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d <br /> � ' '� , <br /> ; s-ZN-,s.;?r . � 7—vw':;�'t /''' <br /> W.D.Pmm d--160D—E.P.Co.-6-26-24 <br /> City o� Everett--�Water Department <br /> AFPLICATION FOR �TATER <br /> All binnks must be filled in or crossed out <br /> Ecerett�....................... .......... .I�.�..................10�.5- <br /> TO TI3E SUYERINTGND1iN'P OF TIIF. R41 P. DE ARTDf�NT: <br /> CITY OF EVE1tPTT: <br /> I LereLy npP�Y for tl�c use of water in nccordance �eiH� thc rules nnd regu- <br /> I¢tions of the �Vnter Depnrtmm�t, for purPozca and Cisturex stnted below. <br /> During lhe time thnt nnc of the waler mnins mny be G�ken up Uy renson <br /> of nny improcements euthoria.ed Uy the City of Everett, in or of nny slreet or <br /> alley in which they mny hace Lcen Inid, the City will not be rnyuired to furnish <br /> water dnring the progress o[ .cuch improvements to nny coneumer whose supply <br /> m�y thus be cut ot[,por Ue liablc for any danu�ges for its fnilure so to do. <br /> Applicntion No....D.c�.�.!-:�.._............ <br /> Block..............al�...�,�._._.... Lot........ .._.._...�... . Add.....__._. ..........._......._.... <br /> No....��.3.�......� .... �..Slreet <br /> (r%�:.... . <br /> .................. .........._.................................. . .._........ ........__ .._ _ _...__ __.............. <br /> ___.... � <br /> TLc work to be executed by.....__.....�:�.. ...... .. ......._. ... .... _. .__.....PlumUcr <br /> State xize of tnp. � <br /> _�%-......Tap to be inscrted in the main. <br /> ...�...........\Vflter cioset <br /> ..../...........IIath l/ <br /> :...........Urinal `��. <br /> ...Z........Ytnin fnucet inside <br /> .__—.....Side «•alk wnsher �� U U <br /> .....�........_Hosc bib oulsidc � �� �� <br /> .......�...Hosc bib fur 6uilding purposes <br /> .....—......fSose bib inoide <br /> ......�......BiL for staLle contnining...................stxll................... <br /> .......—�" ...Idumber oi persons in fnmily <br /> .....!.t'.......Number of rooms in building ,� � ^ <br /> The premises nre to be used ns n. _ _..___/.'�'�-�!...'. . ... . . .-...._.. <br /> The o«mer of the Prer.ilses is...� Gyu��-r.�-i,_�. . .f'� <br /> -�............... .. .. <br /> "he ngent is....._...................._..............._.................._... ...._..._.................................... <br /> vis nopJicntion. although siFn'd. shnll .:nt bc binding upon thc City, until <br /> � ' . : Iy fhe Sup�rintendent of the 1Vnter Depnrtmrnt. <br /> ' Signed.,,�{.................................. .. . ... . . ... ... .. Plica <br /> Ap <br /> �....� <br /> , �. _�-....��.�i.�..-....19?�. IIY....._._..��..��.�l.:t... .f............ <br /> Superintendent <br /> � <br /> � s <br />