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� - , , �..�t�.,�.� 2.-�u. �'� f�' �'�1 <br /> -:=r1' ?' lo _yf <br /> w.n.r•or��+—icoo—e.r.co.-6-2s�21 <br /> City of Everet�--Water Department � <br /> APPLICATIUN FOR WATER <br /> All bim�ks iuust Le filled in or crossed out <br /> �����occ,...........���....!.a ...isz....� <br /> TO TIIE SUPEP.I,IT�A'DENCITY OF EVG 2C'iT llEPARTIIENT: <br /> I hereby i�Pply tor the use of water in nccordnnce o:ith Um rules nnd regu- <br /> Intions of the Nntc: llepartment, for purpo=es nnd fixtu�es htnted belo�v. <br /> During tlin lime that uny of the �vater mnins mn}• bc. iUken up by renson <br /> of nny impro�•ements nuthori•r.ed by lhe City ot l;��erett, in ar of ony strcet or <br /> nllcy in which 'hcy may lm��e Ueen Inid, the City will no6 be required lo furnish <br /> wnter durir.e :he progress of such improvemcnts ta nny consmner wliose suPP�Y <br /> mny thus Uc cut off, or bc liable for any dumnFes for ils fnilure so to do. <br /> �j y- ' <br /> Applicntion A'o....4........�........................ ��7$ <br /> Block.........�...L................... Lot...... ... ..... .. Add............. .... . ....... <br /> ......... �-� <br /> ........ . <br /> No...._.of,,.L,,.T...�.�....�...... .............._.:............. ................Street <br /> ..... . ........................................................... . <br /> p. <br /> The work to bc execuled bY.....-� .-.. ..-. .....................................Plumber <br /> _ ���c <br /> Sta't�e siz�� of tn /�z ._ <br /> .,..;r..".�..7'up to be inserted in tho mnin. ����� <br /> ; .`. <br /> ......�........A'atcr doset I ,� � � � -� � � ; i j <br /> �•� � � . . . �. <br /> ......-.-....Bath '�^ �,� <br /> CiTI' OF .,.. <br /> ....._�.._.Urinnl � N L:P'/ <br /> ...._z Plnin fnucet insidc �- "`--���••�� <br /> ....... <br /> . ............... <br /> ......._'.......Side wnik �cnsher / <br /> ._..�.........Husc bib outside <br /> ,,,._�......l�ose bib for building purposes <br /> � <br /> ................Hose bib insidc <br /> ........�.....Bib for stnblc co�tnining....................stnll.................... <br /> ,,..... .....A'umber of p^�sons in fnmily <br /> ..._�::.....Number of rooms in building <br /> The premises are to be used ns n��/....�....... ..........�.�.................................... <br /> The o���ncr of the premisea is�fi���--����- � �� ��ae.-�_ <br /> Thcngent is...................................................................................................................... <br /> •pl�cation, nllhough signed, shall not Uc binding upon the City, until <br /> the SvPcrintendcnt f the�tcr Depnrt ent. <br /> ncd!��c.=`-'":.___.�..�.`�.�"u'c.. ......./.......Appl nnt <br /> ��.......� / <br /> -�....�...,.�....:....192.�- By..��Lqj, .f2::;�............... <br /> �-j-�Superint�ndent <br /> �r...... . . :L✓M' <br />