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I <br /> / <br /> • 4�✓ ��-/6-�Y �1C . c-'-�-`--eJ �c,-2s-z fi�-i� <br /> I - • ' - . <br /> � w.n.r•o.��-uoo-Er.co.-s:e sa <br /> City of Everett�Water Depai•tment <br /> A�'PLICATION FOF� WATER <br /> All Ulanks nrust be filled in nr crassed out <br /> Gvcrettr............................�_..l.J.....1..�.�.c..�..^.........192.4... <br /> TO T3dE SUPERINTGNllCNT OF TIIE \V.1TF.R DEPAI:TDIF.TT: <br /> C1TY OF �VF.RCTT: <br /> I liercUy nppiy for thc usc nf�vatcr in accordance�vith tlie rules and regu- <br /> Intions of ttie Natcr Department, for purposes and fixtures stnted bclow, <br /> During the time tlint nny of thc water mains mny be laken up Ly rcuson <br /> of nny in:provements authorized 6y tLc City of E��crett, m or ot nny sLreet or <br /> allev in which they may hnre bcen laid, lhe City will not bc required to furnish <br /> µ�ater during the progress of such int�irovements to nny connumer �vhose suppl)' <br /> may thus be cut otf, orpbe IinUle Cor nuy dmun�es for its fnilnre so to do. <br /> Applicntion No_....0...��_s..............— �(o•� 3 , <br /> I31ock.........:..:.._�...................... I,at........_........ Add.::..........:..._:._.:_,.........._ . <br /> K. / �G� /�'� <br /> .................. <br /> No............ .�1�.... �...L!,�L..... ... Street <br /> . �/�'�' ....... �_.... <br /> ...................................................__......._.....�...._......_.......__...... .._................................. <br /> The �rork to be executed by....�....G.f%J.e..,._-L-u,-c..c-•e--:�.............Plumber <br /> /'� `� <br /> SL�tc eize of tap. ��i- <br /> ...1,�?:....Tnp to be insc crd in the mnin. �� ' �, - . <br /> ......�.......Wnler closet -.. � i � .�. .. �:. �.. : <br /> � __ <br /> �_ _ , � ,- � �_., " T <br /> ..../...........Bnth �.� . ,.� ,r,<„ �; .r�irl� :..r <br /> . _.f <br /> ....-.........Urmnl . ................N..................-._.,._.. <br /> ......�.......Plnin fnuceL inside � <br /> ..._-........Sidc walk u•nshcr <br /> ....�..........11ose bib outside <br /> ...�.._Hose bib for building purposes - , <br /> ....-......._Hose bib inside � -��• <br /> ..._—.......Bib for stnble conlnining..._...............stnll.................... .. ' � <br /> ..._`......Number of persons in fnmily � � <br /> � <br /> ..�........Numbcr of rooms in building y'J�� <br /> TFe premises ure to be used os n... ..... .':lk.��..t.........................�. .l................ ' <br /> TF.c owncr of the Premises is....�.���wl-.�.+'�...:�...cb! <br /> Thcngent is......................_......_............_......._....._.....__..........._.................:�/ <br /> �s applicntian, n1Q�ou�1: signed, sLell not be binding upon tho City, until <br /> i by the Superin nd nt of Lhc Nntcr Depnrtment. <br /> Signed.u: . .: 1.pnd-.9tir�. _�. . . .. .. �....Applicnn <br /> , � ...�0....'.�.'�.t..Rf........192l+.. BY.... .. .. .. �M"'�_. ..'�''' t <br />