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� <br /> �.�.�-�i� . : s %s ,� ��—�t� __ S�_ � � <br /> 'tV.D.F'm��n 1—1600—F..P.Co.—�_�:f <br /> City of Everett�W2ter Depa��tment <br /> APP:LILA"I'ION FUR ��'ATER <br /> .111 blanl:s raust l;c filled in or crusse.d out <br /> �verett�..._............... . . .e�S�.....�..�...........19�, <br /> TO THS SUYERINTENllENT OR TIIE ��'. T .R UF.PAPTLt�NT: <br /> CITY OP EVlil; •.TT: <br /> T hereLy npply fnr the use uf water in RCCL`!'fI111:CC W1IIl C}I�` I'UICS nnd regu- <br /> lations af tlie R'nter Depxrtment, tor pm�poses :md tixtures stuted 6clo�v. <br /> During tl�e Lime thnt any ot the v:atcr mains may Ue taken up Uy renson <br /> of anp improvements nuthorized by the City uC Iicerett, in or of uuy ctrcet or <br /> :illcy ir which they m:�y ]�u�•e bcen laid, tlic City �vill not be required to furnisL <br /> u�ater during tUe Progress of such improaemon;s !o any consumer wiiose suppl}' <br /> may thus 6c cut ott, or 2bc liable fpor rmy damages for ils �ailure so to do. <br /> d�!�..0. ,-;-,.. �..,:[ <br /> Applicatinn No-...... .... ........_— � •"-�.r <br /> I 2_ <br /> Block................._......_...._....._ Lut_�.�...-/....._ .__. Add. ..__ ..._..__. __.. _.__. <br /> )(—� � � _...... <br /> Vo..........�..3.�-_�.._.1..�/�.........Strezt <br /> __.... .._......... ..._._........._.........._... .....................__. ................._...._..._.........._................._.. <br /> The work to be executed bY..._....... .. . ._. .. .._. ...__...__ ...._. __.__..Plumber <br /> qS!/ate size of tnp. � � � � <br /> /7,FF:��.._TaP to Uc inserted in tLe m:�ia. � ��;. \ � � <br /> / <br /> ....._�......Nnter closet - �, <br /> ......�.........II n t h <br /> �::............Urin al <br /> ._��....Plnin fnucet inside <br /> . .....Side n�alk wnsher ` .. <br /> � � <br /> �_�.._..._Hase bib ouLsidc � , � � � .' r i ' � � <br /> .. : ``' . , , � <br /> .. 7Iosc bib for building Purposrs . J�' . • . ��•"� <br /> .... <br /> / � ir� � <br /> - ....Hose Uib insida �� " '• <br /> ......:.........Bib for staLle contninin � � � <br /> �....................st all............__.... .. <br /> _�..........Numbcr of persons in fnmily <br /> _ .. N�imbcr of rooms in building '� � <br /> �:..... � � /; �� <br /> The premises ar� to be used us n(...p_.^...�' .�', � -G�rS-�......_. <br /> The oa�ner oI thc nremises is_...r,�.� .(.4�(�L..�,C�. <br /> Thc ngent is...-_.................._......._..._ .. ._ .........._.._.................... . ..._.. <br /> .........._........_.._. <br /> Si n . _,� /�..� .- tl�e City, until <br /> accepled by the upermtendcnt of�m �/ater De,nlr�ment. <br /> T�isnppiCcnt�n, ntiuug.i.s���,�m not e mJingupon . ..:...Applicunt (,'�t'y� <br /> Acecpted.. _....��'....-�f....__192.,a:. BY...L+��_GL' -. i <br /> � - ��....._..._.............. <br /> unerinlcnd^nt <br />