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. �. <br /> ,� �t�/ i1 -J�-3a � / <br /> , �- .��Cr1�-�' !' -9- =: ._ • _ , <br /> \Y.U.Purm d—luOU—E.P.Co.6-2G-24 <br /> C:ty of Everett--rWater Depai�tment <br /> APPLICAT�ON FOR WATER <br /> All blanl:s must be filled in or crossed out <br /> �����tt................_��.��....y.................��z� <br /> TO TI�� SUPERINT�ND�N'1' OR TII� \PAT1iR DLPART\IENT: <br /> C1TY OR �VI's[tETT: <br /> I hcreby apply for thc use of wntcr in accard;.ncc «•ilh the rules nnd ^egu- <br /> lations of thc \�'ater Depnrtmevt, for PurPoses and fixtures stated below. <br /> Dw�ing tbe timc that nny of the wntcr mnin; r.my be talcen up Uy renson <br /> of any i�nprovem^_nts autLori�ed by Lhc Cily oC P��erett, in or of any strect or <br /> alley in which thcy may liace Ucen l:;fd, the City wilt not be required to furnish <br /> w;�ter during the progress of such improvements to n�•� consmner whose evPP�Y <br /> m:iy thus bu cut off, or bc liable for ;�uy damngos for�it.; �nilure so to do. <br /> ApP�ication No.......�D..,y� 6 6 z <br /> .. ........ , <br /> Block...............Z..�� L . .... •�.�� � kZ.cc,'. <br /> ._..... �J . .... ._._.. Add..._�41..................... ..... <br /> xo....___/.3./a....�TL-n�r�it.....T�c-�stro�t <br /> ..__............_._....._........_.._............................._........._.. <br /> .................. ....._.............................. <br /> The �vork tc be executed by........._...___. . _. .__._. .........Plumbcr <br /> _.. . <br /> State size of tap. � �� /„5�`-�� <br /> .._���....Tnp to he inserted in the main. <br /> ......�.......\Vnter closet <br /> _..�...._..Bath �/ . <br /> .._.... -.._lirinnl !- <br /> ......�.._Plnin faucet inside <br /> ......... ....5ide walk a�ashcr � <br /> _...../......_I�Iose bib outsidc <br /> .._.....�._Hase Uib for building p�rPos2s <br /> ....._.�....Hose bib inside <br /> ..._-.-......Bib for staUlc containing......_...........stall............__.... <br /> .........—:.ATumber of persons in family <br /> .Numbcr of rooms in building <br /> ...... ....... <br /> Thc premises nre to be us�d as a........ __....(t_�'__..._._._....................._ � <br /> - _./�� <br /> The owner of the premises is........... . ...CGyt,,1i(�l�Yr� ��L�.� <br /> Thea�ent is..............................................................._.......... <br /> .......................................... <br /> This applicatior., nithough signed. shnll not be binding upon the City, until <br /> . •e�tcu by tl�e Superintundent cf the Watcr Depnrtment. <br /> Signed.....Q. .......................... y--CL,�._ _ <br /> .....................��............---.�..........Appl icpn� <br /> d....��.-...19.....-:.......19Y..�..0 By......(....�.rv.tq,/. L�iL'":��-. <br /> ,' <br /> � ... ......,,�................f'_.._... <br /> :,upeain`endent <br /> �/ <br /> t <br /> i'. <br />