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/A'i v'/-i: -. �` <br />t .v'�j l-3� 7-- 23 � <br />� . r' <br />tr. u, ton„ a—lcoo—e.eco.—c�z� z� '"' • <br />'City of Everett��Watei� <br />Dep�i�tinent <br />ApP�ICAT�ON FOR WATER <br />A11 bl:uil:s mcst. Le filled in or crossed ut <br />bly'v <br />Gvcrett .......................... r ..10z_� <br />.............. ............... .............. <br />PO TIIR s�rPLRIP:TliNDIiNT OP 1'lll: {l'ATF.R DEYARTIIENT: <br />� CITY OR BVEI?E1'T: � <br />I hereb�� nnnh• for ih� q��. �; ;,,�Ler in nc:ardnn�;e n•ith the rules nnd regu- <br />lations o[ the R'Stcr Depnrtment, for purposes and iix;ures ctnted bclon�, <br />During lhc timc thnt any of thc �catcr mnins mny be lnken up by renson <br />uC nnp impro�•ements authnrized by the Cih• of Everett, in or of any slrect or <br />nlley in which they may hm�e been laid, lhe City �vill not be required to furnisli <br />�vnter during the p*ogress of sUch im�n�orenten(s to nny consumer e�hose supply <br />may thu� bc cut off, oqr �Uc 1j:�Y tm• ,,::; �;ii��n�es for its failure so to do. <br />ApPlicution No...- ._....V"�—.. ".�.._".—�'.. ....Gi 8 r% . . <br />Qlock..........._...._3........ L ..............._.....� <br />� . � Add.._....... <br />� ... . .. ... <br />d � ._........__.._...__.... <br />No......__......._....... 02 " _..Street <br />. .. _...... _ .. . . . . .. ....................... .... . <br />..._......_ . ......__.. <br />. ...... ... .. <br />.... � . ...... . . <br />..._ _ . . . . _............ <br />The ��ork tc Le executed b� __.. <br />_ _. k`'"""_a'�'"�--.�__.. Plumber <br />_ <br />St tc size of tnp. . <br />I � <br />�:........Tnp to he ins��r[ed in thc roain. <br />...._�.........�Pntcr elosut ' <br />......�........Bn[h � � �' IS°_% <br />................Urinnl y <br />.............Plnin fnucet iusidc <br />...............Side �enik tci�shcr <br />.............._Aose bib outsidc � <br />.............._Hosc bib tor bui:ding purposes <br />................Flase biU insidc i\�� <br />................I3ib for stnLlc containin �•J�� \. <br />g.................... s t a I l................... . <br />.....�....._.A'umbei• ot persons in fnmily , <br />................Numbcr of rooma_ in building <br />The premises are to Uc used ns n. .. ......._ :u <br />.� <br />y'......... .................... <br />1'he owner of the premises is_._ ��1., e-e.t_liy ��� ����"`��"" <br />. ..... ....... Q�c� <br />_. _. 1 d. <br />. .`.�:-0�/l_� <br />Thc ��ent is..........._ ....................... ......... <br />, . . . ............... ................ .. . <br />. . ................... • <br />..................... <br />us npPlicntion, nitliou�U signed, shn11 not be binding upon Lhe City, until <br />nccepteJ Uy Lhe 5upe/rint� ent of the \Vf c� DePnriment, <br />c;�.,,,,�1%/`-c"`q �-t' l�[a _ �� _ <br />� �� . ...... �+ppuCBllt <br />. . . <br />Aecepted... ....' �........1� By : <br />.............. <br />_ . .. <br />, erintendent <br />r <br />