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�-�--�1-�-� �-Il _ .;. ('�-,'•.-1 i . ; �_�. l',i�� 1 <br /> .� �-un.�� 1- a-`�' <br /> , • i <br /> w.n,e��m a-i:no-s.r.ca.-s-:.s.a �. � <br /> City of Everett�--�W atei� �epartment <br /> APPLICATION �OR WATER <br /> All Ulnnl:s musi be filled in or crossed out <br /> �svcrntt................_............�./F.-.D.._._._.._............1�3.b., <br /> - TO TIIG SUPIIiINTGNDENT OP TIIP \VATPR DliYAItT.lIE\'P: <br /> CITY OP E�'liI2ETT: <br /> I hereby npply for tlie ttse oC�cater in nacordance «:th tlie rules nnd re6u- <br /> Intions of the `5'ater Det�nrLnent, for pm'poses and fisturcs staled below. <br /> Dw•ing the time thnt any of thc ���ater mains may Ue laken up Ly rcason <br /> of nny impruecmonts authurized by the City of I?cerett, In or of nny sLreet or <br /> nllcy in �vhich thcy ntay hnt•e bren Inid, tlm City �rill not be requircii tu furnish <br /> water during the prugrnss of sUcli improvetnents to nny consumer �chuse �upply <br /> m:�y thus Uc cut off, or bc linble for :�ny dmm�ges fm• its fnilure so to do. <br /> Applicntion IQo..........��...�.b..�............ _ . <br /> Qlock........................_\...._...`... \Lot.�..�........_.................... Ada'.�a!�_ .. ... . .... <br /> No.�.��_�..��..�.1\!.�l..1.1..1C'..�. .................$trect � � <br /> .__........._........................................................................................._... ..._..........._................... <br /> 1'hc wark to be executed bY...._ _........._. _. ._ .............._.._. .. ._._.__Plumber <br /> Sta sizc of tnp. . <br /> �i <br /> .. Lf.-.....Tnp to be inser.ed in the mnin. o , i <br /> i <br /> .._.._�:.Nnter closet 1 � <br /> /� 11 / <br /> ..._`--..-:...Bath ' <br /> �A <br /> ................Urinnl • <br /> c_- <br /> ................Plnin taucel r..,idc <br /> ................Sidc �vnik ;t...,ter <br /> ................Ilosc bib oulsidc �- - . <br /> ................Hosc Uib for building Purposcs .� � . . : � � �� . <br /> i . ,. <br /> �oSc bib insidc ' �� � �'� � �� � <br /> ............... , <br /> �_ . ,� -ti „ :� ���,,,, , <br /> ................Numbcr of rooms m bu�ding �� . . �� ' .��. �. <br /> � ..,. �,.,�.. . <br /> �... p . Y .f stall.a':':�, �......... <br /> . Aumbcrsoa 'crsons?m fmnil .� <br /> �_... <br /> Thc premises nrc to bc used ns a.__ ... ..........__. .... -�.. .. . . <br /> .hc o�vncr of thc prcr.i�ses �s........ .. .... .. ....._ __.�.�.�.....�._....CS._. <br /> '•^ agent is....................................................... <br /> .. . ..... . ......... <br /> . �nlicnlion, nithough signed, shnll not be binding opon the City, +•ntil <br /> �� lhe Superinten Fit of the Nnter�D epnrtme�t. <br /> �igned.../�..ilY../1�,.�..4/.......�G��1 �. ...Applicnnt <br /> i •�f / "�-"% <br /> •�-...�c��... .19 .�.Y.... By...,�.�. .�{.'�{// .. .... .. ....... <br /> - � �/ :. -- �uperintendent <br /> l <br />