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�...�t=rl )'1- 3�'3S �-.!(1.u�'y' !i� � •�, ';': i�`Y) � <br /> 11'.q Fmm,J-Iu00-E.P.Co.-6-26�2C �� • <br /> City of Everett--Water Depai�tment � <br /> APPLICATION FOR WATER <br /> All W.mks must Le filled in or crossed out <br /> EvercU...........................................��./�./................19YJ... <br /> TO TIIE SUPERINTENDEN'C JF THG NATCR DEPA&TbIENT: <br /> C1TY OP �V�RETT: <br /> I l�ereLy nPply [or tlm use of vatur in accord:mce �cith the ivles nnd regu- <br /> latious of thc R'ater Depnrhuent, tor purposes and fixlures stnted Udo�v. <br /> Puring lhe time that uny of the �e�ter mnins mnp Ue lnken uP US renson <br /> of �ny improvements auUiorized by the City of Everett, in or of nny strnet or <br /> ' allcy in �chicl� they may lmve Ueen laid, the City �vill not bc required to furnish <br /> w:der dm�ing the progress of such impro�•ements to any consumer n�hose suPP�Y <br /> � may thns be cut off, or 6�c1IinLle for nny dnnmges for i[s fnilure so to do. <br /> Applicntior. No...........Il.....�--�..5�......... _ <br /> Block.........�:�.1.'..��...-.....}_-........ nLo+t..l._�..'./..�"........._........ F_dd.�7:t�-ccx,�s�<c... <br /> A'o...... .^L.�. .�.v�..3...T�.........'.....Strect <br /> ..............................................................................�....j.......�...................... ..................................... <br /> Thc work to be esecuted by...___...__.cS,�Ot.-p�..�.�.. . .._.....�...............Plumber <br /> O <br /> Stntc size of tiip. <br /> ....� i � <br /> -..�...Tnp to be inserted in the mnin. �I ` uf <br /> ...._�...-....Nater doset `j <br /> .... .AQ .. <br /> .....�........Bath � � <br /> , .........t......NM 11383A3 �0 1�11� <br /> .... ..._U�inal' .• . <br /> ....... <br /> .....`...�.-.Plnin faJubB� �I�LU� V 1 n�� <br /> ...-.-6idc �cnik ns /° . <br /> g � �� <br /> ...__�.-._FIosc bib o t�ide •,f; � <br /> ._....-.:..Hose bib fo i��' iti purposes . <br /> .....:...—�Iosc Uib inside <br /> ........—Bib for stnUle containing....................slnll.................... <br /> ....-.-.-2cnmbcr of persons in fnmily <br /> ......�-r...Nmnber of rooms in Uuilding . <br /> TLe premises nre to be used as n........ . . .......... <br /> / .. .. ................. .......... <br /> .. <br /> TI:_ owner of the pree�isr.s is........ _ .......... ..._..4 .. ...................... <br /> nSentis..................................................................�.............................. . � <br /> ................. <br /> .pplication, ¢lthough signed, chnll not 6e binding u�on tho City, until <br /> � �� �y the S�rintendent of thc Nater Depnrtment. <br /> Signed........././.!!�-G?:.../.�...C�!....�"�......:!�^"- plicunt1 <br /> . . .... / <br /> ....... <br /> rf.......� � <br /> / <br /> _.��..:..—.l ...........i92`.z.. IIy.._...� .. .... "�� <br /> � � .y�Supe ntendent <br /> --r_-._ ,. ....._:_.•a <br />