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. C_ ,� _ �Lr� .� .Z 9_ -)b � <br />!'%. D. I+orra 1—�5p0—E,P.Co.-6•,6-2C • <br />� City of Everet't�Vv'ater Department <br />APPLICATIVN FOR WATER <br />All blanks mvet be filled in or crossrd out <br />' � ... .,`,....C..,....._........_...�,...._.�J ..............192....� <br />Lcuret t.. .. .. ... .... <br />TO THC SUP�RiNTPNDENT OP TAE ATF:R DEY RT➢tEN'C: <br />CITY OP IDVEP,CTT: <br />I hereby npply fcr the use uf �vater in accardanee �vith the rules -��d mgu- <br />Intions of thc �Vater Letmrtmnnt, fnr , mpc;ca imd fistures stnted bclow. <br />During the time thnt i�ny ot the u�ntcr mxi;�s mny Le tnken up Ly reason <br />o[ nm• improvements aulhoriyed by the Cily of F.ccrett, iu or of any strcet or <br />ulley in whid� Hicy mny hm�c been Inid, the City �ri11 not bc required to furnish <br />�rater durin;; thc �rogress of such improvemmrts tu nn}• consunir. whose supply <br />may thus Uc cut off, or� � u_U1c Iar :�ny dmm�ges for its fnilure so to do. <br />Applicntion No .................. �f- �'O — � � '� � <br />. ................. <br />Dlock....:..........................._...._ Lot..................._............_... d.. ........ .. �. � <br />-y . .. ... _._._- <br />No_...3_�..�..r.�....�.� ( 3.�.�.Stre <br />............._............._..........._......_.........................__..___.........__....._. ._........... _. . <br />Thc �vork to be esccuted by ................. . ..._............Plumbcr <br />. _...... ...._.. ._. ... <br />e �ize of tnp, <br />... ...�...Tap to 6e inscrted in the ronin. <br />� <br />.... .....\Ynler closet / n � <br />.......�........Bath -- <br />................Urin el <br />................Plnin fnucet inside <br />................Side �vnik ��•nsher �, �-. <br />.............._iIosc bib outsidc <br />- ..............Hose bib for building purposes <br />................fIosc Uib inside <br />................Bih for stn6le containin�....................stall.................... <br />1-j Number of persons in fnnily <br />......L....._.NumUcr of rooms in buildi�ig ' <br />The premises nre to be used ns n.......... <br />_. _ _. n"�"... .... .. . <br />. . t�. _. .. . _ . ... _ ........... .. <br />The ow: er ot the premises is.._....._. . n <br />_ _......i�.'..__.... Y,--`�-.t�-�_�� <br />... . <br />.... ............ <br />"-',,. agent ia ...............................................................__................................................... <br />�� npplicntion, nithough signed, ohnll not be binding upon the City, until <br />��� : by the Superiutendent nf h Water D rtment. <br />Signed......�..... . .. �... <br />; . .. . <br />� . ..✓1'�"/.�......--..... ..APFlicnnt <br />; ted ..............�.v ...—.,Z3..13�.. By...... . _ .. .C�v�... <br />.. <br />' �ouperintendent <br />