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4�..�.�uLa�-JJ U' n' .. .i ,. E:�C, �-.;.?.,1'� �l'1-, <br />A <br />\Y. R I'ur �--I60n—E,P.Co.-6�P6-^.A <br />City of Everett�—Water Departinent <br />r-" T ICATION FOR WATER <br />All Ulenks must Ue filled in or erossed out <br />_ , <br />; ������t ......... . ... �;1. y._................._...... ......��,�. <br />TO TIIE SUl'PRINTliNDEA`T OR TIiL 1PA'PCR D�PARTi11EN'C: <br />CITY OF �\'EIt�TT: <br />I hereby �PP�Y for the use of water in accordmue witli ihe �vle:+ and re6u- <br />lations ot the \Vater Depnrtment, for I�mpo�es :md fix� w�es statcd bclow. <br />Puring thc time that any of th� w�tcr mnins may be tol:en up by reuson <br />of any improvements nulhorized Uy Lhe CiLy oL Pverett, in or of any sLrcet or <br />ulley in �vhich they mny have bcen Inid, t'w City wi6 not he reqnired :o furnisli <br />water during tlie progress o[ such im�rovemcnts to �my consumcr whose supply <br />iuny thus Le cut oLf, Gor 7be linble for :mb' d�:u1nuges far its failure so to do. <br />A��plicntion \0..0,! . 1 � � � <br />.. .. � ......................... <br />Block . .... . Lot._ z-. z � .. Add . ._..._.. .__. . .... <br />N(�..... - .. .. . -�/ <br />I'[.3�tic-��T�/ ...�':!«��4Str.�'"4 <br />L Y�� �_. ��� /ti�� t�.�:� �'. ��;:�. �.h . . ... ...._ . ._. _. <br />The work to be cxecuted bY..._..........._. .._ ..............__..___._..............Plumber <br />Iff`- <br />�scntc izc of tnp. / � <br />_Tap to bc inserted in tlim m�in. � �� ,-� .� <br />---._�...Nnter closet � ��; <br />......._�..13ath .' <br />.........�...Urinal <br />_.....Z....Plnin fuucet ii+sidc <br />...._...-:...Side walk u�nshcr <br />......�..._...IIosc Uib outside <br />...._.. .._Hasc Lib for buiWing puryosce <br />........�....IIose bib inside <br />.......-:.....Bib far staUlc contnining ....................stall.................... <br />.....-:..^.......\umbcr of persons in family <br />._.r�..__NumUer of romns in Luilding <br />The P�•emisey nre to be esed ns n. �i..... 2����' ........................ <br />.......... . <br />_.. <br />TLe o«mcr of the Premi;es is......�.9..'._�J:.._._. _(�r�lc.----�-.-..-...-. <br />Thea�ent is ......................_........................._._......................_�......_.....:_.............. <br />Tl�is npplicntion, ulthouqh sign^d, ahall not be binding uPon tlie City, until <br />nccePted by the Superintendcnt ot the \1'at/er7Depnr� nt. i <br />SiSnedV/..!'_...'._"...U..\..'.V..N-.......d�'_.Applicunt � <br />. ..... ... .... .......... . <br />- ............192� BY... � .. . <br />ACCr.pted.._..�...w.��... �����J .�. ,. �_ ....... .......... <br />� . -L / Super:ntenden[ <br />