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'Lte�cl� K�L O�L b t/I <br /> i _ . l . . . ��+'\1-t�� i- i. 1 � ; l.. (�JI' <br /> f <br /> \V.D.Form}-160P—F..P.Co.-F.2G.2< . <br /> 1 <br /> City of Everett---Water Departinent � <br /> , <br /> � APPLICATION FOR WATER <br /> � All Ulanks muet be filted in or cros�ed out <br /> E�•crett,..__......................._!./.r._�........._.............. / <br /> ...132.5�.; <br /> TO THL SUPliRINTENDENT OF TIIE R'ATGR DEPAI:Tb1EN'f: <br /> CITY OF lVEI?ETT: <br /> I hereby npply for the use of �v;�ter in areordunce �vith the ��ulcs nnd regu- <br /> Intions of lhc Water Depnrtmen., fur pm�poses end fix�m�c� statcd Ue1aw, <br /> Dm�ing the timc thnt imy of the �cater mnin= mry be taken up by renson <br /> of nny im�rovements authorized by Lhe City of E��crett, in cr of xi�y etreet or <br /> � nlley in µ•�irh they may hnve bcen laid, the City wi]I mt be rnquirc3 to fernish <br /> wnter during the m igress of such improv��ments to nny cuosumer whoee sup�ly <br /> m:iy thus Le cut ofi, ar�1be.�I,i�nLle for mr• :i :nges for its fnilure so to do. <br /> Application No...._�b..... �-I-(:' "t <br /> 91ock.............�25..�L._........ ot.�6':::�'�.i' . Aad............ <br /> . ........._........_........ <br /> No........_�..�.�.�....... ... :�-<,)C.:�.............Street <br /> .._........._...__._....._.........._......._.................................... <br /> .. .. ................ ..... . .. ... <br /> Thc work to bc executed bp_............_...._ . � Plumber <br /> [ .... <br /> .. <br /> Y�............ <br /> �tnte sizc ot tnp. ,---., i �-, -���_ � _-i / <br /> '� i r ,�t� � •� <br /> .............Tap to Le inscrted in the mnin. � . '�_ry�__ j `, � y <br /> ................R'atcr closet Q_�J�"U `. <br /> ................aa�n -�;� �'' % , j�'- f <br /> • �IY OF L4..,9�i[`1.;,� <br /> ................Urinnl /(�. � <br /> .-....._! Plnin fuucet incide � ��� � <br /> ................Sidc wnik «•n3het �, �Y"� P <br /> .............._Hose bib outaide � S r��' (�� I� . <br /> ................Aosc Uib for building purposes I 1� <br /> __............IIosc bib insidc <br /> ................Bib for stablc contnining....................stnll......_.....___. <br /> ���-��-........A'umber of �ersans in fnmily <br /> �����__�........NumUer of rooms in building <br /> The premises nrc to be used ns n.. ,� <br /> ..__. . . .. .. .... <br /> /'/� � � , .. <br /> Thc owner of tlie prmnises ia.(�,Sh�-«�Ld-.S.. .... , _ f�r��i,.�S <br /> � <br /> Thc ngent is............................................. <br /> _............_..._...._............................................. <br /> This npplication, nithou�h signed, ahall not be binJing upon thc City, until <br /> necepled by�. the SuperiMen�cnt at thc er Department. <br /> Signed...�..���"L`-� ._...... �Ypplicant <br /> ...�. .............. ... .. <br /> _....... <br /> Aceepted...-S.-'25.....-:. lg�. II <br /> y...... ...... � <br /> � _.... .. .... ...... <br /> .......... <br /> ���n endent <br /> ��'... <br />