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E�.,�S�: ,7�. 1 {-�' - 'l � - / � . <br />. . , . �-�.,,,_� � 1� - � � - ; � ��, <br />P.. D. p�rm i--1LG0—E,P.Ca.-6-2G-21 <br />City of Everett--�VJater Depai�tment <br />��PPLICI�'T�ION FOR ti�TATER <br />All blan!;s must Ue filled in or crossed out <br />Everett,.........._...._........ �// � _ ......._...192.��... <br />. . ................................ . <br />1'0 TI-Ili ,7U7'liItINTGD?DLNT OR 7i1L�' `1'ATCR DEPAP.TIlSEN'P: <br />CITY OF EVEItETT; <br />i hereby npply for the use of �eater in accordance with the rules and regu- <br />latiais uf the \t'ater Dep�rtment, for pm�po�es and fixvrr.s stated Uo1o�e, <br />During the time thnt any of thc •a•atcr mains m:iy be tnken up Uy r�:ason <br />of any improcemunts nuthorized by the City of Everett, in or n.` nng stre�t or <br />alley in which thcy may hnce buen laid, the City �vi11 not be re9uiied to furnish <br />watcr during tl�e progress of su:�h improvements to nny consumer r�hose suPP�l' <br />may thi�be cut uff, or be 1ia51u jor :my damuges for i[s failure sr. to do, <br />�� C' �-7 11 � <br />APDhcn:ion No.._�o..L_�_e ................ 7/?.�. <br />Bio�� ..../.x�-! r oe. Z y� s aaa _ <br />n�� ..9,? o / _ _...... _ <br />_.. <br />� � �"`�{�j� �� ..... .Strnet <br />_._..._ _ U � .._ .. <br />.... ..... . . <br />_. <br />.. . _ . . ... _._. <br />Thc v;ork to Uc c�e�uted bv._ .-,>__ <br />_ _ ... _..'�....Plumber <br />St. te size of tap, <br />���...........Tap to bc in;rr;ed in thc mnia S o° <br />_�- <br />.....�.........�5'ater closet '�� �- .-�� �. <br />/ �} <br />................Badi � •� <br />1 '`. <br />—_- ' <br />� .............::.Urmal ,. <br />.L.:.......Plnin faucct inside :��. � !, <br />�:...Sidc tvalk washer � � <br />�, <br />.............._IIose Uib outside �. <br />�� I � <br />'...�:::..IInse bib lor Uuildin„ �q�pposes � � ' <br />-_.—._.,,..Ilose bib insidc � <br />�.....Biu for �taUle containing ...................stall.................... <br />-----.-:....Numbcr nf persons in family <br />_� �-........Numbm• of ruoms in building <br />' ho Premises are to be used ns _.. <br />_.... . ._.. .. <br />.-�.. ..._.. <br />"'��,r o:ncr of the premises is.. ^ <br />. . . _. ._ �` . <br />. .. ....... _ .._.. <br />� ent is .............................................. � <br />......... ..................... <br />................ <br />.............. <br />.......... <br />'..'plicnticn, nithough sigr�ed, ,hall iwt be binding upon the City, until <br />,��ad by the Supa�ntendcn�qF�,he }VpYy,r llepnrtment. <br />Sig��eJ............_�_�...... �<� cant <br />. �...._GL.��i4.;.�L - APpli <br />///. ................. <br />..�-�..� �__.........._CO.-�rl0.+192..rJ.". BY.. ��. .. <br />. _..... . . . .... _... <br />� �uperiutende i� <br />� <br />�,.. ., ..,:,..a_.�,..�e.:..:i::�._:��».��a_.a_:�.a:._i.._.._:,�` _v .. . .. . . . .�, . ... �. <br />_�.,�.� _. N�.._,.._._.u....�__ � � .,.�._�...._...._.�.,.�..c�.....__>>. �_ <br />