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.-.4.< <, 7- ��-�/-/1 'c��_c, is./ - i -�, _:"'! 1� <br /> lV.D.I'mm 4-1'uo0—E.I'.Co.—L-2G24 � � • <br /> City �f Everett�Water Depai•tment <br /> APPLICATION FOR WATER <br /> All blanks must Le filled in or crossed out <br /> _� i <br /> �vcrett.............--.—..lr:::.:....._.�._�.._.. ...........192:..'�../ <br /> 'CO THG SUP�1fIiVTlitIllPNT OP TfIP,�VATGR UEPARTilI�NT: <br /> CITYt QP��V�2iBTT; <br /> I hereby npnly for the u,c of n�ater in accnrdunce �vitli the rules und regu- <br /> Intions ot the n'ator Dep•irtment, for Purposes and fistm•es stnted below. � <br /> During the time thnt any of thc wnter mnins tnny Ue taken vp Ly rwson <br /> of anp improve:ucnts authorized Uy Lhe City of LceretC, in or oi uny atreet ar <br /> alley in wliich ihey m�y hsce Ueen lnid, the City will nut be mquired to furnish <br /> wuter during the prog�ess of such improremunts to nny cnnsmner wliose supply <br /> may Ums bc cut eft, or Ue liuble far :my damnges for its Coilnre so to do. <br /> P.pplication No......�.CJ...C1...S.......... - I��� � <br /> No ck..................'--�....._.......�a:�?1�:ri .I +..' . ...... Add._'..._........ ' <br /> . . .... . . ._...._._......._.... <br /> �} ..... <br /> �- �-?/����-- . .l:z:c�Street <br /> .......... ............_.n._...._...........................4................................... <br /> . �..................._.................'_.... <br /> The wark to bc executed by...._........-�1-ts��.. _.............._....plumber <br /> ��s�� <br /> Stn� size of tAp. _�� <br /> ....� 1..._T p to Ue inserted in .he �mnin. <br /> .......�.......Natcr closet <br /> ......./......Bath <br /> ...._.-.-:.....Urinal . , <br /> .......�-.....Plnin faucet inside <br /> ......C-:....Side walk washer <br /> .......�.......Hose bib outs:de <br /> .....�........Hose bib fo� building purpoaes <br /> ...... ....._Hose bib inside <br /> ... ..........Bib for stable cuntaining....................stnll................._. <br /> _...:-.......A'umber of persons in fnmily <br /> ..l'.........Number of roams in bui!ding � <br /> The premises nre to Se used ns a -�._ ��,�c.>,_ . . � <br /> _._........._........... <br /> Thc owner of the premises is..... .,�Ci>::-t-L�L/�r.,.c ctl_�r���u.r_ <br /> Theagent is................................................................................................... <br /> ................... <br /> �'hi: spplicatioa, nithough signrd, ,hnll nnk be binding upon the City, until <br /> �� ••� d Uy the Super+nten nt of the �i'nter Ucpnrtment. <br /> S!Bned....................................................... .�� / <br /> �i Y....,._.,.. ._ _. . .....�np��icai t �� <br /> :1c��rp:ed..,.L.�.:"...�.�...�.L......-.....1 "� � �� � <br /> �... ...!f�. K..._.....� <br /> B /1�!�.cF <br /> �dcht <br /> � <br />