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.���jq� /2`.r-•1° - , - . �-<Y-t/'-�,iC, ",o- , . <br /> i <br /> R'.U.F'orm +-:SCO—g.P.Co.-6-24-2� <br /> City of Everett^-Water Department ' <br /> APPLICATION FOR WATER <br /> ' All UL•mks must be filled in crossed out � <br /> � Ecerett�.. ....... ........'���G���....................10?�0 <br /> TO TI�� SUPPRINTENDENT OR TIIG R'A CR D�PARTIIIENT: ' <br /> CITY OF EVBRliTT: <br /> I hereb}• npply for t6e u,o of«•:�ter in accordance u•ith the n�les and regu- <br /> InLians ot thc �Vnter Department, far puipases imd fistnres stnled below. � <br /> During the time thnt nny of the watcr mnins mny bc tnkui up Uy reason <br /> of nny intpruventents authorized Ly tLe City of Everett, in or of nny strcet or � <br /> ollcy in �vhich ihey mny hnve been Inid, the City tvill not bc required to furnish <br /> �vater during tLe progress of sud� impro�•emenl:• to nny con;umer whose supply <br /> may thus Lc cut uft, or be linblpc fa• nny danmges far its fnilure so to do. <br /> Applicntio/n No......f.Q.Lt..�.-... ']�jl Z ;7• /' <br /> Bbck............_.k_J�7........_ Lot............ . . ... Add..LY�✓�'Eo'.`c.EL° ' . <br /> . ..... ........ .. ...... . . <br /> 9 ........... <br /> 1Vo......�...��J.......... . . .r/1-L......._.....Street <br /> ..._.......__._.. ........_ .............................. ..... ................................ ..._............................... <br /> The work to be executed by. .. ...�(��.k�7��................plmnber � <br /> i <br /> Statc sizc of tnp. �y�'' ��S �- � � <br /> ...��..Tnp to be in erted in lhc mnirt.� � <br /> ........�......Nntcr closet �� � ... . � <br /> . i. . � � �'. .., � � <br /> ........�.......Bath � �� = . <br /> ' ..., ._ .......„ ....._�'�...�..,,.. <br /> ......`._......Urmnl . � �, <br /> .....Z.....Plnin fnucet insiJc - �� � � <br /> .......-.....Side �enik �vushcr ' <br /> .......I.......Hosc bib oulsiJe � <br /> I _ <br /> ......�......Aosc bib for building purposes � <br /> ........ ...Iluse Lib ineidc � <br /> ...... ......Bib for stablc contnining....................atnll.................... <br /> . — Iv'umber of persons in fnmily <br /> ...... �...... <br /> Number of rooms in builJin <br /> The prenises are io ba used ns n.. .....�U��,,. / <br /> . . . .................................. <br /> The o�mer of the premises i ... ...�c.�.-_,.�,(,CGC,i <br /> Theagent is............................................................... <br /> ._...._.......�.. <br /> . ............................ <br /> 'fhis applicntion, ulthough signed, ahnll not be bin�ing upon the City, until <br /> ^cce�ited by the Superintendent of the �Vnler Dep¢rhnent. . <br /> S igned...........����....... . ....................................Appl icant <br /> AccePted.�-�... .... 192....../ B} ... <br /> . �,.. , . . .__.. . .............. <br /> / , .. <br /> `,yiC . r .�.���,� .. ��/„� J G . ._.. ..--�uprrintendent <br /> I'// - <br />