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`-�1T7' 10-:2�7—'�V_'F).�. <br />- �nl"�`/J/G- 2% Y.c/ <br />N' D. }'nrm a._I61i0-11`.Co.—� YG-:J ! <br />City of Everett.—��T�ter Department <br />APPLICATION FOR WATER <br />All 61;inks must bc filled in or crossed out <br />Everett. .............._,.......� YV <br />O . <br />. ...............................................ID2. � <br />., TO TIiE SUPEIiINTBNllPNT OR TIiR 1T'ATI;R DEPAI:Ti.IliNT: <br />' C1TY OP I'sVEi;14TT: <br />I�101'��Y i�PP�S far the use of water in ;:ccurdance ��tith lhc ru]es nnd regu- <br />Intions of the �1'nter llepnrtment, for pm, cscs snd fi��m•es titnted bcicn�. <br />Dw•in� the time thnt nny of thc n��ler mnins mny be tnkm up by reasmi <br />of nny improcements authorized bv tl�e Ci[y of Ecerett, in or of miy slreet or <br />❑Iley in ivhirh they may huve bcen laid, the City wiil not be rc�uired to furnish <br />�v:rtcr during the P�'�Cress o[ such improvements to nuy consi:mcr whose aupply <br />.. <br />�»+�3'�tlms Lc rut o(f, or Lt l�iub]e �f. ,yny �=����nFes for its fnilure so to do. <br />Pplication Ao.._.....�......._6. <br />. ............... <br />[Slocic ........:......................_...... Lot....�:.'........._............_.... Add.r :::=.:�..:..:.:__.: <br />`Fo rc+ ,,,:., <br />j� � _. .. . ... <br />No....___........ �v'�—�-�Yt.UJ............_..Streek . <br />............ . . - <br />... ........................................ . <br />..... ............ ....._....................._....... <br />Thc work ta be esecuted by.....__.__.. <br />. .. ._ _ . . . ....____.Plumber <br />__ .._.. <br />St te size of tnF. � <br />� I��Y� �����TaP to Ue inscrted in the mnin, <br />�-��..i ...._R'atcr closet � . <br />... _..!........ Bnth � <br />................Urinal <br />...............Plain faucet insidc � <br />................Sidc n�nll: �ra_hcr <br />................I1ose bib outside }'„� � , J <br />................Iiase bib for bvilJin �l/ �' ,�'� j' <br />g purposcx �;. � <br />iIose bib inside . � / r� <br />.. _............ l <br />��� .............Bib for stnble contninin <br />g.................... s t n I I.................... <br />�--3--•___Numhcr uf persons in fnmily <br />����� .......NumUcr ot rooms in building <br />The premises nrc to 6e used ns n.._. L/ (� <br />1'he o«•ner ot the premises is... ... �'f'_ �µ. �h.� / � `' <br />r,I ....... L� �;_, � <br />The ngent is ........ .............._...._ �............ <br />� ..._.4........._............ ' .... <br />.. ............ <br />T6is npplicntian, althou h si„ned, shull not be bindin' ....................................�. <br />nccepted by the Superintend n ot�11 nt�l <br />1Va:er Depnrtmrnts un�� ���� City, <br />�'e0�f,��._ "..,/..s_�l� <br />u ' <br />.....� ..............................�........App • <br />4ecepted......._....... �y� � licnnt , <br />..........li...:...192...... By..._._... �� � <br />/� �.'C— ��/' f, . <br />. <br />- s- �crintcndent <br />