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L� <br />. -.. ._. -, . -C��t_C� i,. � . , � i J —i� <br />�c. n. v���� a-ar�uu--r..r.co.-c :aza � <br />City of Everett�Watei� Department <br />AF� L�CATI�)N FOR W��TE �' <br />All blanks must Ue fi;led in or cru;acd out <br />�verett�.........___ // .�Ll....__�_-� ................._1�J°_1-U <br />TO TIIE SUPBRINT�NDEN1' OF TIIP 1V4TPIL D13PARTbiliA`T: <br />CITY OR EVliRETT: <br />1 hereL}' +ipply for the use of �vater in accord.mce tvith the r�.les nnd rego- <br />latious of the Nuter DcpartmenL, fm• Pm-po=es nnd tistures s:�k�tl� Uclow. <br />D�nng U�^ time thnt nny ot the watc: nmin= may bc takcn up Uy renson <br />oi nny imp�,nunents neti�,:;riaed by tne City cf Pverett, in ar of m�y strect or <br />ulley in which ihey mny hace Leen laid, tUc City will not be required to furnish <br />�cnter during the progress of such improcemrnts to nny consumer wliose r,unply <br />nmy thus Le cut off, or Uc liable fm� aaS danmges tor its failutc so to do. <br />ApPlicnlion <br />Blo,q �.z Lot .. _.. . _...__ Add. ' ' �. �, <br />....... . // ._...... .._. .....__._.... <br />/ �, �� /� ' <br />I�u... X�..Z. � .�[i=.�.2�t/!�/l���� ��� �...Street <br />7'he �vurk to 6e exccuted bY........____._.._ ....__ .. _....._ __........._ .._.._Plumber <br />S'�.ate sizc nf fap. <br />���...._...TUp to uc inscrted in the m:iin. , ,r-^ o� cvri. -`�-�_ <br />; izs-- �, <br />..._.........3Valcr closeC � �� ��_��-„�,.-� <br />..............ButL 7 .,., � i ��^-. . <br />� -- - `°..`r-;-. <br />............Urinol . 4- _�-.-u�-t_.�.�.. <br />...._......:...Plnin 4iucet im;:r:c � � $ °=- <br />_._._........Side wnik wnsF.cr <br />___._...._.Hose biL oulside <br />._ .............Iinse UiL for buil.ling pnrposes <br />..._..........Hose Uib inside <br />................Bib :ar stnUle eort:iining.........__.......stnll._................. <br />................rumbcr of pereons in fnmily <br />................Numbcr of rooms in Uuilding <br />Thc premises are to Ue used ns n.....__.. ...._..._...._....._ ........................._...._....._. <br />The o�vnur uf the premises is........_........ ...._._ _....__.....__.........._._...._..._......._ . <br />TLengent in....._....._.._..._ ......................._._.._.._.__..........._......._.._....._....................... <br />7'his ¢p7+lic.�tion, aUhou h sigr.ed, • 11 not be binding upm the City, untel <br />:�:eepteJ by thc 5uperin n�ent o th�e/� ❑Ler Depnrhnent. <br />Siened�_ �CL..Q:. . C��^�........_... .....Appljcant <br />� ' ' l <br />�•a..., ./.-:�,:�........... 'L' Bv.....�6r�1:r..�.. .�._ "... ..... <br />' � enSent <br />