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l <br /> ¢�.tt=�`� �-�3-2�-c � t-,�c�r_�{� ' �'J.�c. ;-.1 �!�)a, -- <br /> • I' <br /> l�:'.D.Fr,rm 4--1600—E.P.Co.—&-G�2/ <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All Ulanks mu,t 6e filkd in or crussed out <br /> ��/' ---� <br /> C v c r c t t...............................�...'.C—...�:.—•..._r�.....Y..._...19?.:�J.. <br /> PO THC SUPliItINTliNDEN'I` Ol� TiIE \PATRI2 llEPARTI[�N'C: <br /> C1TY OF �VCI:CTT: <br /> I LereLy npply for the use oL�cater iu uccardauce �vitli the rules nnd regu- <br /> Intions of lhc 1�'ntcr Depnrtment, for pmposes nnd Cisiures shded bclow. <br /> lluring the lime thnt m�y of U:e water mnins mny bc lnl:en up Uy renson <br /> ot nuy improecrro:.ts nuthorised Uy� the Citp of licere.t, in or ot nny sLrcet or <br /> nlley in which �hr; niay hnce Lcen laid, the City �eill not bc required to furnish <br /> �eater during the •�rogress of such improvements to any consumer �ehnse supply <br /> m:�y Uius Lc cut c�ii, or,(�b/c�lin`L�lc for nny dmm�ges tor ils failure sa Co dc. <br /> App!icntion Nc....0..5>..,/....,...._`.�� � I <br /> [31uck �, 'd 1....... ..... . Lot . `'�.—�. ......._ Add... ._. / ...r.__:�`�I�..... .... <br /> No..�o���. ��-�-C/L(,?. Street <br /> ._............................................ . .. ......_........._.............. <br /> The n•ork to be executed by....... .... _ � . _ 4-.�^-"`� Plumber <br /> . L. . .. .. p ................... <br /> St�tc s}ce of tnI• !-S n ' <br /> �://.y��.'i r% ^ <br /> .<.f.+-. np to be inserted in thc nmin. �—��f" , C� <br /> \\'nter closet ... ' ,,�\ ,I ��I 'n}-�1,Q�y <br /> / Urin'nl � ��, i '`'�'Y/ <br /> ............ � � . � <br /> �. uEC � ��ir,�: ` � <br /> ............... J 1 <br /> .._�......Plnin faucet insiJc CI�IY OF CVCIlE 1 i:_�'T <br /> — Sidc �cnik «•nsher � <br /> ................ <br /> C:'................ � .......................... <br /> .....�.........I�Iose bib outside <br /> ......-.-.....I�ose bib for buil.ling purposes '� <br /> ......—.:....fIosc Uib inside � <br /> ...:..—......Bib for stnblc contnining....................stall........._......... <br /> - - <br /> . .............A'mnUer ot persons in fnmily <br /> �•��+P�„75...�4\ur.ibcr of 7oonis in buildmg l` C <br /> "?�e nrcn�ises are to be used as n..e.!/f���y�'�`<•�_t. .,�. ...2� <br /> ic �n�n��r of thc prcr.»ses is� .:7111�:<�. �� ?G�..C� -�� <br /> . � <br /> �ent �s..............................................._..................._....(J..._.................._.............. <br /> � ��plication, nithough signed, shnll not bc Uiuding upon lhc Ciry, un il � <br /> thc Superint/en7dcnt of lhe N�cr�P1epnrtment. <br /> .._ �igned�...'./�_�/.�%1�::.. ....�...�.C..f.N��.. J plicnn <br /> ..... ...... ... <br /> � 7 �,(� <br /> �i . �/�.-..��.._...1, . By...... .._ -..,l�%:Y ................... <br /> 'Su cnnlendent <br /> , , , .__ �a—_.r_— .. <br />