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�-�u+_.8.- � �-9- �'�, f-� �� . � • �-„$��-,l' .- > <br />�i- �_ �, <br />w. o. Fo�m �-�coo-F r.co.-cse-z� � <br />City. of Everett� Water Department ,_ Z <br />APPLICATION FOR WATER <br />All Llnnks must bc filled in or crassed out <br />F.vcrett ..................................� ... .. 192..L.. <br />..� ................... _ <br />PO TI3E RUPERINTEA*llrNT OF TH� N4TEI2 DF,PART.IIENT: <br />CITY' OF EVGI:ETT: <br />I hereby nppl� for lhe uso of w;�ter in accordance �eith the �vles imd regu- <br />I�tians of thc Wnter Depnrtment, ior purposc:: nnd fixtures stnleJ bcla�v. <br />During thc timc thnt any of the �cnter mnirs mny be tnken up Uy renson <br />of nny improvements nuthorizci: by the City of E��erctt, in or ot nnc strect or <br />alley in �vhicl� thcy may hnve Leen lnid, tlic City «�ill not Le rc�uired to furnish <br />water during the �irogress of such anp^o�•ements to any concuwer wUose supply <br />m:�p Hms bc cut o:[, or be plin/ble fur any damn�es for its�ilure so lo do. <br />Applicnti..n :;o ..............6 b.S g 7 /3S <br />.... _..........._.. - . <br />a� <br />Qlock .............e........................ Lat........�...... ...... Add.......::�."._......_.�_".: <br />.. .............. <br />_..... _. .. <br />No......./�.� �. �.._... .. Street <br />.. . ._. _ .... .. ................ <br />. ................................... <br />.... ........... ................ ... _.. ............................. <br />Tlic work to be esecuted by...._ __.�Gt�(_121� <br />. .. . ........ _____ .. ..............Plumhnr <br />S/tqto�size of tnF. <br />1�_.......Tnp to be inscrted in the ronin. <br />-�..-.�_......Nnter closet <br />.... �.........Dath <br />....��7rinul <br />����.....Plnin .f:iucet inside <br />��-�`.-.�'..Sidc wnik ���nshrr <br />� �...-.....Iioac bib oulsidc <br />I Iv `� �.% <br />� <br />-_..--.�.._IIose bib for Luildinq purpuses j <br />...._—:._ftose bib inside ". . ,) <br />.......�--.-...Bib for AtnUle containing ...................stnll.................... <br />�- _..A*umbcr of persons in family <br />.... . .. <br />. Number of rooms in building <br />Thc premises nro to be used ns a.. ...... <br />-y�� � ... . _ .. ...._. <br />_. . ......._... <br />The o�ener o: tlie premises is......CC✓`�.t. � <br />. . _ .... .........-�...:�...c+sr_...._. <br />The ngent iy ........................................... � . , . <br />.... _...... _ ................. ...... . . . <br />.. . . ............................. <br />Thia npplicn[ion, nithougli signed, ahall not be binJing upon the City, until <br />aecepted b}• the Svperintendcnt of thc \Vnler Department. <br />Si�,med.('._.....�.✓�.4....... d.�./ .. ... ......... . <br />� <br />. .... . . . pplicant <br />Aecepted._C¢...'./._r._......1927.. B � : <br />y.... . . . <br />.... <br />. � uperintenden <br />