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���.t;P .�_,-, �:� ,_�, E�x-w.1 ,7- L6 — 7� i,.,. <br />. _ �.� <br />R'. D. 1'urm �—IG00—E,p.Co.—G-:G•21 <br />City of Everett---Water Department <br />APPLICATION FOR WATER <br />All Llnnks must Lc filled in or crosse . ut <br />3 � <br />Evcrett .................. ...... � L 19Y_ <br />�70'PIiE SU1'N;itil�"i:.:v.t'vm np ����ATRR DEPARTD[ENT: <br />CITY��ON L� i,itiSTl'; <br />I hm•eby npplY for the use ot �cnter in accordance �vith the rules nnd rogu- <br />h�.tions of the �Vater Depnrtme�t, for pm�poses nnd fixtures stated bclow. <br />During the time thnt any of thc �enter mnins mny be tnken up by renson <br />of any impro��ements authorized by thc City of I;�•eretc, in or of nny straet ar <br />uL'ey in which lUcy may hnve becn Inid, thc City �vill not bc required to furnish <br />w.ter dnring the pragress of such imprm�ements to nny consumer whose eupply <br />miiy tlius be cut otf, or be linble for uny dmnnges for its fuilure so to do. <br />Applicntion No........t...:... � � � � <br />.. � ................. <br />Block...........�.5..�...�._......... Lot.._I�i_.:..�.. . . Add...........__ ..................._�.. <br />`/ ' ,�' � ............... .. ... <br />No........_�,�...�...�.....�..4�1.� .......................Street <br />.... .................................... _ _....... _ _.............. .. <br />._. ._ . ................................................ .............. <br />The �vork to be executed by ............. _ .. __._....._............Plumber <br />. _ _........ _ .. ... . .. <br />Stato size of tnp. <br />���-..........Tap to be inscrted in the mnin. <br />................Nnter closet <br />....-.........Bnth � 5 �,_— <br />......�.......Urinnl <br />.......��Plnin fnucet inside <br />........ ....Side n•nllc washer <br />.._. v...Hose bib outside �; �� <br />.......—.-.._Hose bib for LuiWing purposes <br />................Hase bib inside <br />.. _.._...r..Bib for at blc containiug ....................stnll.................... <br />................T'umber of peraons in family <br />�..-..j........Number of rooms in building/� � <br />The premises nre to be used ns �i.........�`.!.�'�-` <br />�t/'I.............. <br />The owner of the ptemises is.........C...:. �, I p _ <br />.._.. .... ..._ W. <br />^�-^-�+"�-TJ .z... .... <br />........ .... � <br />The ngent is ........................................................... \ ........ <br />................... <br />................................. . ... <br />TUis npplicntion, although signed, ^,finit not be binding upon the Cit <br />accepted by the Superintewie�k-af the.Rt���odln�.,n.�.,,,,... Y, unGl <br />Accepted. <br />