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. �ti-� 6-�-�-;r z�-�-�=,n -,-=Z_,,-,r <br /> �c.n.n•���o+-�coo-saca.-s.zs.2� ' ' - --- <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> 911 blanks must be filled in or crossed out <br /> I�:verclt................................:..L..�.�...�-............. <br /> .............�. <br /> TO TH� 5UPERINTEYUliN'P OF TIiG R'ATER DEPART\[l\T: <br /> CITY Or EVCRI:TT: <br /> I hereby nPPb' for lhe use of��•nter in nccordimee ticith tlie rules nnd regu- <br /> Intions of the Nater Depnrtment, for purpo�es nnd fi�lures stnted Lelo�e. <br /> During the time that nny of lhe �vater mt�ins mny be tnkcn up Uy reason <br /> o[ nny improvements autl�orized by the City cf Ecerctt, in or of nny street or <br /> nlley in which thep mny hnec Ur�a Inid, tLe City will not be required to farnish <br /> «�ater durin6 the progress ot ��uc6 improcements to nny consumer whase supply <br /> may qws bc cnt o:f, or b�c) lir.b-l7c for i�uy daiinges for its failure so to do. <br /> APPlicetion No...........Z?.�...L.S....._.... - 5 3 S� <br /> Block....................................... ot......� <br /> ...... � ........................ Add... ................ <br /> .......__........ <br /> No.........y'..g0..�.......... . �.....�vW,-e,-t-c�/......Street <br /> ..._................................................................................................ <br /> ..... .. <br /> . ...... .........._.............. . <br /> The work to be executed by...._......._..._.. . .....Plumber <br /> ._....._.... .�..._...._......... .. <br /> te s�ze o[ tap. <br /> •�f..��.......Tap to Ue inscrted in the mnin. / � a o <br /> ....'—'....R'ntcr closet ��F �/ �� . � r <br /> ................13ath � ...� r�• . ' � - <br /> -- - .....Urinnl 1�.. . 'p, !l �!,, e <br /> � ..._Plnin Amcet insidc �V('�'r ,-!�-� �� <br /> ....._.� ;� � / <br /> . _ I"�1 ,.Y .� �Q90`�� <br /> �............... <br /> Side «nl6 ���ashir �"' r�^.` � � <br /> ................I�cse biL outside �171� UF E��-��� w�� <br /> — .._.............. <br /> . �- IIose bib for Luildin mr Les••••••^ """""� <br /> ............... B I Pti '�. <br /> ...........:....Hose bib inside � <br /> -..�..._.�...IIib for stuble contnining....................stall.................... <br /> �,_�.........A`untbei• of peraons in family <br /> � ...y.........Number of rooms in Uuilding <br /> Tim premises nrc to be used ns n....... .. � <br /> _ . .. .. ....; <br /> n . . .. ....._..................... <br /> Thc owner of thc premises is._t_,.:_.G,. � <br /> . .._.. .. _ .... <br /> . ... .. ........................ <br /> Thcngent is................................................................. <br /> ...................... <br /> ............................... <br /> TLir npplication, altliough signed, ahnll not be binding upon the Cil until <br /> �iteu by the S�iperintendent of th Nnter��DeJpnrtm-en/t. <br /> . Signed.............................��.�...CJC..2G.f� 'C�/f�.... �PPlic t <br /> � <br /> �...� - ...2.....19 .. D ' <br /> �.. .- ...........� y..... . .. . <br /> .... . <br /> � ......................... <br /> uperintendent <br /> , ' v • <br /> -.r._ <br />