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. , <br /> -�',ti�i'��i,r/3�� �� , -,L - �,-/r <br /> �Y.D.k'orm 4-1600—E.P.Co.—L�2G-2a <br /> City of Everett�Water Depai�tment <br /> A�T'�,ICATION FOR WAT�,R <br /> AIl blanks xnust Ue filled in or crussed out <br /> Lvcrett...............���`(�-./..�........l...h................192�� <br /> TO TTI� SUPERINT�NDPNT OF TIIR R'ATER DLPART1fEK'P: <br /> CITY OR EV�It�TT: <br /> I hereUy apply for the use uf�vater in accord.mce with thc rvles nnd regu- <br /> Iations of thc Water Department, for purposes imd fixt.ures stated Uelow. <br /> During t}�e time that nny of thc water mains may be tnken up Up renson <br /> of �ny improvements uutLorized by !he City of Evcrett, in or of any strcet or <br /> ulley in which they may Lnve bcen Inid, tlie City will not 6e required to furnish <br /> �eater •luring tLe progress of such impro��ements to any consunter tvltose suPP�Y <br /> may thus Le cut off, ur be ]iabin Sm� •my damages for its fuilure so to do. <br /> C <br /> iQ <br /> APPlicatian No........./�............/...7..... —� /7 � �/ <br /> Block. .........�!....�.r..�?.--. .. Lot....../I.,.l..........._ Add....I`7...,��_�.'..._._:...�.._�..._.. <br /> N��....../..�..r��....�Gl��-'i{/...."',`.::G�.....Street ! <br /> _....__../..Z........................................................................� ............._.........._....... <br /> The work to be esecuted by.................. „ GC-��_ .__ G .................Plmuber <br /> E " . t ., <br /> Stnte ize �f tnp. ���� /"� �� � <br /> �� / � •. - <br /> ......./.....Tn to be inscrted in tlie m u�r��I plt✓� � �II �� <br /> - .....�..�t nter closet �� .�I li I ` ` <br /> 1 � 1931 <br /> ......_�....._Bath CRY Of EVEflEfT �IhTElt ���p�7� <br /> ......... ....Ur:nsl f3Y.,................ �. <br /> ..._..:..,r...... . <br /> .......?....Tlain faucet ineide � <br /> ...............Sidc walk �vasher `�.. <br /> ...._�......Hose bib outside � <br /> .........-...Hose bib for building purposes <br /> ..._.... ....FIose bib i��side <br /> .._.._-:�....Bib for staLlc containing...................stnll............ ....... <br /> ._..�....Number of person.; in family <br /> -.-......-.......Number of rooms in buildins <br /> Tiie p:emises nre to be use� as a.. ... .... ..��.!.�'._:. .............._..... ._... .. <br /> The owner of the premises is...... . ...C(Y_L(/L%4_.r�...�. `��rz <br /> Theagent is............................ ....................................................................................... <br /> This aPplication, akk ough signe�d, shnll not be binding uPon the Gity, until <br /> -^ �pted Uy the Superint�ndent of tne Nater Depnrtmenc. <br /> Signtd....G-CJ-..�"`r�--.�..�-...7.-..-....u.,..^�,,.......--....Ap dicunt <br /> > % <br /> �Led._�-..�.�....—.���-__...... 192.��/.....By......�'�..�.�...y�.-.._.... ...il.e�. � <br /> Su�, : � <br />