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1 <br /> I <br /> , <br /> ; <br /> ,I <br /> � <br /> I <br /> �,. , . ,- , .,_ . , w <br /> � �. _� . . ., ��- ,a,, . ��� <br /> N'.p.l'nnp 1—IWO—E.P.Co.--6-26-SI <br /> City�of Everett�--Water Department <br /> APPLICATION FOR WATER <br /> All binnks must be filled in �z crossed out <br /> � <br /> � Gverett................<f:t.�:c__ .�`..:..�-�1...�........__.......192.J. <br /> TO TIiE SUPERINTIiNDENT OP TH� 1VATER DEI�AI2TAfENT: <br /> CITY�OF EVER�TT: <br /> 1 hereby npply tor thn uee ot water in nccordence with the rvles nnd regu- <br /> latiuns of lhe �Vnter Drpnrimen[, for purposes and fiztures statcd bclow. <br /> During thc time that nny of thc water :nnins mny be taken vp by renson <br /> of nny im <�ovemenls aulhoriud by the (?ity o[ Ecerelt, in or of any sLreet or <br /> alley in �c��ich 'he3' may havn L+cen laid, llm City will not bc required to furnish <br /> u�nter during the P�rogresa ot such impro;ements to xny convumer rvLose supplY <br /> muy thua Lc rut off, or bc liable for any dumages for its fnilure sn to do. <br /> Applicntio� No.....�..�l <br /> . ......................... ' <br /> _ IIlock........................._.......--.. I.o .. ......:.:...._�.................. Ad;........... .. . . . <br /> . . . __...._.....__._._. <br /> No....._�..a��... ... . ..... �:��.��-�-..-�.......................Street <br /> / <br /> ._..._. ..............................._.........__.:..................._._. .. <br /> . . . _......................... <br /> �� .._. <br /> The work to be executed Uy_............ .. . . .�.a,�,: ....�... PlumUer <br /> ) _� / . �.............. <br /> Stale eize of tap. l�2 lT Q �--� �, <br /> / � <br /> .�f��....Tap to be Insert^d in t e �Sfn. <br /> .....�........Nuter closet , ,._ <br /> � :• <br /> . ..�..._....Bath � �� " � � <br /> f i —' <br /> ....L:....Urival <br /> .�.........Plnin fnucet inaide <br /> ......�.-..Side a�alk w¢shcr <br /> .....L......._Honc bib oucside <br /> ........—..—..I(ose bib for building purposes <br /> .......�:..Ilose bib inaidc � lI ' <br /> ....�....Bib for staLle containing....................sCe11..��..J� <br /> _........ <br /> -...'.'.-:.:..A'umber of pereona in fnmily <br /> ...,�........Number of romns in 6uilding <br /> The premisea ure to bc vaed ae n...._._.. _ <br /> C � <br /> The owner of the premises is.......... � <br /> ��?!j._ .. � ' �. <br /> Thc ngent is.................. <br /> . ..........................................._._...........__.......__....._.................. � <br /> This npplicntion, although aigned ahnll not be binding vpon thc City, until <br /> nccepted by L6e Superintendent ot the Nnter epnrtmeynt.yJ <br /> SignedX.�/�.�,,,�p.a,x�,�J�j'/r�...�....�JQ/�Plicant � <br /> / L ' 1� ,.,.. � <br /> Accepted.._(�..�..��...�� ' " ' <br /> _...._I _... IIy... _ . (,�'i.�j,�.1i <br /> _.._. ... ... ...... <br /> _ ermtendent <br /> �. <br />