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z�.�r� y-�.z-z�-i� <br />tv,n. ea�m a—�cao—e.r.co.—css-za <br />G.v r`rj 8 ��.y-�7 <br />Citv of Everett--Water Department <br />1CATION FOR WAT�R <br />All binnks must b+ filled in or crossed out <br />�:., Lverett� ..............�.. ..�...L.......................1D2.� <br />T.O 1'IiE SUPERIA*TENDENT OF TIiF. MATP�PARTMEN'C: <br />CITY OF EVEI2CTT: � <br />I hereby npply for the use of wat�r in aecordance with the rules nnd regu- <br />lationa of the Water Department, for pm•poses nnr fixtures stated Uclow. <br />During the time that any of thc wnter mai��s mny be taken up 6y rr.nson <br />of nny impruvements authorized by thc City of 'sverett, in or of any street or <br />nllcy in which they may hnve been ]aid, the City will not be mquired to Purnish <br />w.�ter during the progress of such improvements to auy wnsumer mhose supply <br />may thus be. cut off, o(r�� b-e7liuble for nny damnges for its fuilure so to do. <br />Applic¢tion No.....6...! � � . <br />._�..� ............. i/ S 3 <br />Block........................................ Lct._................._...... .. Add.............:..:�..;...::\:.........._.. <br />�"z/3 �- ' <br />No._ .... ....:. ....... ... �-f. .. ....................Street <br />.............................................................................................................. ..................................... <br />The work to be esccuied by......._/.�. ...1 .. ..... ............... ........._._.....Plumb�r <br />State size of tap. /� � =� <br />��.��....Tnp to be inserted in tlie mnin. <br />.._L.........Wntcr cluset <br />� i <br />....�..........Rnth � <br />� . ...... <br />............ ...Urinal <br />....._z.....Plnin fnucet insidc <br />.........-._Side wnik �vasher <br />......�.......Ifose bib outside <br />...__.""...Flose bib far building purposes <br />� ........'.-....Hose bib inside <br />.......':.....Bib for stable contnining ....................stnll.................... <br />• _...... ....\'u:mber of persons in fumily <br />......�.......:Qumber of rooms in building <br />The premises are to be used as u...... _. .....�4� .' ........./..J ....... . ... <br />The owner of the premises is ....... .. .. .. . ..._/�.��.: yL��. <br />Theagent is ..................................................................................................................... <br />This applicntion, although signed, shall not be binding upon the City, until <br />ncrepted by the Superintende�t af tJ� ���nte/r D pnr ent. <br />Signed.. _/�...�./.G��...SiGr.S-fle...:,/.����G� ................. Applicnnt <br />_-, i,ppp��� <br />Aceepted............i�..-..f..�.r,�.......192, BY....... .. . . ........................... <br />/ . Superintendent <br />