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!.<.�_r� r,2z_,�°r n . ����=d . _ . ..,q_ ��- � <br /> w.n.eo.m�_�coo-nr.co.-c-zs-si <br /> City of Everett�-Water Depai�tment � <br /> APP�I�ATION FOR WATF,R <br /> 71 binnks must Uc filled in or cros.;ed out <br /> �,��,�it....................l_.-...../..D........._.......................ie�.l-r <br /> TO THP SUI'liRIYTLNDENT OI� TIIE R'ATP•.R DF.PARTDSL•'N'C: <br /> CITY OF EVGftETT: <br /> I hercby apply inr the of�eater in accordance uill; thc rules and regu- <br /> Intions of the R'ater llePnrtme , fur pm�poses and fix!ures slated bclew. <br /> During lhe time thaC uny of tne aater nmins mny 6c tnl:en up by rceson <br /> of anv imptoecments nuthorized by lhc Git�� of Eceeett, in or o[ nny s6rcet or <br /> nlley in x�hich thcy mny hat•e Lecn laid, ihc City teill not be tequired to furnieh <br /> tvater during the Progress of such impracements to any cinsumer µ•liose supply <br /> mu9 t�we be cut off, or be tiablc for :;ny dmm��es for ite fnilure so lo do. <br /> Applicnlion ::u......��iZ" " '=-�- -Z �oS9 � <br /> ....................... <br /> ' Block........_��..�' ,-• (,,,� J'L,Q-Lf � <br /> /� I.o L.�. .._ ..... ... Add �.?-f4i -.L... ... � <br /> No._fQ�JM4..._�.��.... -'`--� ..........Strnet � . <br /> _....__ _ _. ..... .._.. / .... .... ... <br /> � The work to be executed LY_...._..........._.. ._.. __ .....__.___...........__......PlumUer <br /> ISLIILC PIZC Of LN]I. S'/ <br /> ��.......Tnp to Uc ineerLed in the mnin. � <br /> '� 1Patcr closet �� � �� <br /> .../........... �� 3�� <br /> ..f...._......Dnth ' <br /> --- • % U}�' <br /> ............. ..Urmal � - � <br /> �� . Plain faucet insidc ' - � . ' ' i <br /> ............... I ,. . <br /> - ��-�' : <br /> .._Side walk n•¢sher � :� ' . � i >` � � <br /> �.... _ .,�.,l � . <br /> ................lioac bib ovLsidc ......, <br /> ........ ��1((�� �?�r� <br /> .............._ftosc bib for building purposes ....... <br /> ......Hosc bib inaidc ��""- <br /> '_- <br /> ................Dib for slable containing....................atnll._................. <br /> `-.....Kumbcr o[ peram�s in family <br /> ..�j.........number of rooms in buildinq�� <br /> Tho Pre�n'ses nre tu be used ns n.......�_ . ___ .. <br /> _. _ _.. .._......_.._..._. _............ <br /> Tlie owner of tLe premisen ie.............__....__...._...................................................... <br /> Theagent is........ ......__......._......................_.................--`---................_................ <br /> 'ihic app�icnti�+ ���'S. r�L e�igned, ehnll nut Fo binding upon Lhe City, until <br /> -ced 'uy th„ 5� ;.�. �y�,�Jc ! o�f til�c \Vnterr�De�pnr�tme�nt. <br /> Signed_G4'.1.-.:L�./........ . ...fa�//'-a✓�G....... .._....�... jAppi�t <br /> �d.....�.1...'.,,lQ...........1 .. By....�.l� y.rVKt' ...I.....�.CR .......... �. <br /> � �Supe. , ndent � <br />