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t <br />u <br />Y.Gt�.! 6-9o-i:: .� , . ��:c-�d'�F3f i�..{-30-�- <br />. • t ' , <br />', W. D. Form {-1M1Ou-EP.Ca-S26•2� , <br />' City of Everett�Water Department <br />APPLICATION FOR WATER <br />All blenks must be filled in or crossed out <br />�r ' <br />Evcrett................................ .... �................................1D2.�/.... <br />TO TH$ SUPERINTENDENCITY OF EVERETT;DEPARTDSENT: <br />I hereby apply for the use ot water in uccardnnce with thc rules nnd regu- <br />lationa of the Weter Department, for purposes and fixtures stn�ed below. <br />During the time thet eny of the water mnins mny be G�ken up by rcason <br />of any improvemenb euthorized by the CRy af Ec�.:rett, in or of any etmet or <br />alley in which they may have been laid, thc City will not be req�ired to furnieh <br />w¢ter during t:�e progrnss of euch imProvrmentc to any consumer whose euppll' <br />muy thue b� cut off, or bqe liable for uny �!.images for its fail•ire eo to do. <br />Application No..........L.�..�.�..'....J.� ............. - %�{'� I . <br />'1 :'r d ,t�«f��� J-cc,f'� <br />Block..._.....q...od..�... —...../.. Lot.....p..[.�.� ..�.....�....�....�....'�.... Add.._¢:.. ..�........__.. .._._ u� : <br />No........a�L.I..L.l.... ......J�^--�t`y'�"`"T.....-..3treet � <br />0 <br />.... ........... .............................................................................................. .... ................................ <br />The work to be execute� bY .......................�.....................Plumber <br />SGate aize of tap. <br />�.2..�:.......Tcp to be inaer:ed in the mnin. <br />................R eter closet <br />................ B a! ' i <br />.............. Jrinel / <br />............... �lam :nccet inaide ` ' .. <br />/ <br />................Side welk washer '� <br />................Hoae bib outsidt <br />................Hoae bib for building purposes <br />................Hoae bib ineide <br />................$ib for etable conteining....................etall.................... <br />................Num6er of peraone in family <br />................Number of rooms in building <br />The prnmi.qee are to be uaed ae a ............................................n.........n....,.,..�..................../ <br />The owner oL the ptemiaea is.�i?-a.ei.ona.ta-�C....�-Y��GK.C.[.Y.t.[d•�1a'xf <br />Thengent ie ...................................................................................................................... <br />This application, althovgh siqned, ahell not be binding npon the City, untll <br />ncr .,d by the Superintendent oY the Wnter Department. <br />ll ,/ <br />Signed ........................: /h.�t-..;!:.%..... ic��'<c.'................... ...Ap li t <br />t 77 v���,��� <br />., � , A� . v; � ..d.-u6r.-�l...�..j..,r...r..dZ�... By.. .R?i:�./.. . . . .......... <br />i n rnt � <br />� �ti ' <br />k: <br />