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i <br /> Z-�+-x-a •�`r.ao�,q . - - - -._„� ., (- . . , � .. ,. <br /> CL It 1'o:m S—t'u0a—l.P.Cu.—G-96�'_'a . .. � <br /> r'' y of Everett��VWater Departmene <br /> �'�' �,ICATI(JN rC�R W1�TER <br /> ' All 61anl:s must � fillcd in or crossed out <br /> � . ) <br /> , Everett,....._.`./...r..<_�.............7..1._..._.............192.�.. <br /> PO TH� SUFLItINT�I�DIiVT OP.TIrE NATP:P. DliPARTnfE�T: <br /> . C1TY OF ECEI2lTT: <br /> I Iie,eLy ,��;�� rar the use oC�cater in aceord:mce n�ith :he rWes nnd rrgu- <br /> lati•�as ot tY.c ��'ater Depnrtment, for purt�aes nnd fix'mes stated Uelotv. <br /> During thc time that any of thc wa[er main�. mny be taken up Uy reasan <br /> of nm• improvenicnts authnrized by the City of Everett, in or oC any ;trcet ur <br /> .�llcy in wkch i7iey ntay La��e been laid, the City will noC Le required [o furnish <br /> v::rter dm�ing ihc progress of snrh imin�oeemmits ta any cansumer tvliose sup�ily <br /> m:y tlius Uc cvt eff,por�1bc lia�b/lc for any danm�cs for its fnilure so to do. <br /> Applicntion No...P../..�1....b..........._....... <br /> ' I:luck......._�..�.�......... Lot__...... �� . _..._. Add........... <br /> /�i_�� 1 '�/ � <br /> _.._.. <br /> ..._.._...._.......__.... <br /> � �o....,�-._� `_J-..../T�'",`.. .............._.............Strcc! <br /> __ (.�'. s o I.� .............__ <br /> _ .. _........._................... ........_... .._................_........_..... <br /> �� The work to be executed 6y.........._��C.-y,Gb.—.... ......Plumber <br /> G....... ... <br /> Stnte zc af tnp. /��— ���� ✓�-�� �� <br /> ' ��..Tap to bc inserted in the main. ' I � -j� y� <br /> -.z-....Wntcr closet � - " ' ' � � � <br /> n,,, . <br /> • � „ . .� <br /> _.—.r-....._.n.�e , <br /> ,._ � 1 -; <br /> t.l,? <br /> — Urinnl �" nF Ev�a=rr b <br /> .... <br /> ..., ,JYCi%,s , ..._ <br /> ... �.._..Plain fnucet insiJe �� �"`� � ' <br /> ..........,t.., _. . <br /> .. .... <br /> ......-�.:.:�..:..Sidc �valk wnsher .......... <br /> -.-.L.......FIoec bib ouLsidc .�., <br /> ................Hase biL for building purposes <br /> ._...:.:.:.....Iiosc Uib insidc <br /> .....:-:.:._..Bib for s!nUlc contai��ing...................stn�l.................... <br /> _- <br /> .............._A*umber of persons in family <br /> a <br /> -.-�......._Numbc: of rooms in buildiug \ p � <br /> Tiie premises are to 6e used as n........_�:Ct?-�?��.,__� � <br /> .. .. .. �.. .. <br /> --.. <br /> The owner of thc preeiises is................__.......... <br /> ._.._................__........................... <br /> Thcagent is....._.................................................._........_.... <br /> ............................................ <br /> This npplication, nithou�h signed, shall not bc Uinding upon thc City, n� <br /> nccepted by tlm Superintendcnt of the \ r tm,eyt. <br /> Sigr.ed.`.�. .��....//...r����� __ ....Applicnn <br /> dceepted__._.._�._- ..��,�.�.._1021J2 ➢v✓ �._ fj�� . .. •. <br /> , ._. . ................._........ \ <br /> � .y=�. Superinbzndent <br />