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Y.ctitv b-�^-o���-// � Y._2z.}R ��c...._tl. �1, <br /> � • !l . <br /> w.n,ro�m�-�coo-e.r.co.-c-:aza ' ' - <br /> City of Everett--�Water De1�artment <br /> APPLICATION FOR �uA�ER: <br /> All blrmks must be fillcd in or crossed out <br /> Ew:MC............................. 7-U <br /> ..GL. ` ................192..� <br /> ..... ....... ........ .. .. <br /> TO TIfE SUP�RINTENDENT OR Ti;� R'ATF.R DEPARI'Ai�NT: <br /> CITY OF B\'P•.12ETT; <br /> I hereby apply for the use of waler in acccrdance ��•ith the rvles nnd regu- <br /> Intions of lhc Wulcr Depnrtment, for purpuses and fixtures stnted below. <br /> During lhe time thnt any of the «�atcr mains m�y he lnken up Ly renson <br /> of nny improec�ucnts nuthorized by thc Cit}� o[ Evrrelt, in or ci any street or <br /> iilley in which they may hnve Lren ?nir., Lhe Citp u•ill not bc re�uired to furnish <br /> �vater during tlie progress of such ?mprovement� to nny cm�sumer �ahos-� supP�Y <br /> �»�Y Lhus be w: off, or ba liable for ang dumnges for ils irilare so lo do. <br /> APPlication No...._.._g..�...�.�......_ - � 3/? <br /> I31ock................ ........ .......... I.ot... � • Add... <br /> ............... ................... <br /> ._...__...._..._............ ... <br /> No_..... .�..;J.�....... ._._. ..... ... ..........................$treet -. <br /> ..................................................................................................................................................... <br /> The wm�k to be eseeuted by......._....... ...._.....................Plumber <br /> . .._.. .._..... ............ <br /> S}n�c sizc of tnp. <br /> a� �i <br /> � :..._Tnp to bc inscrted in the mnin, rl °j� <br /> ���-..�.......Natcr closet " l � <br /> .....•.:........Bnth , 1 <br /> �' . <br /> t �: : <br /> ................Urinnl �-: /.�.�. '�' i.�� I � �I . <br /> � , n � ..1 : <br /> .._..�.........Plain fnucet inside 'I '�� ..'.�u `� ,`, �Q^0 `- ,' <br /> ................Side n•nik n•asher : � "wi1`.y;; i;:.f:� <br /> .. �:Ir.. ,�; 4.�,n,�l . - <br /> .............._Husc bib outside �-y� ....�...,t�. <br /> , ... . _ <br /> ................Hose bib for building purposes �' ........... , • + �- <br /> �. <br /> ................Hose biU iusidc •. <br /> ................Bib for staUle contnining...................stnll.................... �� :. <br /> ����............A'umbcr ot persons in fnn�ity '� <br /> ,••��y......Number of rooms in building j� <br /> Thc preniises are to be used ns a...........�.�-A-x-t-e_¢� <br /> ....................t............... <br /> Thc owner of the premises ie......_...� <br /> .. . .........�. <br /> ..... ........... <br /> Thcngent is................................................... <br /> ................................................................... <br /> This npplicntion, nithough signed, chnll not ba binding upon thc City, until <br /> ��se��ted by the Superintendent o the���VVV cr D� e/p�ar'hnent. <br /> Signed....................-�`:c±..:..�.f...?.'v•.. .. P 9 <br /> . .. .............. . lica C <br /> . '�d.._...r4�.C.i�.O.....-....._.1�J7.� By.... _A�'�+�� ...p�..... <br /> . ....... .. � nt <br /> � <br /> �t"JL. <br />