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�i <br /> �.. <br /> �' il'`f'21 li( , v'...-.-Le,�`�_ •��--79 ��`/�� A . <br /> • ♦ <br /> w.u.r,���—�eno_e.r.co.—s.:ss� ' .�'- <br /> City of Everett�-W�ter Department <br /> A�PLICATION FOR WATER <br /> All blanks roust be filled in or crossed out <br /> 7 <br /> Evcrelt,.....>..�:�..:' .. .. ..........��......192..:5 — <br /> !'O T[II: SUP�RINTLNDI�,NT OR TIIP \YATEP. �PAI2TNEN'P: <br /> CiTY �r EVSt:PTT: <br /> [ hereby npply fm• the use of nmter in ncmrdancc �vith the rules imd TegU- <br /> 7utions of the Nxtcr Department, for pmposes zmd fi�tures stnted bclow. <br /> During the tim: th¢t uny of the �vntcr mnins mny be tnken up Ly rensan <br /> of any improecments nuthorized by the City of Evcrett, in nr of nny SSrcel or <br /> ullcy in which Uiep mny hnee becn lnid, the City will noc n�_ ,����r�a t� furnish <br /> tt•nter during 'hc progress uf such improvemenls to nny cn.�sumer tvhnse snpP�S <br /> m:�y thus Le cut otf, oCr/6e liablc for :my dumnges [or its fnilure su to do. <br /> Appiicntion No......d...3..._.'�...Z...�.......... <br /> 131ock.....................�:.=...�1.... t...._!'�.............................. Add..__::..._..__...:'..:...._:..._.... <br /> No.......LL.�c...�.J..._.. ..._. ......._...................../.......Street 1 <br /> ....... .............._......---........................._.................. ............. <br /> � . .................................... <br /> The u�ork to bc executed by............_..... ... . .. .. _.. _.___._...`...._._....Plumber <br /> n , <br /> Stntc size of tap. ! � % ' � /" <br /> ...��2r....Tnp ta be inscrted in the mnin/ l <br /> ...._�......_\�'ntcr closet �. <br /> ......�........Bnth <br /> ......-...-....Urin nl <br /> ......?�.....Pinin fnucet inside <br /> � i <br /> ................Sidc �vnik �vnshcr � ' <br /> �......Hose bib outside . � <br /> ..........^......Ilase bib for building purposes <br /> .............�..Iiosc bib inside <br /> _. <br /> ................Bib for stnUlc contnining....................stnll..................-- <br /> ....... ......A'umbcr o[ persons in fnmily <br /> .._.'S^-.Number of rcmns in building <br /> 7'6c Premi=�s are to be used ns ...� <br /> __ . ... . ....._....�.._... .. .... .. <br /> The owner of the premises is..���a,.��✓:cc�:��.,.�,�.,- ..��-.-.�, <br /> Thcngent is.................................................................................................... <br /> .................. <br /> 'hia npplication, nllhuugh signed, r,hall not be binding upon the City, until <br /> � �d bp the Superintende o[ the Nater Department. <br /> Signed............� .... ..........................."....�'�L.'�..��?'i....Appli�t <br /> �- '^ ' \ <br /> _� . , <br /> . '..��::.y� .:�..(.�:.............192..:.�.. Dy...r._,_� . ....\ <br /> � . ::' <br /> Superintendent <br /> i <br />