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� .- <br /> ����Gl iR-!�-?v �l �. �cz,r , - > �`i II . '��J . <br /> \Y.Il.k'orm J-1600--E.P.Co.—G-2G YE <br /> �ity of Everett--�Water Department <br /> AP�'LrCATIG�1 FOR. WAT�R <br /> All blanl:s muoc Le filled �n ur cras=ed out <br /> lvcrett,..........._..._.�.r..f...�'-�:.�._.�-I.........._._....192.�� <br /> TO TII� SUPliRINT�D'DENT OR TI�IE R'ATBP, vEPART.IIENT: <br /> C1TY OR EV�P.ET7': <br /> I hereUy npply fm• t��c use o[�vater 'sn nccardnnce wi':h the rules nnd regu- <br /> lations of the `Anter llepz-hnent, !'or Imrposes and fixtcres stnted Uclo�v. <br /> During tl�e time thac any of thc watcr mnins mny be tnken up by reason <br /> of any improvemrnts audureized Ly the City of Ibcrrtt, in o+ of any street or <br /> allcy in �vhich lh^y may h:n•e been laid, the City will not be �equired to furnish <br /> �v.tcr durin;; the p::gresn of such irtProvements to any wnsumer whose su]�ply <br /> m:iy thus be cu', cff, or Ue liable fm� auy danmges for its failure so to do. <br /> Application A'o.......-(�'.�...�..�:�........ 7 da�� , <br /> Block.........................._......... � ......... .,... . .........._.. Add.. �.� ' � � . <br /> ... <br /> ._......_..__.__.....;._.......... <br /> No......�._�.�...Z_ . .. .. .. .. . _. ....�,�...Strect ' <br /> ..........._........_......................................................_........................._.......... .. . . <br /> . ......................... <br /> The work to be er.ecuted by..................._..��,.Gc.... -....._.......Plumber . <br /> Q � �jsoG <br /> Statc sizc of tuP• y <br /> ....��z.Tap to be inscrted in tl�e mnin. ��, � ��;- . � , � , <br /> J.......\Vnter closet ' .-"� i .::�.. . . :,,� . <br /> � �. 1 . .��).;..... <br /> .......�...._..Bath � . : .� :� �.��..., <br /> __ �.i � p•!-' - �' � � <br /> ........... ..Urinal �.J Of F.y_rl.� <br /> .......�:...Plnm faucet inside � ' � � <br /> :............. ...... <br /> ._......-...5ide wallc washcr �: <br /> _......�...._Hose bib outside ''�'�� <br /> ...._�..Hose bib for Luilding Purpuses <br /> ..........�.Hose bib inside <br /> ..___—.....Bic for stuLle contai�ing....................stnll._................. <br /> ....._�......Number of persons in inir�iiy <br /> ....!�..._NumUer of roomc i�� builuing <br /> Thc Pi'emises nre to be used ns n_.. .. .......����� ��/7.... <br /> . . . ............................_.._._..... <br /> The owner of the prer.iires is........ .../LYLL(.�GLA'L.�.....�L.Lt�z.�_ <br /> Thengent is..............................................................._......_..............................----............ <br /> This nPPlicntiou, nitl�outih signed, shnll not be Uir�.ting upon the City, until <br /> �epted by tlm Superin�tefn�ent o_f the Water Department. <br /> 5igned.........!�....�"�.�,`.-..'..`"...'...`....��.`�. `�..dpp ica t <br /> �centr.d......1..�.-�.?r...:-..192 T�p. . BY....... ............ .. .. . .��� . <br /> / . ........... <br /> uP��ent <br /> � / �4 <br />