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. _. ._�. . . . �. . _ <br /> ��.��' �-��-��-��. z��-�y �-�-.�7-�11. <br /> �v.u.re-��a--isao—s.r.co.—s:s ei . � , , <br /> City of Everett�-Water Department <br /> APPLICATION FOR WATER <br /> AII blunks must Uc fillcd in ar crossed out � <br /> �vcrett..............._... ...CLr.R.:.I...... <br /> �....................192.�. � <br /> ' PO T17G SUPERINTENUENT OR TI . 'ATGA DEPARTntE\T: � <br /> C1TY OF �V�P.L•'TT: . , <br /> I hereUy x �PIS' for the use of�vater in acecrdsnce�vith the rules nnd regu- . <br /> Intions of lhe ��'i.tcr DepnrtmenL, tor purposes and fi�'-ures staled bclow. , <br /> During the limc thnt any of lhe �eatcr mnins mnY be tuken uP Ly renson <br /> of anp intpraemuents xuthorized by lhc City of Becrett, in or of mty e�trect or <br /> nllcy in n�hicli they mo.Y hn��e been lnid, Lhe City will noL be required to furnish <br /> water during the prog:ess of such inr,irot�ements to any consumer whose supPly <br /> may thus 6c cut oft, or(�' liablefpr :,ny damnges tor ils fnilure so lo do. <br /> Aptilicntion A'o....{J...�.�_J...............��7y , <br /> ` — _ i, <br /> Block.......(P...�...`�... �.�....,... l .. Add......_... ._....... .. _...... .... <br /> �.$.. IC� OC.: ......�.`.......... ....... <br /> � L::.."............. <br /> No............�.�.......D.._.. .. .._...._......-.. �..Stmet <br /> _..____......................................................._...._._......... . ... _._.......................... <br /> The �vork to be executed Uy..._.._..... .. _ a.... ... ..._......Pl myer <br /> ��.s-- p�-1l. .�' � L <br /> Slate size of top. � - �,'� <br /> �c�....Tnp to be inscrted in the mnin. `�'� � <br /> i <br /> ................Nntcr claset . .' � . ", � .� <br /> ...... <br /> ..........Bach �.';Y 9F E1't:CF' : �.:.� . . . �`. � <br /> Urinol �' .. ....... .... . .. � . <br /> ...._........Plain faucet insidc `/ <br /> C <br /> ................Side o�alk wnsher <br /> .._............Iiosc Uib out=idc .1 <br /> .,_..__........Idosc bib for Uuilding purposes <br /> � ., . ........_Hose bih insidc <br /> . � • <br /> i .. <br /> ;- �Y i •� . ...............Bib for stnLle conlnining..................stall.................... <br /> '�^..,, , . .. . � � ................Numbcr ot peraons in tnmily <br /> ��°'� � � �� � ...............Numbcr ot rooms in buildin� /� p <br /> . � Thc premises nre to be used ns n. ��'`�y.t..-..P7 .. ................. ...... <br /> �+ [�/�. � <br /> '�'',r.:-. -�� . � Thc o�mcr of the prer.»ses is�7�����7��__ �„_" .. .. .:.......... ..............a... <br /> ��,(� <br /> T-. <br /> _h�:^ .' , . �.._� � . Thc ngent �s............................................ � <br /> �., _ ............. ..............a................................. <br /> , � � � This appticntion, nithough signc ; ^hnll not be bind' v he Cit until <br /> accePted by the Supe'ri/ntendent of e�Nayr De t <br /> Signed../�......... ... ....�y}�. .. . ..... . ./ _ .. �Applicnnt <br /> i ' • � <br /> Accepted.....�-� .........—...1'J2 ... IIY..._ ..... .. . _.. . ' <br /> . ........................ <br /> perintendent <br />