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�� <br /> Pti r� Ir-17-�.� - �. . � � ?' „ rz- z v � <br /> � <br /> YL I).Yonr,d.-IiOn—E.CCo.-6.2G-2d <br /> City of Everett--•Water Department <br /> AP�LICATION FOR V�TATER <br /> AII Linnks must bc filled in or cresseS out <br /> Evcrett,...._.........._!� �....... ._..........192t� <br /> . .. ..... .... .. <br /> TO TII� SUPERIA'TIsNllENT OR TIiS \i'ATPR �PAP.Tn1ENT: <br /> CITY OP EVEI2�TT: <br /> I hercUp apply for the use of�cater in accordance�vith the rules nnd regu- <br /> Ieliet�� of thu��Vatcr Departmeut, for purposes a,nd [ix�m�es stated belcw, <br /> During Lhe time that any of tl�e �vater mains mny be tukcu up b;� renson <br /> of nny improvementa Autliorized by the ^ity of Pverett, in w• of nny slecet or <br /> ullcy in �vLich they may hnve 6een laid, thc City tvi11 not be requimd to `urnisli <br /> �a'r.ter during the p:rogress ot such impro�•ements to nny ennsumer whose �cpp]y <br /> um� thus be cut off, or,j�c liable for auy damuges fur its fnilure su to do. <br /> 4' <br /> .4.pPlicntion No.......0._Q.O...�........__. � `/�' <br /> ,� L'locic..........._�...._^-...�......._ Lot..........1_�.�.1.�...__ AddN-��l�� , <br /> j ........._. <br /> No....l.�.Q..S..� � <br /> . ..y........ ...._.......................S tre e t <br /> ...._._._.............................._............_.............._........................ ......__........................... <br /> �, Thc �vork to be executed by..........._......:"-----�. . _...P1mnUer <br /> ...._ _. __ .. _... . <br /> State size of tnp. . � � <br /> � <br /> . -�.._/a.-�..Tnp to be inserted in the mnin. ��� �. o .� <br /> .--._..�...�Yatcr closet ' /� —� <br /> .._...../_....P,a t li <br /> ........".-...Urinu] / <br /> -........—._Plain f::ucet inside / <br /> I ..� <br /> ..._....-"...Side wallc washer � <br /> ....... ......Hose bib oulside � <br /> ...... ....._Idose Lib fur Luilding purposes � <br /> .... ......._Hose Uib inside - . - <br /> ....��.........Bib for stable containin /�" � � <br /> g.........�:.....stall...�.........._ �-�- <br /> i <br /> ..-.__�...Numbcr of persons in family � � � -�-� <br /> ....._Lr�,.NumUer of rooms ir. 6uilding <br /> The premises arc to be used as n. .._.... <br /> .......... .... <br /> � / __ <br /> ....................................... <br /> The o�vner of the premises is_. _�_(i.t/,_, <br /> r�U��=�.................._.. <br /> The ngent is.............................."-:-t':.: <br /> �—�� <br /> ..._...._......._.............:.................. <br /> ............... ....- <br /> This npplicntion, nithough signed, ahnl! not Ue binding upon tlm City, until <br /> nccen�^' b�� the Superintendent nf the Nalcr Department. <br /> ,/� l' //� � �� <br /> '�.gnecic,:............l�.J......C�c+vrL%R-�T'C��'1 <br /> ..................................��..�.l... .../.....App 'cnnt <br /> Aeeei... .l�: .�...�.._t32...... By.✓'.: L2. :'................ <br /> � � <br /> --'-✓y.'.,_,...'�t�erintenden� <br />