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u.-�-z!' � ig �S 1( G=��4 :'- <br /> lC.1;.7'u:m 5-15u0—F..3'.Co.—G-eG24 � <br /> City of Everett--Water Uepaitment <br /> AI'PLICATION FOR WATER <br /> All bL•mlcs must 6e filled in or crussed out <br /> "_—. _. — <br /> Gverett..............._ :..r ..-iL.£:.G:��._..�.�.._....:92...Fj.. <br /> TO TIiE SUPERINT�NDPhT OR Ti�• �..�PGR DE IiTDI�N'P: <br /> CITY OR EVI312liTT: <br /> I IiereUy npply for the use of tcater in accurdance�cith the rules nnd re6u- <br /> Intions of the Water Depnrtment, for pmposes :md :istures stnted below. <br /> During lhe lime that nny of the tcater mains may be taken up by reason <br /> ui nny improvements nuthorizci] by the Cily nf Ecerett, in or of +my street or <br /> nlley in which ihey may hace Leen laid, lhe City will not Le required to furnish <br /> tenter during tlie progress of such imprevemenls to nny cm�sumer «'Irose suf�P�Y <br /> may thus Uc cut oif, oGr bGe I�i7aUle for ::ny dmm�Ses tor its fnilure so to do. <br /> Anplicntion I��o....Q...�7.../ '— 7`33 8 <br /> . ._............ <br /> Black..................ir3o...._.._ Lot............_...& .. Add.. _...__.__................_. .. .. <br /> _......___..... <br /> No_�.T�0�........�L,��-x��_�._-.�.......Strect <br /> ....._...._...._.._...................._..........._.._.._.......__.___................._...._...........__..._..........__.... <br /> Thc work to be executed by..._ ___....._..............._........_.... ..........__.....Plumbcr <br /> /� �� �5-=-< <br /> St^t size oF tnn. /1 ' - <br /> ._�2:..._Tap to be inserted in the main. � . <br /> ...../........«'ntcr closet <br /> ....J.........Bath � , <br /> ..... -:.....tirin�l <br /> ..._��'.c.-:.....Plain fuucM insidc <br /> ....... .__.Sidc nmlk �cashcr <br /> ..../...........Ilose bib outside <br /> ....-.-........Hose bib for building Purposes <br /> .............._I3ose uib insidc <br /> __".-........IIib for staUle cmitaining............. ....stall............_...... <br /> � Numbcr of persons in fnmily <br /> ......�.-.... <br /> ....�,..�........Numbcr of romns in Uuilding <br /> The premises nrc to be used us n ._. �7. ' <br /> � . .. . J ..... <br /> The o�mer of the premises �s.�( ...c_.1-�- *f_ ,/:�1����.,...�c, <br /> Tlicugent is.............................. .. .. .... ..._._.....s�................__......................_ \� <br /> This npplication, nithouqh signed, ahull not 6e binding upon tl�e City, until <br /> � ' by the Superintendcn/t�of the Wuter DePnrtutent. <br /> Cigned..�A�t.e!�f�.�/�j"f(/�_...__....,���.ApPlicant � <br /> �/ r -� <br /> / _ 1�__�:,�,.� �y.. > f� <br /> / ` �perintendent <br /> / �` <br />