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,_ -. . r.-...-e'� r-•:�fi/�yt4 �� �H- " / /�d—Y-'"u <br /> IV.D.Farm�-1GU�—EP.Ca-4-:6�Y{ ^ <br /> City of Everett�WatFi� Depa.i�tment i �? , <br /> APPI�ICATIOTT r O� W,!�TER <br /> All Ulanks mua�. be tilled ir� or cros=ed out <br /> ��•ere tt............._._.:/.C/.��--'-.-L-�........._...132�- <br /> TO TIiE SUPERINTGNDE:IT GF 43iE R'.4TPP. DEPAi:T11iF.KT: <br /> CITI' OP ::VEI2ETT: <br /> I liereby nppiy for the use o[tvnter in uecordmtce ��tith the rul��s nnd tegu- <br /> Inlions of tho Nnter Dcparhnent, for pmpo=es and fistures stateJ bclow. <br /> During the time thnt any of tnc ��.iter mains mnp be inlcc� up b�• rrason <br /> ot am• im �roremc-its author:�ie�l Uy iLe City of Eccrett, in or o[ any r.troet or <br /> ¢Iley in w�iid� they mcy hn^e becn laid, thc City wil! not be required te furnisl� <br /> ieater during the prog:ess of euch improeements to eny consumer wliase auPP�7 <br /> mny thus be cut off, or br ]inble for nny dnmcges for it. fnilure so lo do. <br /> r/ <br /> Applicotian A�o....tJ..�...� .......�....'] /�3 � � <br /> Block...............:....:...:..:............ Let .._.....�.. f Add............. ................._........_ .�.1 <br /> xo......�..�.2_U....�-'7/�.`�..........stmet <br /> % <br /> _.._....__......._......_..............._....._..._..__._. ............................. ..._..._.........._............... <br /> Tlie work to be executed b, ....... ,/{t�,u..�/. ... lutnbcr <br /> ` V ..... ...... .... .._............�/ <br /> se:,� a�:� at �n. ��d� �' -4�J <' �37 <br /> ...�jy...Tup to be inserted in the mnin. <br /> .../..........3Vatcr cloaet <br /> ....�.._.......IIach , <br /> ...-- .Urinnl C� <br /> ....Z.....Plnin faucet inside � <br /> ....._—....Side wnik wnehcr <br /> .....�:...Sio=_e bib ouLsidc � <br /> ....... .....IIosc bib for huilding purposes <br /> ............Haso biL insidc <br /> ......-..-.....Bib for staUlc cont�ining....................alall.................... � �:, . � � ' � j <br /> ....._'-....Numbcr ot persons in family .. . � �- � �, J� , f <br /> ....�.....Number of rooms in building � , � <br /> Tho premises nre to ba used os a.._. ... .. ���..��. J. .�. . .�.. y. �. ........ � . ' �_� , ; ;�� <br /> ...... �.... ...... � <br /> The owncr of tl�e premiecs is... , �'..._,/L.l,/.���,L�dZ.. ... ...... . ':', � ' l;; � I . <br /> Thengent is.........._.................... ..�.�.............._..................... ... . � � - , , . : - � f!�� <br /> This upplicntion, althouqh sigimd, rhail not be binding upon the City, until � �� <br /> necepled by tho Superintendent/uf the �Pry�cr I�epnrtment. � �-- I <br /> Signed�............./....�..L..f,.�..�:II..�J.:'�.!�QJ�.,,�,...._.............Applicant <br /> Accepled._...................................ID2.._.. Dy..__.............._......._............................_........ ' <br /> . Superintendent <br /> ,.. """�'�-"':;r.c�r'�. . <br /> , <br />