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icwc .r- 6�.- :"- <br /> �.".�' �o- �>-�s n. <br /> tt.�.r'o�r�i._�cuo—r.r.e�.—c.zc.sa � - - --� <br /> City of Everett--�Wacer Depai�tment <br /> APPLICATION FOR WATER <br /> .41] blanl;a must 6o ii:led in or crossed out <br /> Pccrett.................... �.��2 .. . ...._...1J20.. <br /> ............... ...........�._... <br /> TO T13E SUPERINTfiNDENT OR THP•. \5'ATF.R DEPART}i�IvT: <br /> CITY OP EVEI2ETT: <br /> I ]�ereLy nPP�l' for the u�e of water in accerdnnre�cith the rules nnd regv- <br /> lalions ot the 1latcr Department, for purposes nnd fixtures atalyd Urlow. <br /> Dm�ing the timc that any of the w�atcr mnine mny be taken up b,v renson <br /> of am• improvements authorized by thc City of IS�erett, in or of auy strcet or <br /> alley in whirh thcy mz�y hure Ucen lnid, lhc City will noC bc required to furnish <br /> �r•ater during lhe pr�gress of such improvements to nny consumer whose suPD�Y <br /> mnp Lhua be cut off, or bc IiuLle tor uny dama�+es for its 1'nilure so to do. <br /> Anplication No.....8..y I — I � <br /> (' ......�............. 1 � <br />_ IIlock....... .....�..�.J....B......_..... I.ot._.......�.,z...�o.........__._._. Add..__..... <br /> .. ....._ .._._........_.. <br /> No....... . ..... _....... . ` K3trnet <br /> .. <br /> _..�..J 1.�-- _ ...�.��`�4 � � <br /> �. .... . .......... <br /> Thc work to be eecwted Uy _ . ..Blumber <br /> Stntc sizc of tap, ��°��J�-�l� ..f.lJ-0 <br /> ..�:...Tap to be insertcd in the moin. 3 � `l� <br /> ......f.......Neter doset <br /> ......�.......Bnth <br /> .....�......Urinal <br /> .....�......Plain faucet insidc <br /> ��.._`......Side n•alk �t�asher � <br /> ......�...._...Hose bib tiut.side <br /> ...._�.......Ilose bib for Luiiding purpo=es <br /> ......—:....Ilosc bib inside <br /> ....._.-.::....13iL for staUle conteining....................stall......_............ <br /> ........—....Tumber of persons in family <br /> .....Jr...�.NumUer o[ rooms in building <br /> The premisca arc lo be used ns a...c_� , � � � <br /> �_......�%.... .... . <br /> The o�vner of the nremises is.............. .. � - <br /> � <br /> ... <br /> . .��.�_......._............ <br /> _ ....................... <br /> Tl�e ngent is.............................................................: <br /> ....................................................... <br /> This nppliwtion, althouqh signed, shall not be binding upon Lhe City, until <br /> drd by Lhe Superintc��t of Lhe R'nter Depnrtment. <br /> _ . <br /> � �n—��li�'���..... <br /> ...Signed.........._�.._�.._..�.......... e.. . Applic¢nt <br /> /D...-��....is2.� nY...L. .� �/� <br /> ..... <br /> '�]/ ..... .. ..... 1 <br /> I` ( ^ Perintendent / <br /> { <br /> � <br /> _<< ,a j; - - � .: <br /> ����'e�Y'`.,•:�'� . � . . <br /> I� . , <br /> fI <br /> l <br /> J <br />