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l <br /> � <br /> ., ., .�i-�a� c I-rti�A r.. . . <br /> G y � t - . <br /> 1Y.U.!'nr�v�- I:�On-"E.C�n.-6".6.'L/ <br /> City, of ,Everett��Tatei• Department <br /> APPL.ILATION FOR WATER <br /> .1!1 Llanks muet Uo filled in or cr ssed ou6 <br /> � � �— <br /> Evcrett,�--....................................................._._....._...192�. <br /> YO TftF. SUPL'P.INTENUENT OF TflP R'ATF.R DEPARThiENT: <br /> CIT] OF �VERGTT: <br /> I he�-.bp npp;y for lhe nse ot q�ater in accerdance �ei[h tlie tules nnd regv- <br /> lations of .i;e \1'atcr llepnrtment, for pw�puaes nnd fixtures atnted belew. <br /> Durinq ihc timc thnt nny of the «•ntcr mxins mny Le laken up b3' reason <br /> o[ nn�1' improaments authorized by the Cily aC GcrrMt, in or af nny sLreeti or <br /> ull��y :n which they mny hace been laid, the City will not be required to furnish <br /> watcr during the progress oC such imProcements to eny conaumer wLose suPP�Y <br /> mny thus Ue cut oft, or 6be linLle ((o�r any damnges inr its fnilure so lo do. <br /> Applicntion No...__.�?..�'.�.._.`.�......._. � �' <br /> / , �i _, <br /> Bludc.........._. � . I � �'� <br /> � ��_5--.....__....... Lnl........._1;...........t:. �`..... Aad.._..._i._:._....::...�......�......_.. <br /> No.....__�_,� ��__....__.............. _. . She2t <br /> The wm�k to be executed by.____.._..........__._.... ..._....._..._....._......._...Plumber <br /> St�to eir.e ot tap. <br /> � �� <br /> .. 't.'.......Tnp to Le inserled in the main. <br /> _.._�_........Natcr closet <br /> _..._r.........Bath / <br /> '..Urinal �y v <br /> ._........__.Plain faucet inside 6 d /' <br /> ................5ide wnik H�ashcr � <br /> ................I�ose Uib oulsidc �� . <br />; ..._.__.......Ilose bib for 6uilding purposes '�� / <br />. ................IIose bib inaide ^ (�q`1/ <br /> ...............Bib for stnLle conlaining....................�lall............_....... d� <br /> O ' <br /> ................idumber of persona in family � � <br /> ..�..........Numbet af rooms in building_ . a,� � ,, <br /> The prcre.ixea arc 4o be used ns a.... ...1.�,�a, ��� ���....................... ' <br /> The owner of the prer.�ises :s...��..0.�_.1d-w�..Q.��. <br /> Thcagent is........................_................._.___.........._..._......_...._......--.................._.. <br /> �Yhin nppiicntion, althou 1i sitimed, shnll not be binding upon Lhe CiLy, until <br /> ::1 bc the Superinl nL�}�f thc Wnter 1�epn*� ent, � <br /> SignedG�......�;�'C1-.:Tyl...=[..!L.�,�`2�_.....�..:... ApPlirant <br /> _,� / �... <br /> . .� . .:',�.'.-.:/(o..:.��.._ BY.... .��- . .. ..... . <br /> , - �erintendent � <br /> 1 <br />