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� <br /> L,-_-�� �. :� 3 ,c �}, ti ,��-� '-'— � — � t� r^, <br /> W.0.Porm�—I500—F P.C¢-6".G 2i <br /> City of Everett�--�Water Uepartment <br /> APPLICATION FOR WATER <br /> All binnks must bc filled in or :rossed o��t <br /> �ccrett,........_:�..�..�.�...�...:.... .�c........_....................19....!(' <br /> TO THE SUPERINTCNDCNT OF THF: \VATRR DEPAPTDiENT: <br /> CITY OF �VEP.I;TT; <br /> I hereby npply for tLe use uC water in acrord:mce «•ith LUc ivles ned regu- <br /> Intiuns of thc R'nter Deparl�uent, for purpo�es nnd fix'ures sLited bclo�v. <br /> During Uie time thnt �ny of q�c water mnins mny be tnicen up by� rcason <br /> of nny i�nnrocements avUiorized by thc City of 6vcrett, in or oC nny street or <br /> ulley in which lhey mny hnce been laid, t:�e City �vill not be required to furnish <br /> �vnter during the progress ot such improvements to nny consu�urr whuse supply <br /> m:.y thus be cut uff, or(�'be liable for ;.ny dnnmges for its fnilure so to do. <br /> Applicntton�o.....Q....G.�.��.�.............� , <br /> ' .....:.....� <br /> Qlocic....._.....b.... ..:...�........... Lot.................9...�......-.-............ Add... .:...._..i................ <br /> No...a.�..���..—..-.���e.�t<t/�(J...........Strcet <br /> . ....__ ............._..............................._...............`./...�....��_,....�..�...�.._..�..._.........:.__.......................... <br /> Tl�e wm�k to 6e esecuted by.........../..yti!i'_'!�'..✓_?�.................PlumUer <br /> i � p . <br /> 5�te size of Lnp. //�� � ��• �/� <br /> - pl�..._Tnp to bc inscrted in thc main, � ��-•` �:� t-*j � � t�C <br /> � , ,. �� <br /> _ Nntcr closet �.... .��`.: ._�,i r. <br /> , i . , <br /> ._....... .. " . .�.. � '� <br /> .�...... <br /> Bnth lly nf;(; �' , ( � �•'� ��� <br /> .....-�J''.. Urinnl �� .. ✓f.��p` 1,4? 4C`% <br /> ...?j..........Plnin fnucet inside �"�'.., T 1%�T6 �• <br /> .. �R <br /> ......—.....Sidc wnik •,va:;her �;o•T <br /> , ••. <br /> ..I...........Hosc bib outsidc L• .�..... . <br /> ....�c...._Ho�c bih for building purposes •...... <br /> . .....—:.....IIose lib inside <br /> ..._..—r:..11ib far stnUle cmitaining...................stnll.................... <br /> .....—�......A'ombm• of persons in fnmily <br /> LL -��2�/. .. . .'umLer of rooms in building <br /> � r G'L:jL .. <br /> The remises nre to Ue used us a..._._... ���`��'�u� <br /> The o���ner of the premises is...�1!f�........ .. . .. .. ....Gs::..-.c�_ <br /> Thcngent is...................................................................................................................... <br /> 7'his ap�ilicntion, nllhuugli signed, ,hnll not be binding upon the City, u il <br /> ' ' � by thc Superintendcnt of lhc Wnter� nrtment. � <br /> ��:�nc�I�...�7LQ<L,�.�y/�..... ............ . ... ... .... . .. plicun <br /> :y _ , <br /> n«�;: _......�.-.......ioz..� n>�... �.. . .. . . ... . ........................... <br /> /� Superintendent <br />