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v�U_. S. bn"U . . <� J. __ .-� �__. . ._ � r. <br /> lP.D.Furm i —1600—F..I'.G.—G2G-2d <br /> City of Ev2rett�--Water Dep�rtment <br /> 1'�P��,ICATION �OR �IATE�� <br /> A^. Ulanl:s must Ue filled in ur cre:,;:e3 oaL <br /> � <br /> 'l" � <br /> L��,.<<t..................... ......... .....-...................._........19�....�.� <br /> i <br /> TO 1'HIs' SUPF.RINTL�'IQU�N7` (1R T�IF. N,1TGR DEPAP.T➢IliI�'T: <br /> CITY �F' T:V�!.i:TT: <br /> I hereby apply for the cse of tv:tter in accordance with tlic rules and regu- <br /> lntions of the 1Vater Departnr�ni, fnr pmpos�es rmd iix7ur�s sbned Ueloic, <br /> During thc time that any ot thc wsster mnins mny be tnlren up by renscr <br /> of any improvements authorized by the City of �aerett, in or of nny street or <br /> elley in �vliich ihe,y may hace been laid, the City will not be ro�uired to furnisli <br /> waCer during the progress oi such imP�nremcnts to auy consumer whose suPP�Y <br /> m:�y thus be cut off, or Cbe, ]i ble for eny dcmages for its failure so to dn. <br /> APPiicntion No.........a...� � �. �U `�J� <br /> ................ <br /> Blocl:....................._.. .... ... Lot....................._... ........... Add........... . _ . ...___... ..._..._ � <br /> no.......�.�.�aL._.�p,._ . ....Street <br /> ... ... .._..................._....................................... _. ..............._`....... _. _.__.... ...._......._.._. <br /> Tlie wodc to be exccuted b � <br /> y......._...._. .._. ........ __........._ .................. ]umber <br /> 5� size of tnp. <br /> � <br /> ./�.......Tnp to be inscrbed in the main. � .� / �-� � <br /> .._..�........Nater closet r1. � '=' <br /> .../...........Bath <br /> —......—Uitnal � <br /> � <br /> ................Plain £uucet in�ide � , <br /> ................Side �valk washer , .. .� . <br /> �� <br /> .............._Hose bib ouLside � : i�, � <br /> --- <br /> _..............Hose bib for Lr�ilding purposes � <br /> ._— . <br /> ..._...........Hose bib ineide � <br /> ................Bib for stable contnining....................stnll.................... <br /> -�....__2Lmber of peisons in family <br /> .. ..........Number of rooms in building /^/' • <br /> The premises are to Ue used ns 1........._ l..1.�1�,Q��2_ . <br /> The owner of the premises is...... ... ........ ....._ �G'c.�p�t-yC._. �,�_: <br /> agentiis.............................._.... ......._.........................................._.......................... <br /> '� o npplieati qn, nithou�h signed, :;lial' not be binding upon the City, until <br /> bp the Superintendcnt of the R'ater Department. <br /> Signed�/....�ii����!!!//I� .y�. �lY�JN. .. ......... Applicant / <br /> - .�.. -...._.....1'J2� ....By....._..cy<'.�?�� � <br /> ................... <br /> .. <br /> . , ttperintendent <br />