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��c�c° 9- �o-3s-/I F3P <br />p . • • <br />N. R F'urro d--III)O--E.P.Co.-6-2G2C <br />Ci�y of Everett-�Water Department <br />APPLICATIOI� FOR W.�TER <br />All Llmiks nmst Uc filled in or cyyssed out <br />�cerett,......���� ............19?.% <br />TO TIIE SUP�RINTGNDPNT OF THE \14\TI:It DPPAP.T\ICNT: <br />CITY OR EVP�:I:TY: <br />I IicreUy npp:y for the usc of water in accnrdnuce �vith thc rules nnd regu- <br />lutions of the Nnter Department, far purPoses :md fistm•es stated bclotv. <br />During the time lhat nny of thc �c�tcr m:�ins mny be taken uP �Y T�ason <br />of an1' ����Prm•ements nuthorized by thc City of Ecerett, in or of nny atmet or <br />ulley in «'liich lhey mny huvc bcen lnid, t:�e City will noE bc required to fnrnish <br />water daring the progress uf such imjirovamenbt to nny consunur whose sunply <br />m:�y thus be cu6 off, or Le linble for uny dmnaF;es tor ils fnilure so to do. <br />Applicntion No......C�....�.�:a..r ............. % �S 3 — <br />7, � '�r <br />Block............................._......... I.ot.........-::./.°.................---- Add..__...... _............_....._..._.. <br />No...........�..:'-_2. �.....`�%�..�..Gf/!.ln:x<R�E...Street <br />i <br />............. <br />__ _ __ ..... �7 <br />...... . . . ._......_ ................... ....._... ................ .. .... ................ <br />, �, ��^7.��:.-' ..............Plum6e: <br />The work lo be executed by...._...... ,�_... . �f'' <br />�� o�� <br />�stut s;zc ot tnp. , 6' <br />�...Tnp to be inscrted in the main. <br />.__ 1....Nnter closet � � <br />.....�.�.......Bnth � � <br />/........Urinnl � �� <br />...... . <br />..._z......Pluin fuucet insidc f� <br />i <br />........ .....Side walk �vnshcr <br />.......1.......Hosc 6iU oulsidc <br />.._.... ....Aosc bib far building purposes <br />..._.. .....Hosc bib inside <br />........ ..IfiU for stable contnining ....................stall.................... <br />. ....../...�..Numbcr of persons in fnmily <br />.....f�........Number of rumns in building <br />The premises nrc to be�/nJs�ed as n� ._ ...__ ................... ................._................. <br />The owner of the prm?ySE�hB. �! = . . � �' . ���.... <br />'Che ngent i= ..............................�F� �.._........................................._...... <br />"`his npplicntion, nithouqh signed, shall noc be binding upon the Ciry, until <br />ted by the Superintendent uf thu R'ater Departmen <br />/•''`%�1JvJ " <br />Signed .................................... . ..............:.�.... ...�!'/i!: . PPlicnnt <br />ccepted.....�c1�...�.........19 ... BY...._IY ......... /, <br />� � ��.,� ... . . <br />erintendent , <br />