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'_I....�r IZ� p�-'/S (�,�'L;'i 71. _. . :_ C'i : - <br /> 11'.I).Por.�.�—Is'10—i.P.Co.�u'_6"?f <br /> City of Everett�Water Department <br /> AaPPLICI�T'ION FOR WATER <br /> All Uhuil:s mcst bc filled in or rrusscd uut <br /> / � � _ <br /> Everett..................��2�:....—�.Q..............._.....192-�.. <br /> PO 'PTI� SUPERINTLNDLNT OR T}!C \VATER D�I'9RTil1ENT: <br /> CITY Ol' �VEltli'L'1': <br /> I here6y apply for the use of w::ler in accordm�ce with lhe riiles nnd �egu- <br /> lations of the Natcr Detiartntent, for pm7�o,es r.nd fix'm•es stated Uelow. <br /> During the time that an3' of thn, �vatcr mnins mny bc ��iten up by rca�un <br /> of :my impro��emmils nuthnrized by tiic Ciip of E��crett, in or of nny street or <br /> :�Iley in �.vhich iheg mr.y hace Ucen laid, the City will not be required to furnisli <br /> ���ater during Uie.prugress of such improvements to any� cunsumer �vhase supply <br /> m;.;; thus Le cut u{f, or bc liable t an}• demnges for iLs fuilure so to do. <br /> c/6 — <br /> App!icaticn No._._0..<.1..J............._...... � <br /> c <br /> . _ ...._.. ..__._ ..___ _ .. <br /> Block..._.... `�.�._.... ...._.—.. .�__ 'Lot..../.,�............ .__.._... Add. .... <br /> ATo....../..��...�....�...G_2a.c�:�u.rt..:F/......Straet <br /> __. _.... .. _... _.......... ... . . . ../. . . ... _......... ... .......__... <br /> 'CLc ��oik to uc executed bl �� �- � u-" a.-.-- . . P'.anr�er <br /> State sizc of tap. ��/5 � <br /> ..�z..._Tnp to be inserted in the main. <br /> ......�........Nntcr closet <br /> _....�........Bnth � �� � �f�j�/ <br /> ....�.........Urinal � I <br /> __.1........Plain faucet 'nside �lry 0�0�`� n <br /> . .....Side wnik wnsher $y�- fV'. - �J2� � <br /> .�__./.... _.IIo=e bib outside ( �' '� ..,�p W�rER DiP'r <br /> ...... <br /> _.....—..._Ii�se bib ,ar Uuilling purpnses - ••,.. <br /> ........., <br /> —�..Hosc bib inside "' <br /> .._.......... <br /> ..._....—.-..Bib for staUlc contnining....................stall.................... <br /> ..........�..Nwnbcr of persons in family <br /> _.�.f..... NumUer of rooms in building � <br /> � � premises nrc to be used as a.._ . '..?--L C�.C,�,,,.�2�s. . ,��� <br /> �ic owner of. thc premises �s ..���.z,�.� .�..� ( �• �� . ( ���. <br /> Cl�� <br /> iieagent is................_............._..................__..........._...................._....._............._...... � <br /> C::is application, nithou�h sigucd, shall not be binding upon thc City, until <br /> �� ��tcd Uy the Superintendcnt of the NaLer Depnrtment. <br /> �`'/` /' � / <br /> Signed�._��.����....C.�.-L:�C�ai`�I _�.��JPPIi nt <br /> :apl d.....��.. .> ...[f.J....:-.1:Y��. By......_.. 1��..�'N/��..... ._.......x <br /> � uPermtendent • <br /> '--�, <br /> � <br />