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i � � �� <br />t.t.:..C'rJ /-f - 3' 7'S"� - • (_iu4 3� 1 O " %'FS '' , <br />q' ll.l'o:m4-IR00-E.P.Co.-6-2fi-3� <br />(.',i*�� of Everett�Water De?�artment <br />LICATION FOR WATER <br />All bl:tnks must Lc fille� in or crossed out <br />Ec�,rn! :.........................-.l..:.... e...................._.......... ..1�.... `� <br />TO TIiE SUPERINTEND�NT OR THP WATER DCPARTDIENT: <br />CITY OR PVLl2LTT: <br />I licreby nPP�Y for the u�e of �eater in accm•dnnce witL tim rules and regu- <br />lati��ns oi t}�e \i'nter Deparhnen�, for purPoses nnd fixtures 9i1TC(I bl'IOW. <br />Uuring the time thut miy �L thc wat:cr mnins may be tnken up by reason <br />of :u�y improvements authoriee2 by the ('ity of Everett, in or of nny �treet or <br />nllcy in which t.hcy mny hnve been lnid, the City will not be mquired to furnish <br />tvater during the progress nf such im�irovements to any consumer whose supply <br />�uay thus be cut off, ar�e�i�l�r any dmm�ges for iCs failure sa to do. <br />Appticntion No..........._..._ ..............:....... - %-2 92 <br />131ock......................... ............. Lot_�q.�.........�....._......... Add...._........__..----................... <br />A'a........�..� �.. �..�C.�.�.1.-'c��G.�l��-= �L.�Strcet <br />The ���ork to be executed bY........_ ......................_./........'..........___..........Plumber <br />�ntC size of tnp. <br />.... /`.�......Tap to Ue inscrted in the mnin. ��� <br />`...........Nutcr c1osM \� <br />................Bath � <br />...�......._...Urinnl �y <br />r- _ <br />............ Pluin faucrt inside . � . . ��. •� 1 <br />_�............Sidc ��•alk �vnshcr I� . � �. �; I . .. � 7 <br />....._.........Hose UiU ortsidc "' ..��1��'����.. � I . ��. ..._.% <br />.._—_..,._i7ose bi6 iar building �iiirpddes"+I.fi�% �� '.. ��'�',' pcp•1 <br />(�� <br />.�:,,._....I3ase bil, inside � � -'_ .......... .. ............. ......._.......... <br />_�.-�....Bib for staUle rontaining .............�....stnll:................... <br />..�..—...Numbcr of }crsons in family <br />i <br />....,J.........NumUcr of rooms in building , /� - � _ <br />TF.? nre.mises ure tn be used ns a.�_./or-r��(�v�-?�-�-�-�'.:....._ ................... <br />. Tnr. o���?r of the Premises is.......4....�...:....�.�CZCI.. ...7'?�.�-�...... <br />. The egent i= ..............................................................................................._..................... <br />This upniication, nithougU signed, :hall not be binding upon the City, until <br />nccepted Uy .he SuPerinG:ndent of ihe \Vater Department. <br />... .. ,o ///jjj <br />SiEned.Ci'L 3!�l/:...a�.r..C...:..��............� Applicnnt <br />� //J � <br />. .... ............. <br />n��ent�a........,.>.c,l•:2.....-....ioz.�.. sY......� ...... _/� .,........ <br />� � .................... <br />Superintendent <br />�" ��y..�. ,'ri . <br />� <br />