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Y <br /> . : ., .SY`�� <br /> �i�tit�' �'�3 -� v-- IC ���z-ff' 3- z g-'yr� �-u <br /> � � , <br /> \V •'nrm. •_500—$P.Co:6@0-21 � <br /> C� ty of Everett�Water Departinent <br /> APPLICATION FOR WATER <br /> All bl�nks must Uc filled in or crossed out <br /> livcrett..................���.................................]'J2/... <br /> TO TIIE SUPERINTENDGNT OF TIIP R'ATPR DEPARTMENT: <br /> CITY OIP EVGI2�TT: <br /> I lureby app:y for the use of water in accordance�cith the rules nnd regu- <br /> lations o[ thc �Yater Dc nrtment, for purposes nnd fisim�es stnted belo�r. <br /> During lUe time tPnt uny of the «•atcr mnins mny be lnken up by renson <br /> of any improvements authorized by thc City of G�•erett, in or of nny strcet or <br /> ulley in which �hey mny hnve becn ]nid, lhc City will not bc required to furnish <br /> �ruter during thc progress of sucli im��ro�•emente to any consumcr wliosc supply <br /> may thus be cut otf, or bc liable for nny dumnges for its fnilure so to do. � <br /> Applicntion No.......(yy.�'r,.,2--- —.,3 4-3�—^ <br /> . ......... ......... <br /> Block................................p........ Lot... ..........�.�..................._ Add..___..._._...._..__.............. <br /> i <br /> No...............j_.6.d...Q........� ...�. .,G.�u. .. Strcet <br /> ...................................................................... .. ...... ....... ........................................... <br /> Tlie work to be execuled U .... ... . . //?/-'�.......................Plmn6er <br /> y.. . Gc..4i. <br /> S� s�zc of tn �� <br /> .��I.r......Tn� ta Ue inserted in thelmnit�� ;�,--��_.,. ���1� j � <br /> ' ,�• ! <br /> ...._�......Rnter closet ! � - . .. ... <br /> . . � :.�.�f� . I,•�,�� ��� <br /> ...._!........Bnth C� � ;.� c1�L�;cl7 _it i.:.'`�, <br /> .:_�.......Urinal i <br /> � � ...........»..........�,�.�. .............. <br /> ......�.......Plnin fnucct iusidc . <br /> � �- .._. <br /> ................Side wnik �ensLet <br /> ......./.......Hose bib outsidc <br /> ..........r...Iiosc biU for building purposes <br /> ....._.---._I�ose bib inside <br /> ......c...—.Bib for stnblc contninin�....................etall............._..... <br /> ......_�...I�umbcr of persons in family <br /> �..NumUcr of rooms in 6uilding <br /> TUe Premises nre to be used ns n. ...._ _ .. .._.. ....... ... <br /> � .......... . . . <br /> The o�vncr of the premises i.��Gf.�. ..... ... . .. .... . <br /> . . <br /> ...................... <br /> Theagent is...................................................................................................... � <br /> ................ <br /> This npplication, ¢lthough signed, shnll not be binding upan thc City, until <br /> ncceP�ed by the Superintendent o the]Nnter D nrtment. <br /> Signc��C�?li./.�.,.�....f.�L.�._. ._ . � .................Applicant / <br /> Accepted.«.7..:��.:s.'�..q�2...... BY.. �_ . . ,... ,�,�,�,,,�................ ( <br /> � y-!L`uperintendent J <br /> ,-, <br />