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a <br /> � �-�Z -�, �.�.c.� ,_9 -zy-ic <br /> �s.o.tz�m i_.�cao-r.nca.- <br /> City of Everett--�Water Department <br /> APPLICATION FOR WATER <br /> NI binnks must be fil]ed in or cros=ed out <br /> ' lverett..........................._��1�............_....... ......192�. <br /> TO THE SUPEIiINTI'sNDENT OF THR �VF.TER DEPAI.Tnfl'sA*T: � <br /> CITY OF EVEI;ETT: <br /> I hereby npply for the use of water in :�ccordcnce n�ith thc rvles and regu- <br /> Intions n[ tUc N`atcr Deparlment, for pmp•��_,9 3nd fistm�es stnted brlo«�, <br /> Durinq the time thnt any of tne �vatcr m9ina mny be taken up by rcason 1 <br /> of nny improvements authorir,ed fiy thc Cit.} of E��erett, in or of any strcet or <br /> nllry in whicl� they may ha�•e Fcen Inid, the CiL,v will not be rnqnirtd to furniah <br /> �cater dnring tUe progress of s�ch improvei,�e.its ta nny consunier whose suPP�Y <br /> mnY thus be cut off, or bep IinLlc fer any daninges Cor its fnilure so to do. <br /> APPlicnlicn Nn..........o.��.�.......... - Z 3 O $ <br /> Block...........�...�....�.�..........._ Lot.......�.. Add......__. _. <br /> ....................�. <br /> ........... ._._. . ._.. <br /> No..........__�...�...�..S. ...�� . <br /> ....... ... ..............Strnet <br /> ............ . ...... <br /> .... .. .. _. _ <br /> . ..... ....... <br /> �- _�. / ........_....... <br /> Thn :,or!c to be executed by. __.... �yy���/� <br /> State �ize of tnp, � -.y�� n� -�P�umber <br /> / ___ <br /> .,j `i .cv . �v �l� d. <br /> ��..��x-..Tap to bc inserted in the matn. "-' , " ' 3 �D � Z <br /> r , . , , <br /> �-�.-/-.....Water claset � �� ' ' ' ' <br /> ' � �� r� � �; i <br /> � <br /> - • <br /> ....�........Bnth i..7��� i?FEvt�� ,-� .nr;,.;. <br /> Flj ., <br /> ....._'_.....Urinal ........_ �, �Jq�� �,�a.:� <br /> �_�...�.,....Plain fnucet inside ��! . <br /> �-�-....�..._Side wnik �vasher <br /> ......�.......IioFc bib outside <br /> ��......—...Ilosc bib for Luilding Imrpnses <br /> .._..�:.._IIose Lib inside <br /> ... .........Dib for stablc containing....................atall.................... � <br /> ��� ..........Number of persons in fnmily <br /> -�.��.Number of rooms in Uuilding <br /> The premisen nre to be used as a.. . ..... <br /> . _._ _. ._.....__......... <br /> ........ ....................... <br /> Tlie ou�ncr af thc prer»ses is.... .�c,�,LL_�L,�.,.,_� //�� �/�' <br /> / ...... ..../.�ca�..G.......... <br /> The agent is................_............. . � � <br /> . ...................... <br /> ..................... y. <br /> .................... ( <br /> his npplicntion, although si�,med, r.hall not bc binding upon thc Cit until \ <br /> ptcd by Lhe Superintendent af '.h�,�ter De� me � <br /> `Signed.v_..... � '`-e � <br /> ........... ................... � <br /> . ...._..................... APPlicant <br /> .... ...... <br /> . �ted.....�-�...-...........192[� g � �S <br /> / Y..... ........................ . <br /> ...... . .... <br /> /� � ,- ........ <br /> '`�.�' � ...-dent <br />