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'L�_tC.-cl l:--� .r.__� . . <br /> � . <br /> �R'.D.F'orm i-IGOo-E.P.Co.-G2G�24 <br /> City of Everett^-Water Department <br /> v — <br /> APPLICATION FOR WATER <br /> All binnks nmst Ue filled in or crossed out <br /> Everett,........._...........�.1..�.�..%.lG.�.U/-�...�c...15?..� <br /> TO TII� cUP�.RINTliND�NT OR TFI� NATER DliPAR'I:�fENT: <br /> CITY OF �VLRCTT: <br /> I hemby npp]y for the use of«�nter in �ccordance with thc rules und regu- <br /> lutions ot thc Nnter Department, for purpuses and fix?ures stated 6clu�v. <br /> Durin� thc Limc that any of the �vater nmins may Le taken up bp rrnson <br /> of any improvemonts authorized by the City of ]iverett, in or e" uny ytrr�+, or <br /> ulley in whirh ihey may hace been ]1id, the City �vill not 6e required to f�rnish <br /> water dm•ing the Proeress ot such impr�aements to miy ccnsumer whose supply <br /> may thus bc cut uff, or Uc liable for nny damaqes far its failure so to do. <br /> APPlication No......'�j�.O..��.._......- '� �'l � : <br /> Block................................`........ ot.. ��...-............. ...�... Add......_..._�_....:_.___.. ........ <br /> , No._........�.�..�_5�.....{ .�.G?�.s.r�-.�.fi....-u-c.dAJtreet <br /> ............. ....._.................._..... ...........................................�..._........ . <br /> . ...... .... . . <br /> 9'he work to be ezeccud by...........__�....J�-..'7.,/.:�� ......_......PlumUer <br /> �Ita't/e si+e of tnp. �%L � �S �� <br /> ..../l.�.9'np to be inserted in the mnin <br /> ... �......���uter closei + , ,_`.,- / �. - : <br /> ..._F.......Bath i fr' `Y (i'��j j � ; '. <br /> � ��`-�; _..__, <br /> __..—.....Urinnl � '��1� i ! <br /> 2 '� 19?9°`=�.� <br /> ......�.,,-..Plair. £flucet inside �..1'V i�p p�th�'I r ��, .,, . <br /> ........�....Sidc walk crasher �- - I <br /> ......../.....Hosc bib outsidc <br /> ......._—.Hose bib for UuiWing purposes �� <br /> ......... ..Hosc bib inside �'� <br /> ..._.�._.Bib for stnblc containing._.-_............st�ll....._............. <br /> ........-.-1\umbcr of persons in family <br /> .....,�...�-......Number of romns in building �yq� � �, <br /> Tl�e premises arc to be used as u. ..___...I....�..`.�.': <br /> ....._.........................../r,.... <br /> The otmer of the premises is... ...l��t<�C�fi.v.cx..�C. :������__ <br /> Theagent ?s........................................................................................... <br /> ........................... <br /> This nPplication, although signed, shnll not be binding upon ttie City, until <br /> •cep'ed by tl�e Superintendcnt of the Nater Dapartment. <br /> 5 ign�d_:�............................................. ... ...A�t <br /> . ..... .................... <br /> .Pt�a..�/._ -��-..-..��z � 8�.. �,F.J.... � <br /> ....... <br /> Supe ent , <br />