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'- .. -` -`-.� -- ; _ � �, c_,�.'Lv�a_,,,-i , - � ...,rl <br /> ,. - _ ,� . � .�- �: �- - � . <br /> \V.D.1'ann T-�-tLoO—E.I'."...—G-GG2.! <br /> City of Everett���T�ater Depai�tment <br /> APFLICATION FOR �TATER <br /> AII lJanks must Ue filled in o: crossed uuL <br /> . 7 <br /> liverett�...............__...LL.�..__.a'CJ.......19'?...j <br /> 7'0 17�Ili SUPliRINTI3NLI3NT OR THP R':1TER �1 .:I2T)lEA'T: <br /> CiTY OP PVL1t�TT: <br /> 1 hereby app:y for the use of wnt..�� in accm�d�mce with tlie �vles und regn- <br /> lutions of tlic Nntcr Deparun^_nt, for purpuses and fixtures s'.ated Lclow. <br /> Pw�ing the time thnt •.ny of the �ceter m.iins mny Ue t:ilccn up by rcnson <br /> of nnp iu:provements aulhor zed by the City of E�:erett, in or of uny strcet ur <br /> clley in �vhich they m:iy hav„ bcen lnid, Uho Ci6y will not bc required tu furni�L <br /> o•ater during thc progress af :vd+ improvepmenls to nny cons+�mer �vL�sc auppl}' <br /> ma tlius U� cuL eff, or..�`�tl�,f.qr an... d✓n���e�or��/i�u� l��� � <br /> 61 cl:.,i�ilication No•..�..._Q.. L�ot.'D..'.......Y. (� A �. . �ir.,�2�.. .. .. <br /> No.......�.Q._�..!'.t'..._...�5....SrZ!'r._'�'^_'.""'_"."..'1.....St-cet � <br /> ...._...... ......_.._........___. ............._...._................_.........._....._..... .._. ..................._......_._.._ <br /> The vm�lt to U�. executed by....... ...__.....__ ._._... ...... __.__...__.._... .....PlUmber <br /> Stry[a sizc of tup. <br /> � � <br /> ... ...Y.......Tap to hc inscrted in thc main. O <br /> ................R�ater closet � <br /> ...-.---.L'ath l <br /> ' <br /> � <br /> ....._......._Urinnl � ' � ��-i,�', <br /> ............._.Plnin fnucet inside � <br /> __.__.......Side walk wnsher <br /> ................Hosc bib outsidc <br /> ...._..._.....I�ose bib for Uuilding P���'Poses <br /> ................I�iose 6ib inside <br /> ................Bib for stnblc contnining....................:tnll.................... <br /> ......_........Nmnbcr of persons in fnmily <br /> _.�.......NumUcr of rooms in Uuilding (� � ' <br /> Tlie prmuises nre to be used us a....._....Y�--S-`?.��_-'�-�v+--Y <br /> . .. . . .... �.__...._.... <br /> /� _ _..... <br /> '�'hc o�mcr of the premises is......�rQ.e.q,n„�. ..C��. <br /> I CC... . ._.. ....... .. . <br /> � ngent is....._.........................................................................................................._.. <br /> �his npplication, nithocgh signed, s',all nut be binding uPon the City, until <br /> �� .cd Uy thr. :'��Pcriutrndent of the Na�.m• l�epartment. ,,,/// <br /> Sigced........�...��.�lild!d/._...Y..(���tcS.!.J.�"!�.....APplicant d <br /> n���P��a:_-f..–..3l�.._..9f�z_._ is.ti-..�r . .. _............................ g. <br /> . F <br /> _/ <br /> _ . 5uperintendent <br />