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t-.�."�C,�iQ,, ��-q- n'1 F� �'� . r=-r�-a-n.._�: -'6 -r o � �-�f l��;.� <br /> �r.n.rom,�- �noo-�.eco-sss-si <br /> City of Everett�Water .�epai•tment <br /> APPI�ICATION FOR WATET� <br /> AII blanks must be filled in ur croseed out <br /> E��crclt...................... 6/��...._.................._.._...1;1°�.... <br /> PO 7'lIP SUP1iR[\TliNDEV7' OF TI�E \YATER DEPAt:T➢SGNT: <br /> CITY OF EVGRCTT: <br /> I hereLy apply tor the u�e ot«�atrr in nccerdsnre w•ith llie ru]es and regu- <br /> Intiane of the \1'ater llepnrlmrnt, tor pmposrs und fixiures slnled bclors. <br /> During fhc lime thnt any of t.ne �cater mainx mny 6e taken up Ly reason <br /> ot nny imprnecmenls �uthorized by the City af Ecemtt, in or af m�y sLrceL or <br /> allcy in u•hirh �hcy may hu��c bren In�d, lhc CiLy µ�ill iwt Lr required Lo furnish <br /> '.vater durir.g lhe pro�ress ot such impro�•emenlv to an}� consumer whose suPpl)' <br /> may iLus Uc cut nff, or�]�(e liaqble ofur uny danmges for iLv fnilure eo to do. <br /> Applicution No _ `�� ,/,.0 ..... ..._.. '�/(� � <br /> i <br /> [31ock. y� � Lot _ . .. . .._ Add � . ._ :.,... <br /> No..._ ���.�.. _ . . _ _ Street . .__ . ...... <br /> .._. .... ... .(�_... . ..... . .. . . .... ..... <br /> Tl�e work to be ezecuted by.............._. __. ... . ._.. . . . __ _._..__.....Plumber <br /> Siatc aize of tap. <br /> �l .Tap Lo Lc inscrted in the mnin. -�- - -� � ' '� <br /> . :t�........ J I ' <br /> .�.......Nntcr closet �1�.i (� � � <br /> � p <br /> .....�........Bnth � ��� I <br /> -._...—..Urinnl <br /> ..L.-.._....Plnin iaucet inside <br /> �...Side a•atk tvaxher <br /> ..L-_.._Hosc bib oulside <br /> ....�.-.....I�ose Uib for building Purposea <br /> ...._---.---I1o?e bib insidc `{ \ <br /> �' g..................... ' <br /> ............. . . <br /> .....�._Numbereotbpersonsa�'n fnmily ^lall.._......_........ i, / I <br /> � � <br /> ...�.......... er of rooms m buildmg <br /> 1'he prmni�es nre to Uc used as n.. . �--'p ° <br /> __ � .. ..... <br /> Th� owner of the Premises is.._ . . .... . .._... ... .... . _... <br /> � <br /> ' � � ngent ie........._......__..._........_. ...................._...._......_._.........._.. <br /> .......................... <br /> � � applicntion, nithough aigned, ehnll not Le Uinding upon Lhe City, until <br /> t +v ihe Superintc t ot Lhe �Nalp� De artme . � <br /> � �. <br /> Signed......................��....�..'c�'��..._ ..........._....._ . .........�.. ...Applicnnt <br /> ---„-'-......Cl��..,.�0-'....1D2... .. IIy.._. <br /> _ ._ _ _ . ..._....................... <br /> - Superintendent <br /> t <br /> 1 <br />