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` _.,. r ,,� <br /> t--a'-�....�.n--y_'.'1 ; _ ���_, <br /> _ �.��� � �>_s <br /> w.u.r��m:-lsro-s.r.co.-s-xc-sa <br /> City af Everett�Wat�r Department <br /> APPLICATION FOR W�TEi� <br /> e,pl� p7unks nmst be filled in or crossed out � <br /> � <br /> � -- /� ._14.,_. <br /> F.eerr tt,...........__....................... <br /> , ....._.................... <br /> TO TI�E SUPCItITTfiATDIsNCITY OF �VCI2ET3T nE� 'RT�SETT: <br /> I liereby �q�Ply for lhe use of���ater in acem�d�nce«'ilh the rules nr.d re6'�' <br /> lalions ot the \Pntcr UcPlrlment, for pm�Poses nxd tix!u�es stated h`�bc ma=oa <br /> During thc timc thnl nnY of the «�itcr r:nins may be lnken up <br /> nllc�nin��clii h thectma}• hn�e�beeo l.�hl, tielC'itYtnill not�be required�t tfuni�h <br /> wnter during tlic PTogress ot such improvements to eny consumer w'hose supF�S <br /> m�iy tlms 6c cut otf, o(r�' bc lPi Lic or :mp damages �r its t�llure so to do. <br /> � APPlicatian A`o.._b..`�...."...�............. �o� " � � ���, , - <br /> ' / .. Add..:........ .�_... ._ .. <br /> Block_......7��.d.. .... ...... . l.ot........�-��.-......_.._ .. <br /> No..�0.0...�� ..._,. ..._..c.�c._�.._Street <br /> � <br /> . .. . .. . .... ...... .. <br /> ..... . . ....... �� .. <br /> __.. ..__Plumb^: <br /> Thc «'ork to br. esecuted bY /� r �Q Q CA ���� <br /> Stnte size of tnp. � 9 �� ; � ��, <br /> ��-- i , <br /> ,,,�.......Tnp ta be inserfid in the�main. , <br /> II .....�.......Nntcr closet , �,..,��� `. - <br /> .. <br /> r: . - <br /> �`..Bntt, � .. .../�;� <br /> II ..._....'...Urinal .�7.,.. . <br /> I ....._z-.Plain fnucet inside - <br /> ! ..........-...Sidc ��alk «•nnher <br /> ........�.......Ilose Uib oulsidc <br /> ._,....�:....Iiose Uib for building Purposes <br /> .._._._ ...IInsc Lib inside <br /> ..IIiU for st¢Ule contaiui�:g......._..........�Lnll._............__. <br /> , .....IdumbcC of Persons in fnmily <br /> . -y.�y./. <br /> , � A*umber of rooms in bcildm6 <br /> ;h premises ure to be used ¢s r^ .���'�c^�`- _ <br /> _.._...... <br /> ( �� o�vner af tUe premises �s ...� � . . <br /> � , . �gent is....._............. .........._..................._.._..........._......................_. <br /> . ............._.. <br /> . � ' . npplicalion, nithouSh si�,med, chnll not bc Linding upon the Citg, nnfll <br /> � �. -•-i by the Superintendent of Ui^ N tcrGP�S�ent <br /> T de�/Yfni'.� ._!� / <br /> ................ ... .... .. ... <br /> SiBned............................... ......... //�f . . . . p�licant <br /> Accepted......��._cS......102..� BY��ll�. . ._ .... . ........_......_.__.._. <br /> uperintendeat <br />