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rvr-G 1- +i- �S�- F7l . <br /> .. _ � — 2-''_ �i i'> N <br /> R',q porm d-IGOu—E.CCo.-6-26•:1 <br /> City of Everett•—Watei� Department <br /> APPLICATION FOR WATER <br /> All Ulank� nmst bc tilled in or crossed out <br /> ,�,�1..�.........................192...... <br /> �vcre lt........................ ..... <br /> pfi TIIE SUPERINTGNDENCITY OP L�'\li 2tiTT;D�'PARTi1fENT: <br /> I hereby nppll' for the use of�valer in nccordmice �vith the rules nnd regu- <br /> Intions of the \1'ntm� DePnrtment, for pm��ioses nnd fistures stnted bclow. <br /> During lhe tis�c thnt nny of the �vater mnins may be taken up bY renson <br /> of anp improvements nnlhoriud by the City of I3cerett, m or of nny strect or <br /> ulley in which lhey may hnee Ucen lnid, ihe City will not be required to furnish <br /> msy thus�be cut off,or be l�aUle for����u}�dm»:iges�for�its fn'�urel so�tosdo uPP�Y <br /> Applicalion No.._.��..a�...�'................._ � . . <br /> L1 k � . .. Add..��.:'...'� .: ,. . <br /> -7 _._....:.._......:..._.... <br /> Block..................i.........{........... Lot... .... .i...`.�....... <br /> .......... <br /> . .............5 treet <br /> No........o�.Z�.�..C�......� ... . �.. ..... .... <br /> ....................... ............_......._............................. .............. <br /> .................... ._.............................. " <br /> Thc work to be executed 6 O�GLLYI-•:�....--��---P�umLer <br /> y._......._ . �/L _ , <br /> State sizc of lnp. � � /' <br /> ,,,,��?..._Tap to bc inserted in thc mnin. � <br /> .,...�......._R'nler closet <br /> ...._�..-...Bath <br /> ....:�—:.......Urin nl <br /> ,....2.-.....Plnin tnucet inside _ <br /> � , <br /> ........_`.-.Side �enik �easher (�-... <br /> .......�.......Hose bib outside �� � <br /> ...:.fiose bib for building P��rposes � <br /> ._....�.Ilosc bib inside <br /> ...._�.BiL for stnble contnining....................stnll.................... <br /> i ' <br /> .1-�Numbcr ot Pcrsons in fnmily � <br /> �.......Number o prooms in building � . n <br /> '�c premises are to be used as n._.. -` � `'"'"��,���-�—�-���-� <br /> J <br /> - o�vner of the rer.iises is.......����--�..����'L�•-�����- <br /> . ............................�........................ , <br /> ngent �s......_..................................._.................. <br /> �s npplicntion, alUiough siFned, shall not be binding upon the City, until <br /> 1 �y the Si perinte e�f ihQ Nater Pepnrtment. � <br /> . <br /> �/�li��?/�"�tl....`..?�1... . ...A 7+�1 ican t <br /> Signc . ..... .........�.....,,....... ... ......... � �..._....... <br /> Accepted.....�...��...`.1,.,_�....23.9� IIY. _.t_.-m�-�-��-............... <br /> I lendent <br /> --c. _ <br />