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0 <br /> . . `a"t�i' y-23-2<-�f . C..i -rD �f -rz-=-/,- ��Y_ <br /> {Y.U.Form a-1u00-E.P.Co.-�.p6.2! ' <br /> . City of Everett--Water Department <br /> APPLICATION F�JR ��TATER <br /> ' All bl�mks musL bc fil:ed in ar cro^sed out <br /> Pvcrett,......GC;�/lt�q .l.Z......................1:)'i�t. <br /> / <br /> - T� 1'IIF, SUPERIN19sNDEN'P �R TIIL' PATER DEPAItTr1EN7': <br /> C1TY OP EVERL•'TT; <br /> I he:ehy appty for the u;e cC�vab!r in accm•dnnce �vith .he rvles amd rrgu- <br /> lutiuns o[ thc Natcr Departmant, for P��'P�«" ���d fixim�rs stnled Ucto�v. <br /> Puring the time th¢t ar.y of thc �e:itcr mnina ian} Le taken up by reason <br /> o€ nny impruvements nuthorized by the City nf Gvrrett, in or of nny strect or <br /> ulley in whirh thcy mny hnve bcen Inid, tLc City wip not bc required to Yurnish <br /> watrr during the progress of sUch imnrm��m�nts to nny cunsumer wliose supply <br /> m_p tliva be cut off, opr�be liable fm• any damr.ges for its fnilure su lo do. <br /> Applicntion No....(1..�.s2. <br /> .......................... <br /> Blocl:........................................ Lot.....................__.........._.. Add.......... .._.._. <br /> .......____ ._.. <br /> No.....��� .__._��.Le�c..�._.......................Street <br /> U <br /> , _.._ .. .._. .......... <br /> _ . . ...... . ..__. <br /> ...... �.... . . . ..... <br /> TLe ��•ork to be esecuted by..��fii' '/ . _.0 a . �......Plumlu�r <br /> Stute size of tnp. �y-� � ��.�li ��� Q� <br /> �.Z.......Tap to bc inscrted in thc mnin� , �/ f�'-�/y5 <br /> � ...L..........�Pnter eloset I . . � � � y . � <br /> i <br /> .._.�._........Bath �il-�!� j ; ��iGU� ' . <br /> _.-........Urinnl Clil OF EVEREIi W,ll�rf, �, _, <br /> . <br /> w; _� <br /> _.3��_.....Plnin fnucet inside ........ ..-. / <br /> �_.-....,...... <br /> , <br /> -..........Side �enik �cnshcr ......... <br /> ..../..........Hosc Uib wtside <br /> _._-..:.....Hose bib tor building pm•poses <br /> . .....�.....Ilosc bib insidc <br /> --�....Bib for stnblc contnining....................stnll.................... <br /> ......-:.........Numbcr of persons in family <br /> �.,�.....NumUer of raoms in building <br /> 'fhe premises nrc to bc used ns n..... .... .�,.��J...�... <br /> //� ......................... <br /> 'Che o�cuer of the pre�vsses is. .,. �� '�J, �--�� <br /> �. <br /> ��.. . ....:�.:.���'f".,.-C'� ..?2 . ,Lv�[ �Lt_„T�<.2` <br /> '�'hc ngent is............................... <br /> ...................._.._..................... <br /> ................ <br /> ........................ <br /> !,�'� npplic��tion, nithough sigucd, shnll not bc binding upon the City, until <br /> ^+ U>• thc Superintendent of the 11'ntcr Depnrtment. <br /> 3igned.�._C..�.!lh..,..�!1.lLti�.. . ` .. <br /> / / � �� -� � APPlicnnt <br /> .a ...........�.�.�.,�',..192lO Bv . � <br /> � ' ... / <br /> . . <br /> --��uperintrndent... <br />