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En-rn �c-a.��zw-ii:r . . <br />_ .. . . - , - .v,-.,t�,.—�$ ,���r/ ,�t <br />q'. p. Narm 4— ISao—E.P.Co.—G-YG-2i ��� <br />City of Everett�Water DEpartment <br />APPLICATIOr�f FOR WATER <br />fili blanks must bc filled in or crossed out <br />�eerett ..............._ /../....L.�'f ...�1.._�.�................ ...102...... <br />I'0 TiIE SUPGRINTGNDrNT OP Ti_.: R'AT�R DEPAI2TDILNT: <br />� CITY OF �VER�TT: <br />1 LercUy appiy� for the use o: w;iler in accerdnnce with thc rules and re�u- <br />lations of tUe \Vnter llepartment, for pu�piises :md fix�ures statr�j �p]etV. <br />During the lime thnt nny of the tca.er mains mny be L•iken up by renson <br />of nny impruvements autliorized Uy the City a[ Eaerett, in or of auy sLrcet or <br />alley in whirh they mny hace Ucen laid, thc City will not be re�uired to furnish <br />wnter during the progress of such improv�ments to any consumer �vltose suPP�Y <br />ms}' thus b: cut off, or be ]iable� ffo at�y dumages far ils fnilure sc to do. <br />Applicntion No......�Q,,._J�.,��5_. ......... . <br />� / 5 -/� <br />Elock........._�..�.� .......... ..... Lot................ Add..._...._......__.. <br />� .. ......_...... <br />r,o_.__..�3.3.3/.......,�e<1�...._......... st���� <br />� ............. .. <br />_...._ _.. _. ............................_....._...........__......... <br />... . _... _ ............. <br />Tho �vork to be esecuted by_� _ ._ . .............._.....Plum6et <br />_ . _ .__....... <br />Stat sizc ot tnp. <br />...�`..�....Tnp W Ue inscrted in the main. <br />.....�........��'ater closet <br />....�.........Bn[h <br />....�........Urinal <br />...i+.......Plnin f:mcet insidc <br />._�........Sidc walk ���ns}�cr i—. . <br />� <br />.....�..........Hosc bib outsidc ^ <br />.... I?asc Uib fur building purposes <br />.... <br />.... .........FIose bib inside � <br />._.C�........Bib for stuble contninin �...f Q � <br />g ...................stall......__.._..... � <br />.... ......... <br />Number of persons in famity <br />...�.........A�um6er of rooms in building .�/ <br />Tlie peemises m•e to be used as a..... __ .(��.C/�1,�(._ . <br />G(�C. L� .............. <br />Tl�e owner af the premises is.._...�,..._ . �-�L <br />. �. _ . <br />Thcagent �s ............................_................_............ ... <br />................................................... <br />�, pPlicntion, althougL signed, ;hal1 not e binding upon the City, until <br />. the Superinteudcnt f tlye� Watcr De rtment. <br />'/ (/ � <br />iigned...�{......... .%i.✓ �. � p ica\ <br />.... ..� .....................' _ .----�P I <br />' '. � <br />, .... <br />. ._. . . .._... , <br />. . i.%, /`/. By.�/ .... ...1 ..... .,.� ................. <br />.......... <br />- .�'/ ��;��C��.....i�r�„d��r <br />