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�...��� �� ��- i� • .��.l1. �1=a�! - z" r%n� <br /> t\'.[l.Porm 4-1G00—£.I;Co:6-:6�2{ <br /> , City of Everett��Uuter Department: <br /> �PPLICATION FOR WATER <br /> All bl. iks must bc filled in or crossed out <br /> �verett..........................._4��...7�.......................1�J2..r� <br /> PO TIiE SUPERINT�NDENT OR THP NATER DEPART\IL•'NT: <br /> CITl OF EV�1tCTT: <br /> I Imreby npply for the use oC�vater in nccordance �cith the r�iles nnd r.gu- <br /> lations of the Nater Depnrtment, for pur�ioses nnd fix�m�es stnted b��� <br /> During the lime thnt nny of thc tcater mnins mnp Ue taken ut ' renson <br /> of nny� improcemeuts ovthurixed by the CiLp of Lcerett, in or of nny street nr <br /> ulley in �vhich lhey may hure been laid, the City �vill not bc required to furnish <br /> w�rter during lhe p�rogress of such improvem�nts to nny consumcr �vhose supply <br /> may thus bc eut off, or be liuble jor any dam�ges for its fnilure so to do. <br /> Applicntian No.....�(f..._�.�5................- 7 30 S <br /> ._..._... ot.....�i�. ... . Add......._.. ._._...__........_.. .... <br /> Hluck......... .................. ... ................. <br /> No../�-.�S.0 J�.-....... ............ ?cf.:.C1.-�..Strcet � <br /> The �cork to be esccuteJ bY--. -.... . ........ .......-.-.-. ...- .........-...Plumber <br /> _ rl—, <br /> Stnte size of tnp. �S� <br /> ...3�Sl..Tnp to 6e inserted in the mnin. <br /> ......:-......R'uter c:oset . <br /> �.d: j <br /> .......-......Bnth . .:,, ♦� 1 <br /> -, _. > <br /> ....:.-.......Urinnl . -" �- ' '+...; <br /> .....�::......Plnin fnucet inside _f=-� . � -�:�-, <br /> ..._.... ....Sidc wnil: �vnshcr <br /> _..---�.......Iiose bib outsidc <br /> ........�....Hose biU for 6uilding purposes <br /> .....—r.....IIose biU inside <br /> ...._—......Bib for staUle contnining...................stall.................... <br /> ......'.-......Numbcr of persons in fnmily <br /> ....�......Number of rooms in Uuilding <br /> The premises nre to be used as n 2..... .. .. . ... �. •J . . ... .. .............. .......... <br /> The owncr of Uie premises is.-G.�.. ..4�.ti1.....(/.7../'.��L���� <br /> Thcngent is...................................................................................................................... <br /> " �v npplication, although signed, c.hnll not be Uinding uPon tUe City, until <br /> ' by the Superintendent of thc N:itcr D arlmen � <br /> �iCned....`.�......�x�iL.r`.....��..... .. . . .. .... ..................App nnt <br /> ....... 92 ... IIy. ... ..... .... ........ .... r.................... .. <br /> .�- �,.{ -�� � erintendent <br /> —r_�� <br />