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E.v-r�7 3 -.1'S-�S-t�j � �� �! Il .- � <br /> � . � ��uJ�hF.a 2-'�I� 7: fr�l <br /> 1V.U.I'orm 4--I60U-E.Y.Co.-fi-2&2d . . <br /> City of Eve�ett^-Water Department <br /> APF'LICATION �OI� WATER <br /> All bluuks must be filled in or crossed out <br /> 1�,� -� <br /> Evcrett.................................. ......................................192.�",d... <br /> PO TfIE SUPERINTTNUENT OF THE �pTER DEPAP.Til4liNT: � <br /> CITY OF �VPRETT: <br /> lationsrof tho Water Department�fornpurtioses�nnd�lfixtures st ted�beie°w regu- <br /> During the time that any of the �•ater mains mny be taken up by rensm� <br /> of any improvements auUiurized by the City of Everett, in or of any street or� <br /> ulley in v�hich they may have been ]aid. t.ie City wi11 not be required to furnish <br /> wnter dming the�pirogress of such imp�iv�ments to any consumer wl�ose supply <br /> may thus 6e cut off, or be linble for :mg damnges ior its fuilure so to do. � <br /> Application No........$..�..��..... �. <br /> ......./� _,, • � ' , � <br /> 31ock........................................ Lot........... . �}-v�-�`"''Add......_:.-� .1' <br /> ,,d 1 .............. ry�o-c ....� <br /> � No............P_..._............... ............. _.�7 �l�........Street <br /> ..................................................................................................................._................................ <br /> The wo.^k to be executed by....._...._.._............................._.........._..............Plumber <br /> tatc size of tnp. <br /> � ,� <br /> .y...........Tap ta be inserted in the mnin. <br /> Nnter closet �-Y� <br /> ................Bath � �,.a <br /> ................Urinal <br /> ........_......Plain faucc; insidc )�� <br /> ................Side wnik wnsher <br /> ................I�Iose bib outside <br /> U U <br /> ................Hose bib for building purposes � <br /> ................FIose biU insidc �Q-Q_�q, <br /> I � ` <br /> .............BiU for staUle containing....................sta11................1�. <br /> .�....._....Number of persons in fnmi]y � <br /> ................Number of rooms in bui]ding <br /> The P•amises are fo be used as u........................... <br /> .................................................. <br /> Tlie na�r ,r oi Hie premisea is......_..�-.�..........�........ ... 'Fs�.Q��2.<l:.'�.�-......... <br /> Thea,-ent is......................................�•---...................... . <br /> ...................................... <br /> Thi. �plicntion, nithough signed, ;h��? not be binding upan tt�e City, until <br /> nccepted .by the Superintendent af the Wnar Depnrtment. <br /> Signed.�. ....�c��r-c�ae s� . <br /> ....... ...................................... <br /> ........... ... . .. . Ayplic <br /> �� . . / <br /> Aceepted._-�...c:.�.� -..198-� B � ; <br /> ....... ...... . y.... ..�.. <br /> .. . . <br /> ................ <br /> in endent � <br /> ,�.7 <br />