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� . � <br />,Grica,v 7a-✓ -s c- _ z ._:u�i3 i . ? „_ , : - <br />R'. U. Fv m d—IS00—E,P.Co.—G-:6�27 <br />�ity of Everett�Watei� Depai�tment <br />APPLICATION FOR WATER <br />.11l blanks must bc fillc in�or crossed out <br />Everclt....._�.. ���;�..l.� .......................192�:� <br />TO TIiE SUPERINTliNllENT OP TIIE \Pe1'iF.R DEI'ART.IfENT: <br />CITY OR EVERliTT: <br />I hereLy npPly fm• [he vee of wnler in nccordnnce �eith the rules m�d requ- <br />lations of Uic R'ntcr llcpnrtrocnt, for pw�poses and fixtures 9L1tC(] I/l`IUR. <br />During LLe time chnt nny of the �cater mnins mny be lul:en uF Ly rcuson <br />u[ any improcements authori::ed Uy the City of F.�•crett, in or of nny street or <br />❑Iley in e:hicU they rnny hnve been laid, thc City �vill not be mqeired to furnisli <br />�cater during lhe progress of such improvements to nny consumer ��•hose suPP�Y <br />m:i thus be cut off, on c� liabple for :my dnnmges for its f:clure so to Jo. <br />ApPlicntion \o....��...d...!"�..........- i'f 2 �' <br />I?lock ..................��..�. �........... Lot............�..�. . Add.........�.t(1.r...�l�.t......... <br />.. <br />. <br />xo....... 03 CJ_.�...�........ -�,�G . .. ... ...........screct <br />Thc work to be esicuted by ...�iL«�:f:.T. -4-:t.: ......_.....PlumLer <br />.,<. _ _...... . <br />� <br />Stat sizc of tap. SD � `�,' ��«� �' �� d�% <br />���.�.-....Tnp to 6c inscrted in the mnin. <br />................n'nter closet <br />..__�........Batli <br />_ . �' <br />..... .......Urmoi ` <br />._.2...._..Plain fmmet insidc ,.� <br />[- <br />...._.-.....S;de tcnik wnshcr <br />.....i�......._Hosc bib outside <br />.. .......Iiosc bib for building pivposes <br />...... .....FIosc bib insidc <br />....... .....Bib for stablc containing ....................stnll.................... <br />..... .......ATumbcr ot persons in fnmily <br />.... ... NumUcr of rooms in building � <br />�....... <br />7'Le prmuis�s are to bu used ns n......__... .. .. ..•........... <br />- / _ .. . ................. <br />7'Iw owner of the premises is......�f.,'aiy/J.._„i(„(,/�� �� ��� <br />Phengent is ...................................................................................................................... <br />This npplicntion, nithough signed, ahall not bc binding upon thc City, until <br />nccepted by the SuPerintendent of the \1'nter Depnrtment <br />SiCne�3.` .................................................................. APP t <br />...... ..... .......... <br />:1�,cepted.c%/..-,1�l..:..3�.�.....102...... By.,...�..(,.�._ . .. _ i ican <br />� . .. . . . ...- ' <br />� _ ,upe en tt <br />L✓�� ��..� ',��- � <br />