> . � 7-�µ-� -i3y <br /> \Y.b.Frrm: 16nn--F.P.�'n.—G-^.fi.�/ <br /> City of Everett---Water Department <br /> APPLICATION FOR WATER <br /> All L!anks moet Lc tiiled in or crosaed out <br /> �,��,�«.............................__�/iY._......_........ .._...»�... <br /> TO 7'IIE SliPGRIYTI:NDGNT (1F TIIF. R'ATICR DEPART\fE\T: <br /> CITY OF rVEI:ETT: <br /> I hrrcLy npply fnr thc u�c nf w•nler in nceord�mce with lhc rules nnd regu- <br /> Inliana of the �Vetcr Depnrtment, tor pmpoare nnd tix'�m��s ntnted 6clau�. <br /> During thc Umc tlmt nny o[ thc wrdcr mninx mny !e tnken up by renaon <br /> o[ nny improvements ouq�m�izcJ by lhc City of F:cerett, in or n[ nny xtrect or <br /> ulley in whtrh �hey mny hn��e hren lnid, the City wiil not bc required to furnieh <br /> N�nter Juring the progresx o[ Puch Imprncemrnte lo nny cansumer whose eupply <br /> mny thue bc cut of[, o� 6c liable for i�,ny dmm�gen [or ila Inilure eu to do. <br /> APpHcatinn No......��' �.� <br /> .......__......._.... <br /> I3bck.. ._........ .. Lat . . ...... .__...... Add. . .. .. .. .._._. ..... <br /> No....... �.�+.�.� ��... ....9treet <br /> ..._ _ . . ___ ......... .........._._... . .............. . .___..._. .. .._ _. .__.__......_...... <br /> The wbrk to be executed by.. ._ . . .. . .. . . _ . _ . .. ._...Plumber <br /> Stnlc nize of tnp. , <br /> I � � <br /> .._ lL�....Tap to be Innerted in the mnfn. �--��}�- �-Q <br /> _..�..........Natcr closet V V V <br /> �/� �� � <br /> ......�.........Rnth / <br /> ..-.-..-..-....Urinal ' <br /> .a..—.... ....Plnin fnuccl inside . ' � -�--- <br /> �.__ <br /> ............._Sidc wnik wnshcr <br /> ... ..._.....Haec b(b oulside <br /> ...._ ........Ilose Lib for buiWing purposrs <br /> _ . ......11ase Lib Ineidc .�I <br /> .::..—:.....Bib for stohlo conlnining......_._.........etell....__...... <br /> _,...�::....Numbcr ot pereans in [nndly , <br /> ................Number of roome In bullAing ' <br /> TLa preml9ca are to bu uaed a R-l-.A--t--� �, <br /> . ............ <br /> The owner o[ the prenilece le .... . . ... _ . ' <br /> Than6ent le.._........_.._._...............................____._. .._...._........ ................_......._ . <br /> Thle npplicntlon, although aignrd, ehnll not be binding upon the Clty, unNl <br /> nnepted Ly the Superintendent o[ the Wntcr Depurtmnnt. <br /> Sig ... �..._...... ll�.i.��.--.-.Ey_ .,.�...J. ./�-: Iican� <br /> n�,����<<a " �_ _ a2� ny _ ,�{-��/J� ......... <br /> �����12�7�/ — endent <br /> r <br /> � <br />� <br /> I- <br />