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-__ . L-•-J�rhr_�i� b-1`h � .. . <br /> •...».ran,:�-ieao-s.r.ca.-s.ze-za � <br /> City of Everett---�Water Department <br /> APPLICATION FOR WATER <br /> All blanlcs must he fiited in or crossed out <br /> lccrett............ ._ _ ..._..._.._. ..../_�........._........Y02� <br /> TO iIiE SUP�RINTEhllEN1' OP Ti3 'ATER DEPARTni�TT: <br /> CIT7 OF . EI2CTT: <br /> I herchy npp!g �or the uac uf�cater in accardanre with the tvlrs and tegu- <br /> lutiona of lhe Wntcr llepartment, for purpoecs and :ix�;ures statrd bclow. <br /> During the timc thnt any o[ lhe w�ler inz�ins mny be taken up Uy rcason <br /> of any improeements xuLl;orized Ly the Citp ot Ecrrell, in or of any eLreet or <br /> alley in which they may hece been laid, the City �vill not 1>e required to iurnish <br /> �vnter Juring the progresa of nuch improvrmenls tu nny consumer whase suPD�Y <br /> m:q� lhus be cut oCf, or be ]inble fo� :.ny dsmnges for its failure so lo do. <br /> Application No.__. ....�r 6...g._1..� � 7� 3� <br /> c / <br /> lllock........,.��__....�.Z......t_.......... I.ot/_¢'-'..z''..E:a•"�_ �'Add.._.._... ..__.....__ ........._._. <br /> No.....�'z...�...�......_.�-�0`"�,Q!-'� �..... <br /> ...... ......................._S tre et <br /> _.._.. ...............---.........._..................................._.................._..._.._.._....__............._.............. <br /> The work to be ezeculed Ly..._____._ ._. ..__. ... ...... ._.................Plumbcr <br /> St e e�ze of tap. a <br /> 0 <br /> .�.�..,�.!�.I�...Tap to be insericd in tl�e innin. n/ �� I �`� , <br /> _...�.........Naler claset �'�' '` , (`, . <br /> !V ; <br /> ._.�.........Bath ;'r,y,� .W,-` <br /> _._....__...Urinnl �,,_,.,.. <br /> � <br /> .....Plnin fnncet inside . "�"�' '� � <br /> .._....._ , �. . ' i � . <br /> ��...Side wnik �vushcr '� : � � <br /> , ,, �� r��� <br /> �.-....lioae Uib outsidc ��"�1k��� •'��� <br /> ................Iiose bib for build{ng purposes /r-�--�'�r . • . <br /> .:..—:—Ilose bib inside I •A+� ' <br /> ....... . <br /> ...._—:...IIiU far sLaLlc contnining....................etull.................... • <br /> ......_........Numbcr o[ persons in fnmily <br /> _�._........ATumber of romns in Uuilding <br /> Tlm premises are to be used as n...�'_.- � ".' ' '- <br /> .�....... .....i.r_:.......'....i................................... <br /> 'Ph• owncr of thc prcr.iisee ia....._.... ._........__.__. .. ._1................�....._........_... <br /> : � i.._.............................._......._................_._.........................._..........._....._... <br />. -ion, xlthougli si icd, ��ryap 11 not bc Uindinq upon the City, unti! <br /> iuperj't[jp�,e`LL ���er Depertme . <br /> c���� � � � <br /> / ied..........L..C....'.i..........._.. . ..... . ...��APFlicant <br /> Accepted....(�.:...J.�........lfl2i� BY..... R . _... .. ....... <br /> � y uherintendent <br />