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✓'LV_`.i ..�._-- ' - � . ��__t.x�_ I'�_ .. - �, " • . i • • � <br /> {1'.IL Pcrm A—IG00—E.1'.Ca—�2G-=i • <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> A7 blanks must lie filled in or crassed aut <br /> I�:em'ett,......._ ': _,.�r`!l.... .�.Q...._....._......L'!°...... <br /> _.._�... <br /> PO TIIE SUPERIN'PIsNDGN7' OF� ICATI?R DEPARTAIGNT: <br /> C1TY O� EVIRliTT: <br /> I hereLy „��iy ro� the use uf u•�..ter in accordanre aith the rules .mJ regu- <br /> latiuns of thc Na[er Depnrtment, for pm�pnses and fi�tures stated Lelow. <br /> During thr time Uiat any of tFe �'��ter mains may be takun up by rcason <br /> of nny imprnvemcnts .uthorized Ly i ne Cily of Pcerett, in m• oC nny street or <br /> n!�cy in tehidi ihcy may h.n•e Leen Isid. tne Cily ��•ill not bc required to fun�ish <br /> �vuter during the progrcas ot such imnracements to �ny ronaumer ��Lose supply <br /> may thus Ue cut ofC, or be IiuLlc for anY damages fut its fuilure so to Jo. <br /> , nnl�licntion ro..... . ...YL _ <br /> ? ���L <br /> ' I31ock �.y.��. ........ Lot �—z - -'— �'...._. Add._._..._.. <br /> / .. ___.__...... .._. <br /> No..._ / .3...�Y�. ...� ._..._ ..._Strcet <br /> ._. . .. _.__...._._. _ _. .... ......._. .............. <br /> The �vm�lc to be execuled by . �.� .. „ Plumber <br /> p G <br /> SL�tc size of tnt�. � --' �• �� ? S/Z "Z <br /> �/ ✓ <br /> -.....Y._Tnp to bc inserted in the main. <br /> � ._....�.......1Patcr doset <br /> .__._�........11atli . . <br /> — � <br /> ...............Urmnl . .. <br /> ......2....Plnin faucet insidc <br /> _--__�...Sidc ��alic �cnshcr <br /> ._./......_..I3ose LiU outside <br /> " ....�_..IIose biL for huilding purposes <br /> .___-..._IIase bib insiJc <br /> ...�.......BiU for stablc contnining.._...._..........stall........._......... <br /> � . I�umbcr of persons in family <br /> �Number af rooms m Uuilding <br /> . premises are to Le used ns ��(^� <br /> ��'�ncr of thc pm�s`'�, ��- � �/�[-jL.� <br /> ..nt is...... .... Z< ....:��� .,/ .._ . <br /> � ..... ........ ._ . <br /> 1'his npplication, nithough signed, shall not be Uinding upon the City, until <br /> nccepted Ly ihe Superinlendart o tphe \Cnle Depar ent. <br /> Signed..�'...._....._..�.l..F.....�C�.tL�tiC'"y� _ ...ApPlic. t <br /> . ............. . <br /> Accepted.__ ._...1...-.�/}.......192... . BY.. . !j <br /> / � <br /> . ......................... <br /> �.uperintendent <br /> �� <br />