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w...--.. .. � Q � � a.—.,�.� �-+��—.�. . . _ . . . - <br />5\'. P. i'mn 1— tood—&P.Co.—y.26-RJ ' <br />City of Everett�--�Wzt.ei� Dep�rtment <br />AI'PLI�ATION FOR WATER <br />AIf Llunks must Lc filled in or cros<ed out <br />i <br />r•.�•�,�n. .................! ../..1...._.................................�s�..� <br />TO TIfE SUi'EI:INTEtiDEtiT OP Tllr K'ATP:P. UEP.�ItT\fE\'I': <br />CITY OF liVPAETT: <br />I LereLy apP�Y f�r the use of n�ater in accnrJance a•ith lFe n�les nnd regu- <br />Intim�v of the Nnter llepnrtment, for purpuses nnd Cistures statel bclo�v. <br />During thc ti:nc thnt nny of the w•atcr mnins mny be lnken up Uy rrnson <br />�t nny iraprnecmects nufhorir.ed by tLe City o[ F.rerett, in or o[ nny ntreet or <br />nl�cy in a�l�i;h ihe� mny hove bcen I�iJ, thc City tcill not bc required to furnisl� <br />v,-ater during [he prugress oi such im,voeements ta nny� cansumer ��•Lose �upply <br />:n.:y thus bc cut otf, or bc liable for any damnges for 3a fnilure sa to do. <br />Applicntion No.. . ..... ..... �"`" �-" <br />_� .�.��...�..i....q <br />Bluck.... ... . .... ... Lot . O.l._. . _... �c_ .�/•...__..____.... <br />.... (�� <br />No....._ y ., Q.� ... /Oc..PtLG[/rQ1'Tl—� ..... Strcet <br />/ <br />........ ___.._. ........_ ... _....... .. _ ........._...... _ . .......:.. .............__ . . . ................. <br />1'he u•ork to be e::ecuted bY... ......__ ..... ..... ...... .._........................Plum6er <br />r_ <br />stnt iu of wp. � 9y thi� applicution I:.�^e� <br />3�...Tap to bc insertttl in thc mnin. to psy for thB in�tallation <br />_..../......._t�'neer �los�e , of n\\eterod conr:ec�ion <br />....f..........Bnch �. �-•. i':::t:i I�iu:-:::or atlee �o nny <br />� u,r:iafcsun of $ 3.00 por <br />......-.....Urinal ..._ . � � - ' � <br />�: i;; ;,��-. r.iontFi o:z this ne�ered <br />.....a.......rin�n faucet inside conit�c�tion as agreud upon <br />'Y .. ...�/.1>y..thc...i.y Council of <br />......Eide n•ulk «•ushcr ..... r + �VET'0'. <br />....'f.......Hosc bi6 oul=idc <br />...:-........Aose bib for building purpose= <br />.. _.. .....Ansc bib insidc <br />__.-.......Bib for stnLle contnining ....................stall......_............ <br />__..-.........IQumber ot persons in fnmily <br />.....�...Number ot'xooms in 6uildinq .J <br />The Premises are te bu used as a.._.. .__�.Z.� .:............. ........................ <br />7 /� .. <br />1'6e o���ncr o[ thu prer.mises is.�.L.UtA,..�., jJ..U,_..!�'�-���'c........._•.. <br />Theag�tit i� ..................._..................._............_U....._......................_........................... <br />Thin npplicntion, elthcuFh ei�nehd, �hall not bc binding upon thc City, until <br />ented by the Superinh n�[ t e Nuicr Depnrtment. <br />l/ <br />Signed_v�...J.CG'��/.,� ..............._.......`..................Applicent / <br />. . �.I-.. �ti.`.� �........102 "d.. D9...C:: ...,.. . ..lL .. ..... . . ... .... <br />� upedntendent <br />