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� �r_.� :t- .-rv-:=c � `-,�.--� 1— �-"1 - 1 l,' <br /> _ . . ����, , � <br /> lS.D.Form�—tfi00—ti.P.Co.--G-2G-24 . , <br /> Cit,y of Everett�Water Department <br /> APPLICATION FOR WATER <br /> A11 UhuJ:s must bc filled in or crosscd out <br /> Everrtt�........................._�./4"...../..............._..........10�.. <br /> 1'O Tilli SUPfiRINTPNDI:N7' OR TIiF. �FATPR DEPAP.T\SSN'P: <br /> CITI OP EV�:tliTT: <br /> I hereby aPP;y for tlie use ot ���aler iu :�ccord�.ince�cith the riilrs nnd regu- <br /> Intians of Um Wuter Depnrtmenh, tor pm�;oses nnd fisiures sta:ed bcicn�. <br /> During the limc that any of the �eater mnins mny bc tnken u�i by rmson <br /> of nn�• improvemen[s nuthorized Uy thc Citp ot Eccrett, in or ot nny street or <br /> nlley in which they m:ip hnce been laid, t6e City �cill not bc required to furnisli <br /> �sntcr during the progress of sucL improvementr to nnp consumer wLose supply <br /> may thus Lc cut off, or be liable for a»y danwges for its fuilure so to do., <br /> Applienlion No.........5.�....�d....7._....._.. <br /> Block............................__,.... Lot....._............_........_.__... Add.`��'.1AJ'�I-�.!._.....�-. _... <br /> No.......�.s.�..�........... ........._.... ..._... .._...... .....Street V <br /> The �vork to be e�ecuted by... __.........._ _ _... _. ...._ _............Plumbcr <br /> Stnte eizc of lnp. <br /> � r� <br /> ..��..-..........Tnp to be inscrted in thc ronin. � U <br /> ..._...I.......\t'ntcr closet .� �� <br /> ......I.........Bath . I <br /> .. <br /> _ , , <br /> . y � .�� , ��� . <br /> ................Urmnl �I . � .� . � ��, . <br /> ...._�-.-..Plain fnucet insidc � . _, ., � .; ) . . <br /> �.Side wnllc wnslier � . .' .. �. � . �,. . ' '�. ,'� <br /> ............... :* ..�,�. .. <br /> L_ � : r.: .._,I <br /> ................Hosc biU oulaide .:�. � . . . � . .............. <br /> .. ..........1. . .. . <br /> .......-:....I3osc Uib far Uuilding pnrpnsca.......... � , <br /> ..-_r.._.-.-...IIose bib inside <br /> ....._—::...Bib for stoLlc containin�....................stnll......�........_. <br /> .......—.-:.A'umUcr uf persons in family <br /> ......�.....Number of rooms in L•uildi ig /, � � �, � <br /> The prmnises nrc ta bc used as n. . .! �-z2S ..�' . <br /> ........... <br /> The owner af the prer.ii,es is.....��f.GZ�-!-1..... ... .... . . . <br /> ?'!•r agent is...................................................................�................................................. <br /> � � 'PPlication, althoufih signed, shnll not be Uinding upon the City, until <br /> eeeBe �i. Ly thclfSuper/i�t�entient of tlie Watcr Dcj�rtment. :7 <br /> : Sigried.....-/'/�[..�v`,'.t""�..................uJ ....._........ ._ ..........Anplic nt <br /> ..•mpted.../..:.��...... ...�,.....197^. BY._ . � ._ ... .�.�....��,,�/ <br /> . �� � . !t/�fG�ytintendent .. <br /> � � <br /> I � ��� <br /> —���. <br />