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, <br /> �v�/ i.�-�- a� - <. . ������ ��. ___ : _ r - <br /> R' IJ.Porm i—luda—E.P.Co.—L-2G�24 <br /> City of Everett�ZVater Department <br /> APPLICATION FJ� WATER <br /> :111 Ll:r:l;s uwst Uc filled in or cros:•ed aut <br /> � <br /> IS��crett...............................�...- y...�_'3.�....103...... <br /> 7'O 19I1? SiJI'I?I;Iti'P1:=;i�i�:N'i' OF TI�IG NATGR D�PAIiTIt�NT: <br /> C1TY OF EVEI.CTT; <br /> I ha�eLy apply for thr use of water in nccord:�nce �vith tUe rules nnd regu- <br /> lations oE the R'nter Depnrtment, far pm�poses and fis!ures stnted balow. <br /> During tLe time that nny of the watcr mains mny Ue tnken u� Uy zcason <br /> oi eny improve:nents autliorired 6y the City uf I:veret�, in or of any street oc <br /> :�Iiey in which the} may have Ueen laid, the Ci�.y �cill nol be reyuimd to ;urnish <br /> �c:ter during the Fnrogress of su;•h imProvement., to any consumer wl�ose supply <br /> m:�y thus bc cu�: o.ff, or be liabple for :my da�mLages for its failure so to do. <br /> Applicatiorz No....�.�.....✓.�....4...�..............�-! v2� ' <br />� P�lock............2.�1/.(�...... ._. �.oY............ '�'....�.............. Add../_�f....�`..�..Gc'�,�1 <br /> . .............. <br /> No.....��-3-Q.�..��/..7�72�r-Cf/?.:.��-.Street <br /> Tlm work to be executed bY.............- .....--..............-..-.....-....Plumber <br /> � G <br /> Statc sizc of tap. � �2� ���°o -.� <br /> ._�Z.r...Tap to Uc inserted in the mam. � !,=•'�,i 1 r 1 � <br /> � i <br /> , , <br /> Nntcr closet = � � � .` �' <br /> ... ......._ . ' ' t(:ry7 .... <br /> ......�......_Liath ��:i! OF k�rh.'S7 i'�"i f ..-"M <br /> ........—..L'rinnl -� v � <br /> , . . -:............, <br /> -..._:.,r � f .. <br /> Z..._Plain fnucet insidc .� "���`"'.".,^ . <br /> .... :�.i _ _ <br /> ..._._-....Side tvulk �casher � <br /> ......./.......Hose bib outsidc � <br /> .......—.....Hose bib for Uuilding purPoses <br /> ......".-....Hase bib inside <br /> _.....----.Bib for stable containin�......_............stall.................... <br /> ....:...—...Nuntber of persnns in Lamily <br /> ---�:.. NumUer of c•omns in buildidg� <br /> ...... <br /> The premises nre to bc �sed as .... .. ... t����. ._. _..__..._._.../ <br /> � .. _�...�.......... <br /> The owner of the premises is... " .G'72.U./.0:-2.r�_....C�,,.L_l:e�.... <br /> Tlicugent is................................................_........._....._.................................................. <br /> This npplication, nithou�h signrl, shall not Ue binding upon the City, untii <br /> �.�.:cepted Uy tihe SuPerin[enlent of tt:e �Vnter Dernrtment. <br /> Signed....'V......!�,�r.a,�--�__,_. ..... Applic�(c <br /> / <br /> �j i� �J 'G .. 'l . / � , <br /> . LC:¢pCed..:%::....,..._...................1�J2_.... By...t.CY.1'�.:�.%.'....::�.��_........� <br /> � 3pperJnCendent <br /> ' ! <br />