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��u�--r. `S '/-�l--f 1� �I �7^ :-U..-5.-�5 <br /> 4 <br /> W.L.1'orm i-1600—E.P.Ca.-6-2G26 � <br /> City of Evei��tt-�Wa�er Depa�tment <br /> �PFLICATION FOR �AZ'ER <br /> All blanl�s must bc filled in or cra�sed out <br /> � Everett.............\. ._....... '.. . ..o�..�.........--......192.0.. <br /> TO TII� SiiP�RINTEA'liT'sNT OR THP•, 'ATPIt �PAR7'➢tENT: <br /> CITY OP � PRtiTT: <br /> I hm�cUy apply For the v.�c of tcatur in accardanro with thc rules �nd regu- <br /> Inti.ns oF the R�ater Dep:irhnent, Cor purPosce nnd fis'm�es stated Sclow. <br /> Dw�in� the timc that any ot the �vater mnins nay be tnken up Uy rca�on <br /> 01 any improcemm�ts au.horized Uy tlie City of L:verett, in or of anp s��reet or <br /> a',rp in u•hich thcy may lixce heen laid, tlie City will not bc requirel to furnisli <br /> a�ater du:•ing thr progress of =uch im,ravements to r.ny cansumer w•no:�e supply <br /> may thus be rut cft, c� Uc liaUle for any dam.�gs for its fz�ilure so to do. <br /> Application A�_._....g..�.4?.�............ 73��+. <br /> Blo_k.... . ^.9 ' -. _.........._... <br /> o. _... r.oc.._2.3...:�_ _ �aa.._.........._..... . <br /> "_ ...... <br /> � ......... <br /> ^ _...... <br /> �v..f..�,_...✓--ar�z.(J-ah-�..............scrnec <br /> _._. ..__.._...............................................�............. .............._..._............... <br /> The wc:k to be executed by...._....�N-=a"'�-�ti���- . <br /> — ....Plumber <br /> ;;:�� sizc oe tup. ° `�5 r� (o . <br /> ��� Tap to be inserted in the main. ��°.! 3 J <br /> .�.'.......... <br /> .. .....Natcr closet i ..(�. <br /> S` <br /> ._�.........._Bnth S ��} <br /> ... ..........Urinal <br /> ��........Plnin faucet insidc <br /> -�Sidr \V31IK '<%tS�1BT <br /> L�- <br /> ...........iio�� b;v .,uc,�a� <br /> �.. ..._..Hose 2ib for building Purposes <br /> �-..--.._SIose biL inside i <br /> .:.:.: .........BiU for stu;ilc contuining...................stn;l.._..............� i � . � <br /> ...._..�...Nm-�:1�. : ,�f persons in family �, <br /> ....�.':.......NmnLer of rooms in building � . <br /> The premises are to be used ns a.... .�...___.... .... .. � . . ---. � <br /> '..... .. <br /> ....._..... <br /> The o�vn�r of the premises is.......�._�......_ ___-+'�--�Z....-......-........ <br /> The. agent is..................................._...._....__....._........_......................_..._.................. <br /> TLis nPPlication, nllhough �igred, ;halL�ot be Linuing u�:.., the City, until <br /> urcr d Ly the Supc:in:en�eC��+f=19e V�ajer Depnrhnent. <br /> // � �'/��� �� <br /> �, Si6me;i...L�......���a'_ C.:-.�C..�....7'."...L.....,(..... .�...........Applicnnt , <br /> � ,_ ,9/�i <br /> �pt�d_...�.:..e...f�__......132��... BY ......I�:iJ' . . .__...............' <br /> �;;� Superintendent / <br />