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� <br /> o..N.n-�=ao-�e�c ��� _� y�.—1'1�FIn� <br /> N'.D.I'orm�-1G00—F..P.Co.-5:6:< <br /> City of Everett•--Water Depai•tment <br /> APPLICATION FOR WATER <br /> All Llnnks nmst be filled in or crossed out <br /> Gverett...............�.�.�.f.�..4.. ...........................192...... <br /> TO TIIP SUPERINTENllIsNT OR TIIE R'AT13R DEPARTil1ENT: <br /> CITY OF EVERETT: <br /> I hi�•eLy npply fnr the use oC wnler in accerdnnce«'ilh lhe �vles nm� lrgu- <br /> lutimis of t��c A'utcr Depurtment, for pm�poses :md fic'ures stated bclow. <br /> Dm�ing the lime thnt any of thc �vater mains map be laken up �y rcason <br /> oi ony im�movements nulhorized by the Cily of Eccrclt, in or of nny street or <br /> alley in �shich lhey mny hn�•e bcen Inid, the CiLy will nob be mquired to Surnish <br />�� wnter during thc P�'ogress ot such imnrovements to any consumer whosc suPp1Y <br /> may tlros be cut off, o(r�6e rIiaUle for any damnges for its fnilure so to do. <br /> Applicntion No.....a..f..b..�.................. � . <br /> IIluck.............._�...�.�...3........ Lot........�.....7� '.... . Add........�............._'...�_........ ..... <br /> ............. <br /> //���� � , r <br /> No..p�.'J...3.�.......�.._...-�!1.. . .. .. ..._.:............Street . . <br /> � <br /> ...__............._._...................._...................................._.........._..._......... ..__............................... <br /> The work lo be e�eculed by.�G,l,�..e��/L��`'��--��-----P�umUer <br /> Slnte sizc of tnp. <br /> r <br /> ..I_2..-..._Tnp to bc inser.ed in the mnin. <br /> ..._�..........\Pntcr closet <br /> � ..._�..........Bnth <br /> '• '� ! � - - .....C.........Urinnl <br /> ' ....1..........Plain f�mcet insidc � <br />�' .....h.....Sidc «•alk �eashcr / <br />� ..._�.........Hose Uib oulsidc T/ . ,� (1 <br /> ..._�....Hosc bib for Luil.ling P�rposes �/ J �-/ <br /> ...._�...IIose Uib insidc <br /> ....._�.-....Bib for stnble containing....................stall.................... <br /> ,__L.....Numbec oL persmis in fnmily . <br /> .. .:.. .. NumUer of rooms in building � <br /> . ..... <br /> he �iremises nre to bc used ns n......__ /. .�.__/.. ..........1 ._... .......................... <br /> Thc owner of the prmnises is.......�/l��/.- .. .. ....._......=Lt�....-............. <br /> Thcngent is..................................._................._.............................................................. <br /> This npplicntian. nithough signed, eLnll not bo binding upon thc City, until <br /> . +pted by the Superintendent ot the \Ynter Depnrtment. <br /> ...SiSned�...........�.-..�1..�..��......./.�. ..... .... ...APPlicant � I <br /> .. <br /> ...... 19g.. .. BY-.... ...���...� .. ....... .................. <br /> 1��-2�� 7S" (j y�rL' perintendent <br /> ' tl � <br /> — _ .�.�.—_,... <br />