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L L�c=L.%G -J c. . , _ !.',�..-C� 5�11� i- i „ <br /> I 6 a. � <br /> ' W.D.Form{-14U0—EP.Co,—b-2G21 <br /> � City of Everett�Water Department <br /> APPLIGATION FO�Z WATER <br /> All Ulanks mu=_t Uc filled in ur crnsecd out <br /> �rcrett,......................'..i,�..[7.C��... ...�._Z-......_192�. <br /> � - TO THE SUPLRINTENDENT OP Tliii \tiATF.R DEPPCRT:ISENT: <br /> '�'';'�.i'�"�' �� '�'` CITY OF EVERGTT: <br /> � � � � � � I 6ereLy appl}• fur Lhe use nf�vater in accordance with tLe niles and te6nl- <br /> � lations of the �1'atcr Lepartment, for pu�puses nnd fixtures estnted bclow. <br /> During the lime thet nny of thc tvater m9ins mny be tuken up by rcason <br /> o[ any imProvements avthorized by the City of Gecrett, in or ot nny atrect or <br /> nlley in u�hich thcy may hn�•c bcen ln?d, the City will noL bc required to furnish <br /> a•ater during the proqress of such imP*oecments to any consumer whose supplY <br /> may thus be cut uft, or bc tiaUleI,for :my dumages tor ita tailure so Lo do. <br /> Application No...._.��....j7..T......_...._ -�Nic {'..c�-- <br /> IIlock ......�.�� ..._..... Lot........�.... .... Add.......... <br /> .. ........................ <br /> No . _ ...�.. .,�. ���..... Street .. <br /> U_ <br /> .,,Y �'"3^'u!-. <br /> ....... . __........... ... .... ....................... ........._ ............................. ... . ........... , <br /> Tlie work to be execuled by... ....�-L4.-�L�.�,.........._......Plumbcr � :;� � '` � <br /> � <br /> 3tate cize of tnp, . ' '��^'.. <br /> .._�� • :y�� '�4>� � . <br /> �.., <br /> ....� ..Tap to be inserted in the mnm. � ,'/ :. -,�. '� <br /> ..._...........Nater closet , . ��}��� � •._ �' �� -` <br /> ��"�� � <br /> Bath ' <br /> ............... � , . <br /> �'Z r ' <br /> ..........._...Urinal . . : � ,i�. ��: <br /> w'��� <br /> , _. , ' ,i -q�,_�_ ' <br /> ................Plnin fnucet inside � .. �. . . <br /> x�r r ' <br /> ..............Side wulk wnshet '� . _;.,J ' <br /> -� ti r <br /> ...............Iioae 6ib oulside . .;. :;`, ;�+. ` ' <br /> � <br /> ..............Iioae bib for Uvilding purpuees '� <p��:-.+', ' <br /> ................liasc bib inaide ` !�,, ��' <br /> �.��} �A <br /> , •�. � <br /> ..............IIib for etable containing....................elall................... '� ,`?'e'. ,lt�.. <br /> ........Numbcr ot pereons in fnmily � '� � "�•' '-��, <br /> ................Number of moma in building �j � <br /> The premises arc t� Le vsed as a................................................................................ <br /> The ow�ner af the ptemisea is........................_.........._..._....._......................_.........._ • <br /> 4'hr. ngent is...................................................................................................................... :� <br /> i <br /> � ��pnlicntion, althouqh ai�med, shall not be bindin� upon Lhe City, until <br /> �y the Superintendent of the Wnter Depnrlment. � <br /> Signe . ...1^:n _��1fJ.ti,F,�r�s-fs�r�a � � p 'cant <br /> ...�.. ...... ... .. <br /> � �d ��J�-��...... P � <br /> .ed....tilra..�i'.a..;....1D2 . By...... .... . <br /> .. . . .. . .... .. <br /> rmtendent <br /> ........ <br /> , . ::.r':C�A! <br />