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� _ �_l �._. "]�i'%��� <br /> `GG�� ���y�r�� l� ., <br /> _�� <br /> �v.u,e��m a-icoa-.-r.r.co.—�-2c-2a <br /> City of Everett�Water Department � <br /> APPLICATION FOR �WATER <br /> .111 Llanks nmst be fiiled in or cras=ed out <br /> y I <br /> Everett.............................._._��_�..�........_.........-.19�FI <br /> TO 'PII� .UPLRINT�I`�D�NT OF TIIP \VATER DEPART\i�NT: <br /> CITY OR EVP:,RETT: � <br /> I liereby npply for the use of walur in necordanee with the rules and regu- <br /> lations of the Natet lloPartroent, for pmposes and fixtmre sLded Uelow. <br /> During tne time tha+ auy uf the �vatcr mnins may be taken uP by renson <br /> of any imp:oventents nu'horized by thc City of �cerett, in or of any streh nr <br /> ulley in wliich they may hnac been laid, thc City will not be required to furnish <br /> wuter during the p_�ogress of such im7irovements ia any consumer c+hose sUpp1Y <br /> mny Uius Ue cvt off, or bc liable tf�m• anb' damnges for its f�ilure so to do. <br /> Applicntim " �S� 736y -�� -/�' <br /> ..i. ............. .... ..1..._......... <br /> Blork........�..�.�........ .... Lot..a.�..L...6........_...... .. A . _... ._.......___.. .......'���� T� <br /> No.....�.!''"...�,.�......�.. ... ........... . .... Strect � <br /> __ .. . . .... . <br /> Tlie n•ork to be esecuted bl�-..........-.._............ . _ _... ..._................-.P1umUei• <br /> �St te size o_ t¢p. <br /> �i........Tap to bc insrrtrd in tl�e mnin. / ., �I S � . <br /> ....�..........Natcr closet /7 � <br /> .�.............Bnth <br /> ................Urinnl � �. <br /> '...�-.......Pinin fnucet inside � . . ' <br /> , � <br /> ._..5idc walk �vasher -� �, �� � ' ' <br /> ... I -.` . . , <br /> �... IIose bib outside ' � � '� "�� ��%`� <br /> ........... .� � - 1�.'.--'. `:r. <br /> `� . <br /> ..........._ Hasc bib for Uuilding P�rposes '.�r -`�� -'. „'�`•.� <br /> ... <br /> \ j t, <br /> . B b for,stable contaimn stall..'\,`..'� <br /> .`-_...—'..— ' ' �.................... .._.�. <br /> .....--..'-:I�umbcr oz persons in family � <br /> ...!�.......I�TumUer of rooins in Uuildin�� , <br /> TUe premises are to be used us ...... . ? <br /> . . .. .. ..............._. .q.............. <br /> Tlie o�vner of tl�e Prernises is.. .. .._ct.�.0'T�'-5.,._. .... . .�.-t%e.� <br /> Tlie ngent is......... \ <br /> ............................................................................................................. <br /> . his npplicntion, althou�h signed, sLnll not be binding upon the Ci , until <br /> ^d Ly the Superintendcnt of the N.�ter Department. <br /> J <br /> Signed.....�....�,.-a....�... - . .. p nnt . <br /> . � . . <br /> i . <br /> ...�..`.�....:.........1'J ... BY--�� . . _ ....� . ...... <br /> � � `L�S dent <br />