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l <br /> �a�r °m��•i � � <br /> _ . . . "��,.�ic.����$�.�, . . . .. .. <br /> - .,t�:f .�ti*�.v`.}�_,� d �•... i'r .3rd ,..i� <br /> Cnrp I-�4-2YFy. _ <br /> _ . * � �-rv �-3—=�--�JT <br /> w.n.ro�m a--icaa—&aco.-6•2uz� <br /> City of Everett^-Water Depai�tment <br /> APPLICA"�r0� FOR WATER ' <br /> All binnlcs must Uc filled in or crossed out <br /> E����•�ccr.............._..........._!�3.............._.................i�z`l <br /> TO TII� SUPERINT�NllEA*T OF TIIE ��'ATER DEPAI2TbIENT: <br /> CITY OP �VEItETT; <br /> [ hereby npply for the use of�rater in nccm�dance�vith thc rules mid regu- <br /> lations of the Wntcr Dcpartment, for purposes nnd fixtures slated bclo�c. I <br /> Durin� the time thnt nny of the �vater mnins mny be tnken up Uy renson <br /> of nng ir iprovements nuthorized by tLe City o[ �vcrett, in or of any strcet or <br /> nlley i;• ���hicL they mny hn�•e been laid, the City will not be mquired to furnish <br /> �eater dmin� tlie pirogress of such improvements to nny consumer whose suPP�Y <br /> �uny t'��,u L� cut off, or be liaUlc for uny dmm�ges for its fnilure so to do. <br /> ApplL�ulion Nu....._5.�.�.0.................... <br /> Block....:��.--1�..5��....� .... Tmt....�..........._..................... Add.................._....................... <br /> No..4-+:.2e..�_4.........�_t_t-�...._Gf..fJ.`L.Street <br /> ..................................................................................................................................................... <br /> TLe work to L�• execated Ly............_.�R..�...................................Plumbcr <br /> Sint sizc of tap. <br /> .��...Tap to be inserted in thc main. <br /> ......—...R'ntcr closet ' � <br /> .............�.BntL �� � j . <br /> ...............:Urinnl '�. <br /> ................Plain fnucet insidc -,-' � <br /> ._.—...Side n•nik «•nshcr �u/ . <br /> ...... <br /> .-...�fIosc bib oulside <br /> i�� � <br /> ........... , : 1 � <br /> ......'--:._Hnse Lib for Uuilding pm•poses � <br /> ....... ...I�Iose bib inside <br /> .......—:..—.-:IIib for stable contninin�....................stnll.................... <br /> �:..A'umber of persons in fnmily <br /> -...�.......Number of rooms in building � <br /> The Pi•emises nrc to be used as s.........Jl...<.� . .. <br /> .. .............. . ................. <br /> The owner of the prer.�ises is....._.... .. ' <br /> __........_.......................................................... <br /> Thcngent is.................................................................. <br /> .................................................... <br /> This applicntion, nit4oufih si�;ned, shatl not be binding upon the City, until <br /> nceepted by the Supoyipjendc� f he Nater Depnrtment. <br /> '.�J� ��.�......................................... <br /> X Si .ied._L�.. ..:... <br /> .�...... ... plic t <br /> Accepted...�- . ...:Z.v......1D2...... By. .... . `'�..... .Hl�/ <br /> `�— ��....�a�� I � <br /> > ................ <br /> i_tendent <br /> • <br /> j - = • - - <br />