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�-"`1 `r en e � "1 <br />N. p. Form 1—I3o0—E!'.Co.-4R6-Ri <br />Z�.1'-9' 3_�—�^ ' /l.� ,r <br />City of Everett�Water Department <br />APPL�CATION FOR WATER <br />All blanks must Uc filled in or crossed avt <br />�' r............_...._._...._....1�-0 <br />�cerett ............................ .. <br />c' <br />TO TAE SUPERRITTi2CUENCITY OF LVF,RETT DEYARTTfENT: <br />I hereby aPP�S for the usc ui �rater in accerdnnre with the rvice an] tegu- <br />lations of the Natcr Department, fot PurPoses and fixturcs statrd bdcw. <br />During the time thnt any of the �caler mnins may be taken up nv rea.�n <br />of xny improcementx authorized by the City of G�•erclt. in or of nny strcet or <br />n�ley in a�hich thcy map liaa'e Ueen Inid, the City will not `^ required tu fumiFN <br />may thus �be cut off, ore/bc` lf�ab�l/-e for�an�`dn:n qce�tor yts fnilurereo to9do uPP�Y <br />Application No....... U.7..D........._.. � g�/ /�� � . <br />IIlock............I...7 L......._....... Lot�L-.l a. �..._....� �./ naa..___: ��.:,;..�,. ��..� ��:.: .� <br />No.......... _ ��o�L�.. ....... �........__........_.Street <br />/ <br />......................_. . _._..................... .. . ................._....---.. <br />........ . . . � . <br />� The work to be executed by..-.__J-...ys�/J�-`�-��---��-'-'F���°�' <br />Sta e size of teP• <br />_�i�....Tap to be Snaertcd in lhe main. � 0'd� <br />.......�....._Nntcr doset �I � / ` . <br />..._�.........Bnth i .. <br />................Urinal . � ., <br />Plcii Snucet ineide � . ` ' �. . � . ,��..,� � . <br />.�,;.._.... � q f 1� . . <br />......— .�.-...Sido wnik waeher .' �,,:.�+ ., �'j <br />, �:�i. <br />�...........Hose bib oulside � t�� '�• w�� ' <br />- �.�'�` '- 1 , . <br />.__—�.—.:.IinFe Uib for building Purposes ........1.. � <br />,._�...IIose bib insidc <br />_....—�-.—...Dib for ateble contnining ....................etall...._..._....._.. <br />................Number ot persons in family <br />......5.........Number of rooms in building � <br />The Premiees are to bo used aa a .......... ......___........_____......__........ ................. <br />The owner of the Ptemieea is ..................................___.................. <br />. ......_........_..... _.. <br />ThcaBeni is....--......._..........__._....._ ............._...........__......................._............... <br />This nPPlication, although nigned, shall not be Uinding upon the Cily, u il <br />nccepted by the Superintendent ot the Wnter Dep� ent. <br />,«.� �` <br />SI6�ned....T...._.:... _...........8.•......_..._._....... .... APplic �t <br />� � ��� ��. . <br />Ac� . ........... . . . .... ...................... <br />r. <br />� <br />-. i <br />