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�.��� �-, 3-' � �J�' <br />tY. R I'arr� A—lSoo—E.P.i.._-c-zt-24 <br />Ci�y of Everett--�Wa�er Department <br />APP�,IC��TION FOR W�TER <br />P.11 blanl:s must be filled in or crossed out <br />/ /� <br />�vcrett,...........�.�r�-... --,3.........._...1�J2..G <br />� <br />1'0 TIiE FUPGRINTENDEAiT OP TAP WATPtt EPAP.Til7�NT: <br />CITY OF I.sV�];�TT: <br />I hercby app!p for thr use oC r:ater in accord:mce with the ro.lrs and regu- <br />lations of the i�'nter LeP�rttnent, for puiposes nnd fixtmro:: st�ted below. <br />Dering the time that say of the �r�ter mnins may be taken up by reason <br />of a.n, irnprovzments m�t?,orized by the City of �verett, in or of uny aLrcet or <br />nllcy in rvhich thcy muy hu�:c l�:en laid, the City will not bc required lo furuisl� <br />�vnter dc �ing f.he progrese. of ruch im, rovements to any consumer wlio�e suPP�Y <br />m:�y thus Ue cuc off, or be ]iaUle for any dainn�zs for its fnilure so to do. <br />Application No.....�.�. ... z" z- � <br />.�J .. ........._.....__. (� C ! o <br />� <br />Blocls.............................._......_ Lot.............:.:;�.._......_...... Add...._ _...__........_._.............. <br />No..r:�2'7�2i�c._.� .�.. � ............._Street <br />O <br />�..� :' ..:'_:._. ......./� � .ti:.. � 4�: �1.�'.:�..±� ..............._..... ....... ._ ..._... ............................ <br />Tlie ���ork to be executed by._......._._ ('� ....................Plnmber <br />___._........ . <br />-j � f;;._:,_--�--. <br />S�Ue cize of tap. � J <br />O��}.....Tap to Ue inserted in the main. <br />...._c:::.....�Vater closet <br />........— :...73nth <br />....... .....Urinal <br />....._�::.P:nin fnucet insiJe <br />....... �-Sidc walk wnshcr <br />.......:r..-:.Hosc Uib outside <br />� <br />. � .. -.� �,y;., , . <br />�� /... . <br />......—::....I3ose Uib for l�uilding purpuse., <br />...... ......IIose bib insidc <br />....._.........Bib for stnLle containing ....................stall........._......... <br />....... ......Numbcr of persons in family <br />.... j....-..Number of rooms in Uuildinq <br />The premi��a are to 6e used as n.... ......� . ........._ ... _...__........... <br />The o�vncr of '.he premises is.... ..... <br />��/� _.. . . . _....�u-��-,�....... <br />Then6_�nt is ................................//..,...................._...................................................... <br />C/ <br />Thie application, nithough signed, shall nat be binding upon She City, w�til <br />::. �rtited by the Superi/ntenden of ie �Na/ter Departmen�t. <br />Signed.v....... � �� /.�-a-�-a-cry. � ...... ... .....Applicant <br />h/ .. <br />:.:.d....._�.�o��/:�:::10 . B <br />� � � -� ...... .................... . <br />. 5uperintendent <br />