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w. u. ro:m a-�son-E.e.co.-c z� sa <br />City �f Everett�Water Department <br />�'a�'PLICA�'ION �OR WATER <br />All blanks mttst be filled in or crosaed out <br />� i / <br />Evcrett,.........._�cti.:�` .,�.... �.��....� ...............1D2.L.. <br />TO TI?Yl SUI'I'sRINT�NP�NT OR TIi 'ATP:R DPPARTI�fENT: ' <br />CITY OF EVERETT: <br />1 licrabr :ipp;y for the u,e of �v:tter in accordance �vith thc rules nnd rgu- <br />lations of ihe �tlntcr Depnrtment, fm• pw�puses nnd fistures stnted below. <br />During the time thnt any of thc waicr mains may Ue tak m uP UY rcason <br />of an}' improvemen4i au'horized by ihe Citp of Er^_rett, in or of nny streeti or <br />alley in which �hcy msy hne�e Ueen l:tid, the City �cill not be required to furnish <br />water during lhe progress oC such iiuprovcmcnts to any consumer �vhoec suPP�Y <br />m:y thus Le cnt off, u* I;e liabl��or :my dmnnges for its t¢ilure so to do. <br />AP�licution No......�,'=-��_-�' ................ �(. S F I <br />Block................ . _._.._ Lot..,.��:�.../.........._._......... Add._......._._......_.................. <br />No._2.3rJ� .�il�'-ti'I. ..� �"�"-`'�� !n i. /tu,.-./ <br />. <br />�r�u-.-� f'» yl � �.��'�—. r �! �(`i.. !. ! �` !:. � i <br />The work to be exer,uted by_.._._.___.._.. ......... ��_ �._........._...PlumUer <br />� G.G...,..... <br />Statc sizc of t¢p. . ��l ,� � , <br />....���.....Tnp to Ue inserted in the mai.+..� � <br />. � ;; �r.;�� <br />:._`.-"........«'ater closet . , .�._ <br />'' �Y ;�.� i_14fl�T1-�Yf1i�_�� �� <br />....... ....Butl� . .. - � <br />_ � <br />, .. . .... _... <br />_ .............Urmal .F...... ..... .. .. <br />.....2.:.......Plnin fnucet insidc <br />._..:_:. ....Side wnik tvn�Ler <br />......�........Hosc Uib outsidc <br />....._ ......Iio=c bib for building purposes <br />..__.`.....IIose bib insidu <br />.......... ..Eib for stable contnining..........__......stall ................_.. <br />.........-....NumUer of persons in :nmily <br />....�.......Number of romns in Uuildir:g <br />Tlie premises arc to be used ns n.... .. _..... S.,�'.'j... .. .. ........_.._........_ �� - <br />The o�vncr of the remises is.�� �. ��_(/.,� _, r��� <br />P . .. .._.. _.�/]-117:.-L:..:.:.._[_. <br />Thcagent is....._ ......................................._............_................__......................._......._.. <br />This application, although signed, shall not be binding upon the City, until <br />����,cPted Ly the Superin^t-e�ndeut aP the Nnte/r �Department. <br />SignedK....../r�Y?.:...�. . . �f���.}• . APPlicnnt <br />.... <br />�+-:���ted........._�-.30..i��. By...__�;.. .. <br />. <br />� uperintendent <br />