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't..�C_.i .._/i. � , -'1 , _� �. � . _ <br /> ( <br /> .� <br /> W.D.Fortp 4—Ib00—$.P.Co.-6-:6-:� � <br /> City of Everett��7ater Department <br /> APPLICATION FOR WATER <br /> All blanks mur.t Le filled in or cros�ed out <br /> �.��,�t�..............:.. ..........�.�y..�............._...���..� <br /> TO TItE SJPERINTENDGIdT OF TH6 LPATS:R DEPAI2::1tENT: <br /> CITY OF LVSR�TT; <br /> I hereUy nPP�Y for ihe use of u�ater in accordance�cith Lhe rules and regu- <br /> lations o[ the R ater ller�ar4nent, for pmpo=es nnd fixtures slated bclo�r. <br /> During the time thn: uny of tho �vater mains mny Lc tnken up by renson <br /> of any improcemcets nuthorized by thr City of lirerett, in or of any sLreet or <br /> allcy in �vhich thcy may lin�•c becn Inid, tlic City wil! not 6e required to furniFh <br /> �cuter Jm�ing the proqresr, of snch improrements to any consumer wlmse su�iply <br /> n;ay thus Uc cut oif, or[F� linLle(/{ur tny datnnges for its fnilure so to do. <br /> APPlicution No........Lt�. ...�..0 — <br /> ,�l .. .............. / 7 �-(� . <br /> Block ..,3...U. � .. ._ Lot.. . . .�.� . .. . ..... Add.._.. <br /> � / . ..._ _.__.__.. _.. <br /> Na..... . .�.J.�. . . l.�.._ �.�.�.(<.�...�C��.�,_Street <br /> .. ..._.... .. . ...... <br /> . . .. . .. ..... . _ ......... .. _ <br /> . . .. ..... . _ .................. <br /> The uork to be eaecuted Uy .. ._ � ..Plumber <br /> .S'tate size of tap. l�� G� - f0�. �11J� G. <br /> �L� 3 l� U I <br /> .....L�z Tnp to Ue inFer.ed in the mnin. � <br /> ....._.�......\Vatcr doset <br /> .......�......Bath . <br /> .......—�.....Urinnl Jll'�- . <br /> �--....2..._.Plain faucet insidc � � � <br /> -.......1......Side R'9II{ �easher � "� <br /> ................Ifoec bib outside � <br /> .._...—......Iiosc bib for building �iurPoses <br /> ......_.......Iiose bi6 insidc <br /> ...........�.DiL for ataLle coninini�g...................stall._................. <br /> ��..............A'umber of persone in fnmily <br /> ......-5......NumLcr of rooms in buitding <br /> The premises nre to be used as n..... . �O <br /> � <br /> The owner of tl�e premises ia..... _ - ' - <br /> ........ .. <br /> � ' <br /> ......_..... <br /> ..,.._...... .. <br /> _ ..._....... <br /> _..._. ........ <br /> � " ' •ent is....._...................... <br /> ..................................................... ... <br /> ........... <br /> ....... .......... <br /> nlicntian, alLhougL siqned, sL�ll not Ua bindin� upon thc City, until <br /> the Superinte�1d�'t of Lhe Nntcr Depnrtme;�t. <br /> �'fi�j� ��>_ r <br /> 'igned....,:.:..�Ld`�fr��.�*t,—r�J� <br /> � ,..._.. .��1 .. .._.. . <br /> �- - ............./' pLennt <br /> ' , ,- .......... <br /> `0..:,.�1..�.....132� B•_ �� . / <br /> } <br /> � - . ................... <br /> � i � intendent <br /> - v <br />