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. _ � 9-,z y.-�s-,r- Or? <br /> N'.D,Fbrni b-16u0—EI'.�o.-6.:6.P1 <br /> City of Everett�Water Depnrtment <br /> APPLICATION FOR WATER <br /> All binnks must bc filled in or crosscd out <br /> L•'vcrcl t,..........c..:................ . ..._I'J2..�.`. <br /> ............2... ......... <br /> TO TIiL' SUP�RINTGNDF.NT OP THE \FATF,R EPARTil[ENT: <br /> CITY OF fi1'L•'RGTT: <br /> I heteby npply for the uye of a•nter in nccard�nce �vith the rules nnd regu- <br /> Intions of thc Nntcr Dcpartment, for purpases nnd fi�tures sinled 6clow. <br /> During t}�c limc that anp of the u�ater mnins mny Le taken up by rmaon <br /> oC nny im1irovcmenl,v nulhorized Ly thc City oC T�•erett, in or oC nny strect or <br /> nllep m �chich they mny hnve br.en inid, the City a•iil not be requireJ to fuv�ixh <br /> wnter during the proqress of vuch improvements to nny coneutner tchose auPP�3' <br /> m;�y thus 6e cut of!, or be linble for uny dmm�gos tor its fnilure so to do. <br /> Applicntion No.... _...0..�� — ? �_ (. . <br /> . ................... � . <br /> IIlock........................................ Lot.................... . Add...._...... <br /> ._..... .. ......___.. <br /> ho.... a�Q� �� st«�� <br /> . ........ <br /> __ ................................ <br /> ........... . ........ . ..... ... <br /> ... .... .. <br /> ..._... ... <br /> _ . <br /> The «•ork to be executed by...._ ..... . � ......_....Plumbcr <br /> _�� __.._ ......... <br /> Stute size of tap. //Z u..�` '/S— o� <br /> .� <br /> .. �/Z.Tnp to be inscrted in the mbin. � <br /> .........�.....Wntcr closet � ,, .'. <br /> .......�......B¢th .� . . <br /> ........-.....Urinal . j�,. <br /> -��-��...Plain fnucet in+ilr <br /> ...-...-.....Sidc n•ulk n•a�h��r <br /> ������/..-._Ilo=c bib outsid� <br /> �_��.:.:.-....Iiosc bib for i:uilding purjwse; <br /> ........—....Aosc Gib insidc <br /> ......—.._...Bib for ataLlo contnining....................stall.................... <br /> �����-.—....I�umber oP per�ons in family <br /> ������--......T*umber o[ rooma in buildin�; <br /> Tl�c premises are tn bc used as n.... �� <br /> . _.�,.L.<.�! . ...... . .. <br /> Thc o�rner of !he premiacs is. .�._._�-. � � �_ <br /> .... ,.-2�G.�._:yG�-z..... . ...... <br /> Che ngent is.................._............ <br /> . .._.................._...:................ <br /> ........................................ <br /> Chis application, ellhweh signed, ;hnll not be binding upon t6c City, until <br /> �t^d by the Superintendon of h�a r� De nrtment. <br /> Signed...........::.:...�...��....`.. ..�V \ . <br /> .. Y.............. ........ . .......Applic�t <br /> ,. / .. . <br /> eJ.... .....�.�..�1���....19.��p�. .. . . . <br /> �- B C ,� .. ......� <br /> ,/ upenntendcat <br /> i <br />