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d!. D. I'onG r-16i1J—E.i'.Ce.—L-:G.4 <br />City of Everett�Watei� Depnrtraent <br />APP�LICA�'IOIv FOR WATER <br />All UI:inl:s must be filled in or crossed aut <br />liverett ............. . /3 ' <br />i -{ <br />. ........ c. ...... .._._ ..................................7:i'�_. <br />TO TIi� SUPPRINT�A�ll�A'T OP TIiE NATP•.R UP•.PARTIltli1T: <br />C1TY OP .VCIiliTT: <br />I hureLy apply for the use of �cater in accordaucc a�itli the rules and regu- <br />lations af the Water Depnrtment, for purposes nn¢ I.ixt:ves st�del helow. <br />lluring [Le time thnt any oC the tcater mains• m�iy �c tnken up Uy rcasan <br />of any improvmncn[s authorir.ed 6y the City of Ecereft, in or of any street or <br />aliey in u�hich t3cy may have Lecn Inid, the City will nut be required to furni.�h <br />�t'ater Juring thr. progress uf surh improvemenL to any cnnsumcr n�hcsc supply <br />may thus be cul off, or be liuble for any duumges fm� �ts fniture so to do. <br />.lppiicution No........5.._7�.!�....._..-. �3�� • N¢.�.Cic_..�.Y /.,_�c ,-�. <br />IIlock .�-. ._ Lot 1_�. .... Add._._.l-Lrl:ttt.'.-�-�.o-... <br />».... _ <br />,/ � ��/- j <br />No....... ... H... - /l9...... /_� �� _Ftreet <br />c� C% <br />.. _ .... .. . . ..... _.. _. . . .. . . <br />. ....... ... ....... _. ..._ .. . ............ <br />Ti�c ��ork to be execute L� . .. �,(e-ui� ._. _.._.. .._....PlumUcr <br />St2tc siza of tup. ° ` <br />��y / J <br />..._��z.-Tnp to be inserted in thc nmin. <br />..._.!....._R'ater doset <br />...._/........Bath . <br />..�.Urinal <br />_...._�.....Plain fnucet inside <br />_.......-:...Side tvnll: �vaslier .-.. <br />- . .. <br />..__..�.......Hosc bib oulsidc � � <br />..-..:-:.......IIose Uib for huilding purp�ses <br />.......-:.....IIosc biL insidc <br />......_—...IIib for stablc cmdr.ining ...................stall..._........_..... <br />.........-'...Number of personv in inmil,^I <br />...._ 1.... Number of rooms �n bw'din�, _) <br />The piemiaes nre to be used ns i . ,%.j`�..:�. <br />._.__.. . . . �... <br />The on•ner ot the remi=es �5 / �/ <br />P . ...::".0 rYL-L..0 .ILC,K Y.._Lf L(�..,,,�__... <br />Thcagent is ........................._................. <br />. ........_......_....._ ........................._............. _.... <br />This application, nithougL signed, ;hnit not be binding uPon Lhe City, until <br />.� ciried by the Superintendent uf @ie Natcr Department. <br />Sigr�ed...... ._.._ ........................._,......... ........................_ . <br />� � f�..Ap lie t '� <br />.�cecpted..�a. .;�r?.'...:::�.l�l...... Fly-��N,:. _y � , <br />... ..G:�4�� <br />� . ..... . S nt... / <br />�. � <br />