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a <br /> .. . . .. � JJ_._XJ-.��-'q _ ._- � � �� �.. <br /> '1 <br /> '�.�mm{-1;OU—E.F.Ca-6-^-6-2� ^ . <br /> City of Everett�--�Water Department <br /> AP�LICATION FOR WATER <br /> 9ti binnks muat 6e filled in or crossed out <br /> Lverett..................................�Zb.................._..192..�. <br /> PO TIIE SUPER1NTliNDENT OF THE R'ATGR D�PA1:TilICNT: <br /> CITY" OP EVEBCTT: <br /> I herebc npply fnr the use of�eater in accordm�ce tcith the rules nnd regu- <br /> lotiuns of tl�e R'nter Depnrtment, far purpnses nnd fisturc.a stoitcd 6clow. <br /> DurinR the time that any of thc w�ter mnins may be tnken up by renson <br /> of nny improc�ments nuthorized 6y thc City oC ��•crett, in or of nny street or <br /> nlley in wUich they mny hnre been Inid, the City �eill not Fe required to furniah <br /> �vater during the Progress of such imprevements to eny consumm• whose supply <br /> mny thus bc cut off, or be liable Ifor any dnnu�gee for its fuilure so lo do. <br /> Applicntion No............g..�..�'.f.............. ,� n n <br /> Bloc§........�.�.....��....�J...._........... Lot...3............_. ............... Addli�-�-�..�� <br /> No....._._�..�._.o�...�.............. ........ . . . .. .. . Street <br /> .................................... . .... .. <br /> The work lo be esecuted by...._.._...__.. .. �.._.. ?'7-<L..L'?��...._____.Plumber <br /> State sizc af tnp. <br /> , �/�........Tap ta be inserted in the mnin. S o� <br /> / �� <br /> .....L........R'atcr closet � � 3 <br /> ......I.........s p�n <br /> y <br /> � �y <br /> .�.—.....u���oi <br /> Plain fnucet insidc � ��� �f� <br /> ._`:".-.....Side walk wnsher � � � <br /> .....'..�....Hosc 6ib oulsidc <br /> ....... ....Hose Lib for huilding Purposes 1 <br /> ..._�..-......Hose Uib inside �I� 1 <br /> .......—...Bi6 for stable contaiuiug....................stall._................. <br /> ...... .....Number of persons in fnniily <br /> .... ..Number of rooma in building � <br /> ... ` <br /> The premises are to be uaed es a...... ...��,.�yC.�.�._L.CA�.............. <br /> The owner of 8�e Pre�hises is..........._......_.......... ............_..................................... <br /> Thengent is................................................................................................................ .... <br /> Thie npplicntion, nithough signed, 3hn11 not be bin�ing uPon the City, until <br /> ,-.•�roted b the Superint�qd t thc �1'ctcr Ucpurtment. <br /> �Signed...�.�.(�V..'....L��../.����.......� . ApPlica <br /> . ,,.e<I. ...—'1�....-.�.LP-. .. .��.. � IIv..-:.��..._..... �l� <br /> ....... ..... .......... <br /> �- perintendent <br />