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i <br /> i <br /> �P,y.Ysit��i�=.+7-�+�'L � �..-,._.l,J.u-C� 3–I `�– ��! ' "- l. <br /> �e.n.sa�m�–icoo–s.eco.–sss.zi <br /> City of Everett�Water Department <br /> APPI,ICATION FOR WATER <br /> All blxnl:s must Ue filled in or�crossed out <br /> Evcrett.............�. ....y/,2..5..�.........................192...... <br /> TO TISC SUPERINTENUENT OF TIIP NAT�DEPARTiliENT: <br /> CITF OF LVliItETT: <br /> I hereby npplg for the use o[ �cnter in :�ccordance with the rules nnd mgu- <br /> Intions of thc Nntcr Department, tor Purpos��s �md tixWres slnled Lelnw. <br /> During the time thnt any o[ thc n�ater mnins mey be tuken up by tcason <br /> Y o[ nny impravements aulhorized by t6e City o[ Ecerett, in or of nny street or <br /> i nllcy in which they may Lnvc been Inid, lhc Cily will not be required to furnish <br /> wnter during tlie progress af such improvements to nny consumer �vhose suppll <br /> may thus be cut oft, ocr be linble for :iny dmm�ges for its failure so to do. <br /> I A��Plication No.._d.l..s��.............._... .......__. <br /> i � � <br /> � <br /> I31ock.....q.......��...,7. ...... ...I�ot...........i-...'n..... . Add....l�.:..f._^.:.._........ � <br /> � No.......�h.��.. ......�. �.ft.�S.... ...... Street <br /> . <br /> � <br /> ..........._......_.........._.........._............................. . ............. .... .. <br /> . ........... ................................... <br /> TLe work to be esecuted bg.........._ _..�. .._. . ........_ �.r..._...^._......Plumber <br /> �.. <br /> Stale sizc of t¢p. l � ' �^ <br /> , ..�......_Top to be inserted in the mnin. <br /> i ..-.f..........Wnler clo=et <br /> . � <br /> ................B o c h <br /> ..Y...........Urin al <br /> ,1...........Plnin faucet in=ide <br /> ..`.–..........Side wnik washer <br /> ../.........._Hosc bib outside j <br /> .�........_Flosc bib for building pnrposes � <br /> ..�:..........Hosc bib insidc <br /> ...�.—:....Bib for stoble contnining....................slnll.................... <br /> ......._�.-A'umbcr of persons in fnmily <br /> ..... ..........Numbcr ot rooms in Uuilding <br /> T e premises nre to be used es n._ �e�'� G� <br /> . . .._...... . . . <br /> C.................... ...... .. <br /> .. <br /> . The owncr of the premises is..... �1� l2 �p_��� <br /> �'i.e agent is............................ ..... . . . .. ...................... ................ <br /> :L�s nppticntion, although sig���shall not be binding upon the it <br /> : by the Superintendent Sf tl�e Nnter Depn�tmc Y, until <br /> Signc .. .. � �.. .../N !!<..u��............. . .APPlicant <br /> .. <br /> � .c.. <br /> ����'2�'c� .19 ...... By... ...? � � <br /> ...�� .................. <br /> � '�� -. p mtendent�� <br /> r-'-- <br />