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�. - <br /> A,--� �a:��-;_5 . <br /> . . �<.�/ �._�—a- >- '-} 7 <br /> �,.��.�������a—�san—s.r.co.�sc-za <br /> City of Everett��TJater Department <br /> APPLICATION FOR W.1�TER <br /> All blunks must be fi�led in or crossed out <br /> i <br /> Everett...... � _...........199.�... <br /> ......................................�............ <br /> TO TIIP. SUPPRINTEND��IT OR TIIC ��'ATEP. DEYARTIti�NT: <br /> CITY OP �V�RHTT: <br /> I ;�ereby upp!y fm• the use of waler in uccm�J:ittcc���ith ���hc rules and iegu- <br /> lutions o[ tUe Nater Depnrtment, for purposes :md :istures slaicd Uelow. <br /> During the time that any of the n�atcr mains may Ue tuken up Ly resaon <br /> of any improacmen;s autho:ized b the Cit.p of r.cerett, in or of nny strce6 or <br /> alley in whicl� Ihey may ha�'c bevn laid, thc City wiil not Le requircd to furnisli <br /> a•ater during the progress of such impmverocnts to nny co�sumer whose suPP�Y <br /> mcy thus be cuL off, or bc IiaLle :orp�any dumuges for its failure su to do. <br /> Applicatian No........� D�-�o� <br /> .................. ....... <br /> Blocic........................_._._...... l,pk Add.. <br /> - ....._.......... ...........__.._ .__..._. ..........___. .._ __. <br /> / G�Na_...__.---_..�-�.��?...Q::��.G:�LI. .. .. treet <br /> ....._._.................._............_._.._.._........................__.._..._...._...._.__.. ..__....................._....... <br /> The work to Ue exernted by........._.. .. _ .._._...P]umLcr <br /> . ..... .. .. ._. ._.............__... <br /> Statc size of tnp. <br /> /,/ . -L��. <br /> <�:_.........T�p to t � `nserted in tlie maiu. .�-N�' <br /> ...-....::.._Water closet �.�-'�` <br /> � ��_� . <br /> ......_..:.....BatL <br /> _:........ur��n� <br /> 5 '� <br /> ......._.......Plnin fnucet ire;idc <br /> ................Sidc wnik tvaaher <br /> ��--..-...._..S�osc Uib outeide <br /> ................Aose bib for bui]ding purPoses ; <br /> __............fIose biU ineidc �' ' . <br /> __..._.......Bib for stablc cantaining....................stall.._................ <br /> �...............Kumhcr of person, in fnmiiy <br /> ���_...........NumLer of rooms in Uuilding -� <br /> Thc premises are to be used us n<h......r - <br /> ...�C.h�.-1..c. <br /> f1v� �.�......-ti°_`-`-,�e <br /> The o��mer of the premises ie....._..Q�,u i,.P / • <br /> _ ..._.._.L<Ll7S,_Q,Q,c_.c� <br /> The a�ent is--................__...............� . <br /> ........................... <br /> .......................................................................... <br /> ! Tn�s npplicn{ion, nithouqh signed, shnll not be bi)iding uPon the Cit <br /> accepted by the Superintendent oP the �4nter De n�rtment. � Y, until <br /> /�. O� � <br /> Sigdc�d......�::...C!%1.........'G-�>...._ /_._�sL�i- <br /> �— ,.�.. .... . -7..:kz:.APPlicant <br /> „ �- * i <br /> Accep;ed.......:�%�..-:..�...r —.�...192"Z.. By._ . �"� ... G.rl:'�% � � <br /> ' <br /> � r. �". .. � .. .-'�........_............. <br /> - � '� Superintendent <br /> " �� <br /> 1 <br />