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_i_ <br />�°t�aX� $-'1_y-�Q .�� , . c-wl9-.� $t-1I.._ �:��y -:T<��, <br />w. n. ro.m a-uao-s.r.co.-s-zs-za <br />City of Everett�W�ter Department <br />APP�,ICATION FQ�Z �ATF�R <br />All blr.nks must be filled in or crossed out <br />Everett....."�`-�T...........I...b..� .............. _._....192.0..' <br />PO TIIr SUPliRIN'PEIQllGN'P OF TAE \�'ATi:R DCPAP.TniENT: <br />C1TY OP �V�RETT; <br />I IiereUy apply for the use of �cater in accordnnce with tUe riilcs tmd regu- <br />lntions of tlie \i'nter Department, fm• purposes nnd fixWres stated Ueln�v. <br />� Duung thc time thnt any oF thc water mains mny be lal<en up by renson <br />of ntiy improvements aUthorited by the City ot lverett, in or of uny �treet or <br />ulley in which ihey mny hacz �cen lnid, thc City �rill not be :equit'ed to furnini� <br />wuter dm�ir.g the progress of sUch improvements to imy consunmr �vhose supPly <br />may thu., Uc cut off, or be linLle for any demuges for its failure so lo do. <br />Applicntion No..._._�.g.:z..l......2....-72 % % <br />Block ............................_....-...... aL,ot...�...._d� ..-�.e...................... Ad���e�"�'� <br />No..... . . C. �....��-�c�0'?'�-4.-. <br />13 Cc<v�t����t <br />.. _ ......................................................._.........._......._......n ..�................... ....._....... <br />._...1'hc work to be executed bY......_ ................�'�'�-�'�'�"�'�.�:..........Pltiltitrer-- <br />f/�I t te size of tap. <br />� Tap to be inscrted in the main. �� <br />, I �_..... <br />.....Nutcr � cleset <br />.. ._. � .,,i� <br />..�..........._Buth � <br />� � ., <br />...............Urmnl . � . <br />�.._....Plain faucet inside � <br />..�.-...::.:.Side wnik wnsher -� � ' - � � <br />_..`..- .....I�ose biU outside � � -�-�-���... (f <br />................Aosc bib Sor building purposes /I; � � � � . <br />................IIose bib inside ( <br />................Bib for staUle containing....................stall.................... , <br />................Nrmbcr uf persons in family - <br />.....�.......Number of rooms in building � ,,,(� �.n , , ' ,, <br />Tlie premises are to be used as n........1!w...�Cf'"�^�-+.^n-"q'C�-.",�.n-5....���..._........�..•. <br />The owner of the Prer.�ises i7.%41LJ�..L........LK.K.S.S.:e. .... ...... <br />Thengent is....._ ..................................................................................�-.. <br />'Phis applicntion, nithough signed, aliull nut be binJing upon the City, until <br />'� 7 by the Superintendcnt of lhe Nater Dep¢rtment. <br />�4.�..�E�:�.` �.r' � ................A l�cnnt <br />Signed........�Qll/��-.. `�� .. . ... pp ' <br />�...... <br />�- � �_-.....192`�... II / <br />., . _ y.... .. .. .. /�� ..,_ .. .. . . . . .. ... <br />5uperintendenC � <br />