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; <br /> -(���GUY*%//✓��.,�� / ``/ t/ _ 2 ` , /r <br /> �w <br /> W.D.Furn�a-IGUO-E.P.Co.-L-2G".4 <br /> Ci�3� of Everett�Water Department <br /> APPLI�ATION FOR WATER <br /> All Llviks must be filled in or crossed out <br /> �verett....................Lc. ..(/���.�.�/..._...._192 j-.� <br /> TO TIIP SUPERINTPND�A'T OP T7IE R'A'f�DEPART.`.IEDI'G <br /> CITY OF B��GRETT: <br /> I Irereby nPP�S fcr the u=e of wnter in accardnnce �e�th the rutes and regu- <br /> lations of the R'ater Department, for purposes .�nd fix'm�es stated Uclow. <br /> During thc time thnt any of the �vater mains mag h� taken up hy reason <br /> of nny improvements nuthorized by the Ci:y of Ccerett, in or of nny strect or <br /> alley in which they map hare bcen laid, th: City will n�t be mquired to furnish <br /> acter dnring tlie progress uf such improvements to ar..� consumer wliose supply <br /> m:�y thus i.c cut otf, or Le liab�ile for �ny damcges ior Its fnilur< so to do. <br /> Applic¢tion No.---.�..�...C.l...�.. -- � n 3,2 <br /> .__._ <br /> , ,_ y1 ,::1... . �� . <br /> Block.....................n.-_��.U...d.0 .::��_�_4f . ........... Add.._.!..�.:L"........._.............. ....�� <br /> , � ��� � <br /> �o. _%-��r � str��t <br /> _ __ _ . _-... . . ,. _�_ . .... .. ; .. ... <br /> The wcrk to be executed bY....... ......-� .. . ..................--...........PlumUer <br /> Stnt size of tnp. �, �//� A � j'? ('- <br /> ,..��-.�: Tap to be inscrted in The main, � L=� �� � (� � <br /> ` 4I <br /> ... <br /> .......�.......Nntcr closet � A�� 2 11�31� <br /> ...._L........Bnch cirr aF �� vuTeR aEe�� <br /> — .u���ai / <br /> , <br /> . : . <br /> ....... <br /> e�..........,w..,,...;�.._....._. <br /> ........�..-...Plain faucet inside . � "'-"""" <br /> ....... ._.Side �valk �vashe: <br /> ...._�........Hose bib outside � <br /> ...............Hosc bib for building purposes <br /> _..... ....Hosr UiU insidc <br /> — <br /> ._�.............Bib for stnblc cuntaining....................stn ....._.._. ..--- <br /> ,....� .Numbcr af persons in fart�ily <br /> .....��...Number of rooms in building q7 <br /> The PTemises arr. to be used ns a./�....._�...r1v�:...�.J................/.../.__...../__/i..... <br /> The omner of the premises is....��.�//?!!�i'7../r�.�t...�.(� .I-rCr'::fd.- � <br /> Thcagent is...................................................................................................................... � <br /> Thi.^. appliraticn, although signed, shnll not 6e binding upon the City, until <br /> � �.'.ed by the Suncrintc lcnt of thc Nater Depertment. <br /> Signed................................................... ...../...� .......................... ..A licun�� <br /> �d_...�....-.2�.-...19.�..f BY-.......1"_.�� ._.L..cF'-//.,t!,:,•. <br /> SuP rinkeadc�f£ - <br /> r�� <br />