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F�,-,� y-1-�. �s--�r y.��,,v`_� -'"= -.- ,. <br />'� � ' <br />w. o. e'��n, a—icau—ss.co.—css�za � � ' <br />City of Everettr-Water Department <br />APPLICATI�N FOR WA�'ER <br />All Ulcml:s must Le tilled in or crossed out <br />Cvcrett� ................ /���,/��.. .5..�......................192...... <br />TO TII� SUPliRINTENllENT OP T1IP•. \CA'CrR DEPARTIISNT: <br />CITY' OF �V�I:�TT: <br />I hercUy apply for the use uf wntcr in accordmice �aith thc rulra m�d icgu- <br />lations of the Nater llep:�r�ment, Lor Pw'pu�._s and fistures s[ated belotv. <br />Dw�ing Lhe time thnt any of the �cater mnins ntay be tnl;en up 6Y reneen <br />of anl' �mDruccruents authuri�sed by LLe Cit}' of F,eerett, in ur of any street ���' <br />ullry in �vhich they may hace been Inid, thc City �vill no: be required to Eurr.ish <br />�:utcr during the proRcess uf such iml��'ucemeuts to miy consumer �cliose supplY <br />ma}' thus be �.ut off, qor bc pliable for any danmges Cot ils fnilure so to do. <br />F pPlicntion No..d�.(.. J <br />. ...� . .... <br />Block.. . p�� . Lot /! /_? . ..__. Add..__.....__. _ ._ _........ ... <br />y....... n <br />No...__..� 6..�_/ .. � _ _.��Q��/�!L._St�xet <br />......__ . . . ......... . . ........... . <br />. .... _.. . ._._. . .__..._ . ............ <br />The �vork tn Ue executed 'aY����-- - � :�-�-��G-^-'r�/'='�'`�'� -- Ylumber <br />Slat s�.ze ot tnp. �%(�/G �—C <br />� <br />i <br />.1..f-f..._.Tnp to be insertel in ll�e main. <br />...�........-.\Vntcr closet <br />.._�..........Bnth <br />. _-... _... _Urinnl <br />...:?:.-._.....Plnin faucet insidc <br />.__i—:..._Side wull: tcaslicr -i <br />. Iiose Uib outside C <br />....�.`...... /� <br />................IIose bib for building l�urpcf�e5" <br />._ L.:.. _FIns^ UiU inside <br />.._�......._..Bib for stnUlc containin�........_..._.._sl:Wll .................... <br />._(.........5'untbcr uf persons in f:miily <br />...... .. NumUer of rooms in buildin;; , <br />�..... �-7 � / <br />Phe premises arc to be used ns n..__..._. U_'5..�-i�-��L.�_.�.-�,_.. <br />^ _.. <br />Yhe owner of the prer.mises is.....��,/---��--. _.._ .Ci,,,��j_ <br />The agent is ....................._................_............._........._............................ <br />....................... <br />„� <br />'; application, nithuugh signed, :-hall imt Uc binding upon thc City, until <br />�t ` bg the SuPcrintendcnt af tho \Vs!e• Depnrtment. <br />Signed. ..__:CT"p�c..L��.Z. � ............./... ... APPlicant <br />/ , <br />,--� , �� �� ,�-���_ _ .��, <br />.i ' Sti�crintcndent � <br />! <br />