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_, ,� n- <br />�c-Gt�46-;d?�9 if , .. ' .• -� � -' . <br />s•. u. e.���� a-ieao-s.r.c�.-s--s.za <br />City of Everett�Water Departinent <br />APPLICATION FOR �iATER <br />All Ulunks must bc filled in or crossed out <br />Cvcrett. ..............�./...!/../.. ... .� _Z...............1�2�`..�.. <br />TO TIIE SUPGRINTCNDBNT OR THC \PATBR .PARTDIENT: <br />CITY OF �VEI:GTT; <br />I licreby npply for the use oC �valer in nccordance ��•ith the rules nnd regu- <br />Intions of thc «'uter Dcpartment, for purpuses nnd fisp�res stated bclow. <br />During the time thnt nny of lhe �eater mnins mny be tnken up 6Y rcason <br />of nny im�irovements authorized Uy thc City of Ercmtt, in or ot any strcet or <br />nitey in which they mny hnce becn Inid, lhe City will not be m�uired to furnish <br />n•nter during the progrecc ef �vch inprovements to nny consumer wLose supplY <br />may thus Lc cut uft, or bpc liable tor r.ny dmm�Kes for ils fnilure eo to do. <br />Application No.........Q.. .,1.`..�-z.......- S 3 53 <br />Block........................................ Lot........�........./................... Add......._.......__..._..._........_... <br />No...._..�i..�..2.0.�...........c�... f_�-t:��/.........._...Street <br />� <br />....................... ......... ............................... ..... <br />TLe �vork to be execntsd bY._.......... .�.o _ ..............................:....F..,..,...PlumUer <br />Stnte ize of tnp. `',, J��' �,'1 <br />/ — - bI ,� � --:: ��:. <br />..�..Tap to be inserted in the mnin. �- � � �'�,� <br />...._'......Nnter doset � j�j1�Y j . ���� <br />,..._�-u.,Trs r.�.,1 <br />....-'.........Bnth �'TV � , , <br />.._.'.-.......Urinnl C. �... ..--�- <br />. . . . . ....... � - .. <br />.._�.'..-......Pinin fnucCt insida <br />...._'.......Sidc �cnik �cashcr <br />.....f.........liose bib oulsidc <br />......�.....Hosc Uib fur Uuilding purpuses <br />..... .......Iiose biU inside <br />.....-.......Bib for stnUle containing ....................stall.................... <br />...._�.......Tum6cr of persons in fnmily . <br />....Z......Numbcr of rooms in building <br />The prmnises ¢re to be uscl ns n...... .. ... . ......:. ......... ................. <br />) • <br />The owner of tUe premises is...�..... 7..,_..�.�G. ,��:.s .............. <br />/ <br />Thengent is ............................................................................................................... <br />'his npplicntion, although si6med, ahall nnt be binding upon tlie City, until <br />�� pted by the Euperintendent o[lt,he �YaLer Department. <br />�:-ed.., ..�.�..-..�.,2....19?� Dy <br />/ <br />