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� <br /> � <br /> I <br /> 'y ,:`�� <br /> .Y�.-r�:d�--i,_.,-� _ . . d...�,.�..( - 9-� --,,,� . <br /> 1\ Il Fnrn J-1;��U—F_P.Co.—L.:G-21 <br /> City of Everett�—Water Department <br /> �PPLICATION FOR Wr'�TER <br /> All blanks must Lc fi!Icd in ar cros^ed oct <br /> ' Everctt,..�.�.c.�� ) n f„2.- ./�......._CF?..................192..� <br /> 1'0 77I� SUl'�RINTPNllENT OF TI�P 1VATP�Q DEPAPTIilifiT: <br /> CITY OR EVIRrTT: <br /> I ]iereby npply fnr the u_,e uf w:iter in r.ccerd:.ure �cith the rulrs nnd :egu- <br /> lations uF thc Watcr Deparlment, tor purpue.es and fix'.u��cs �tated bclow. <br /> lluring the lime that +my a[ the rvater mnina mny be 6nkcn uP �,v rcason <br /> of any imprncements autt�urized by the City of Lcerett, in or oC any �ireet or <br /> allcy in whirh +hey map hncc been laid, the City will not Le required to furnish <br /> water Suring the Progrese of such ieiprovements lo nny cunsumer �chose supply <br /> muy tims 6c ru� uff, o�r��Lc��lia�_bJlc fur nny dnm.^.g.� for i:s fnilure so to do. <br /> Applicationr/Na_d"��57:.... .�.,..Q.3� <br /> IIluck...3 7 d......_. .. .p..�Lot.a '�c�.:2 . . Add........... . .. ..__.__... .... <br /> ___. <br />, No.. .. . ��..2..-F�G=� .__. _��}��.�.... ...Street <br /> O <br />� _ _ ..._ _..._.._....... .....__. ..._...__ _... .. _ _.. __.................... _.................__...._...... <br /> The �vork Lo be executed by.._. ....._. .. ._... ......_. .._.....................Plumbcr <br /> 6latg//size of tnp. <br /> i• y/7...._Tnp to be inscrted in tl�e main. <br /> � � � ...-//......��'ater closM <br /> Y <br /> +��1 I, � � .....�. ...BIII�I . �]—� f <br /> ��`.. �..� � ' . . .. .._p .. Urinal � (i/ <br /> . . . �.....Ylnin faucet insidc /�i� .�I � ���j <br /> :�.., �' ....X . .Side walk wnsher ,_�y— •%���5- '� <br /> ' � � �� /� <br /> �''�� ti�1� ......�. .. Idose bib outsidc �% <br /> �L s � ��� f ��� � ,.r.._Hosa bib for Uu[Iding purposes � <br /> .�.t '. .� � � � � <br /> ,. i'� n� .,. • � . �!......Iioec bib ineide ��[/�l �t� � � � <br /> r, � „ � .. .. ./f.. IIib for stnble conlaining........ ......stall..... .......... <br /> " � . .....�...._Tumbcr of persons in tamily <br /> { : <br /> . ; . . .S._.. NumUcr of rooms in building <br /> . ���� <br /> � -� � '��„ . Tlie premises are to Ue used as a4 ..�LCvlirx_.[.J�_ <br /> ...... <br /> �`� ' � The owner of the premises is .iu..�.-v/{ . _G <br /> �rrx,r= ���.�ct�1� ..����� <br /> � � Thc agent is . <br /> � ;y - ..... ... .... <br /> �r . npplication, nithovql; signe� ;hall not be Uin<iing upon the City, until <br /> a, , ., , .,, . � �• the Superintcndcnt of the \Vater Depnrhnent. ' <br /> i: /� �� <br /> �� ' � 'igned.�_LaL,..�:1..-J�_(�� ..... ..�_...._...A li nt <br /> ryP, , . / <br /> ,_ - (,. ..... By.... - -�.y ..:. <br /> 3 `"- ' . c � � � � r�n n�jent... <br /> < �k" <br /> � - 1 <br /> t <br /> � � �;.,f. <br /> � � <br /> �w::.. � <br /> ;;��ti:, ., <br /> � - <br /> ; <br /> .,;� <br /> ";�s� <br /> � rr >; <br /> �+;.� ��� <br /> .. :1 . ..l .�...�h�o <br />