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s <br /> .L"''L�- 9—`f'—§oa(- Ec.-C'A 7_3r�—.d.�(� /a� <br /> \5'.D.Form�—IWO—E.P.Co.—G-26-27 <br /> City of Everett�Water Department <br /> 1�PPLICAT�ON FOR WA�'ER <br /> All bl:nil:s must 6e filled in ot crossed out <br /> ��•erett..............................�............�a...............1� <br /> PO TIIE SUPERINTENDTNT OR TIIG \VATF.R DE ARTb[ENT: <br /> CITY OF �VEf2llTT: <br /> I hereby npply for the use of �cvler in nccordauce with the ivles and regu- <br /> Intions of ll�e Nater Dep¢rtment, for pmposeo And fixtures stnted below. <br /> During the time thnt any oC thc wnter mnins mny be tnken up by renson <br /> o: nny in:proecments nulliori::ed by the City af I3cerett, in or of nny sLreet or <br /> ullcy in �ehich they mny hnve beer. I;.iJ, tlte Cily �eill not be required lu furnish <br /> wnter during the progress nf such improvements to nny consumer n�hose supply <br /> mny thus be cut off, ar bqe liab�l1e tor any dn.mnges for its fnilure so to do. <br /> Applicalion No.........../...�....(....�.......... 7°f/.3 <br /> Block........................................ Lot.......�.s..—................... Add..................... <br /> Oa� . ..................... <br /> Ro.....L�.D.�.S_�;/�g................Street <br /> � � <br /> ..............._..._._.......... ......................................................................... ..._.........._.................... <br /> � The �vork to be c�ecuted by......_.............._....._. _.....................Plumbet <br /> .. _.............. <br /> Scat size of tap, �G o c, <br /> .��`.F_��Tnp to Lu inserted in the mnin. J��iy3 � `"� <br /> t �rI;�. . <br /> � ���.....3Ynter closet �d�'�„/ � � ✓� <br /> G3'�:� � ���, <br /> � <br /> .........:.....a4�n ''�JUL ? 01930 `'�^ <br /> —....urinal C.'tv �4' ttwAil <br /> ........ <br /> .�..-........Plnin faucet inside ��T � <br /> G�'......,�..,,,,�,,,.�G���-.... <br /> ................Side �enik �rnsher "" <br /> ��.........Hose bib outside � v/ <br /> — ..Hose Lib for building Pu*Poses � <br /> ................Iiose bib inside <br /> ................Bib far sLvblc con.nining....................stall.................... <br /> `�.....—'...-7P�umber of persons in fnmily <br /> ...,.�........Number of rooms in buildiufi .��'� <br /> The premises are to be usrd ns n.. _(�.� <br /> .......�_ <br /> � <br /> The owncr of the premi�,�es ' .. ...�y� � <br /> � <br /> L4�.Gl.2-!l��t,-....'. <br /> Thcngent is........................................................ <br /> . ........................................ <br /> ..................... �. <br /> ';his applicntion, nithough signed, ahall not be binding uPo;� lhe City, until <br /> . -- .1 by� thc Superintendent of the R�nter Depnrtment. <br /> / <br /> Signed.. . " _¢i/sy{.�..... ..�Y.L.fi,�Fit!I.O'{.:�/... <br /> , ... .;�..A p';C � <br /> .f.-�6......ia�rl� nY....�.Prf-�� / <br /> . ............. <br /> Sup �Mendent <br /> _'Y,� <br />