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. T � -r� '7�> i /i <br /> c <br /> � \Y.D.Pa:m.I--IL00—E.P.Co.-6-26-24 � � � f . <br /> City of Everett-�Water Depa�°tment <br /> APPLICATION FOR �1ATER <br /> All Ulanks must be filled in or crossed out <br /> �� ��.�. J <br /> ��Er�tt..................... . �: ....�.. .........._isa/ <br /> TO TI3� SUPERINT�NDENT OP THE ���AT� DliPAR'Pil1ENT: <br /> CITY OP �VER�TT; <br /> I hereby apply far the use of water in accordance with the. rules and regu- <br /> lations of !he \Vater Depm�tment, for purposes nnd fixtures staicd below. <br /> During the time that any of the �vater mnins may Lc taken up by reason <br /> of any improvements authoriud Uy the City of Evemtt, in or of any street or <br /> allcy iu n•hich they may ha�ae becn lai�, the City ���ill not be rc�uired to furnish <br /> water durin� the progress ,f such improvements to any consumer �vhose suPP�Y <br /> mny tlms be cut off, or Ue ia/hic for any damnges for its failure so to do. <br /> APplication No......_.. .../ G — (6 3'2 <br /> ...................... <br /> , " � � - <br /> Block............._��.�......�_/.ya�....._.`/..:.- �.0...._.... Add... .... .'r?1..__........ <br /> No.........��?....�..J.�..--..��..5...lLYYlI�G��I�Street <br /> � ..._._.........................................._.._...__.--........__......................._..... ..._................................ � <br /> The work to be executed by..._..._....-:�-.�/.l.fivt.G�rrr.Ltz...........Plumber <br /> State size o4 tnp. � �� ' � n� <br /> ..��: Tuo to be ins�t d in the maia h <br /> ...... .......R'ater claset � ��+ <br /> ..�.......Bath ��� � 9 1 <br /> --.... ......Urinnl � �P � ' �q.�ii �U <br /> .. <br /> 7 f,Ir!'jUf �R D: <br /> ....... .....Pluin faucet inside �•�T�T .n�- <br /> � Side walk washer GY..�•c.�:.l.✓��...... ...... .. <br /> ......�.....I-Iose bib outside <br /> — : <br /> .....:..........Hose biU for Uuilding purposes <br /> ....:::.-.:...Hose bib insidc <br /> __ <br /> ..._...........BiL for stuUle coutaining....................stall.................... <br /> ...._.. ....Number of persons in family <br /> ......��..Numbcr of rooms in building <br /> The premises are to be used as- � . . .... <br /> ... . ............................ <br /> Tiic o�mer � - the premirey L ... �.�. ..�...�...f.. ...��{����.......... <br /> Theagent is...................................................................................................................... <br /> This npplicntion, although sig d, shall not 6e binding upon tk� Cit until <br /> �ptnd by the Superinten� �e � ter Department, y' <br /> Signed.�...�.. c...... . ..... ....A <br /> .... .. plreant ,. <br /> .......... .... ..f . <br /> i ,, <br /> AccePtcd.....�--� ..............1 ...f B �� � �. <br /> ... �. Y....... .... .���.-�..�iQ:f,j�', <br /> �� Sup�rinteLdg4,� <br />