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-- � ._�- N� <br />W. U. Fon.. r-l600-E.P.Co. 636-2! <br />w�.r�'-q ,�_ ✓ � _. .v.� � .,')7" 1 <br />l�ity of Everett�Water Department <br />APPLICATION FOR WATER <br />All Llnnks must Lc filled in or cross d aut <br />E�����«...._--::' _:.�� //7�2_,.3 ................��zL.. <br />TO T}fE SUPERINTCNDENT OF THP R'ATF.R�DEPART][EKT: <br />CITY OF E�'BI:L:TT: <br />I hereby npply fot the use u[ w�ter m nccordance �eilh thc rules nnd regu- <br />Intions of the Wnter Department, tor pmposes nnd tis(ures stnted ficlo�v, <br />During thc time that nny of the �vatcr mnins mny be lnken up Up renson <br />of +my iroprovements authorized by the City of P��crett, in ur of nny ntrcet or <br />ullcy in whirh they mny hnce been lnid, the City will mt be required to turnieh <br />wnter during the progress of such improrements to any con�umer whose supply <br />APPlicction No.....�i/ .1��.,,,.___.:y /� .�'es for its Cnilure so to do, <br />may t us be cut olt, or c li ble fm• ;:n � dnnw <br />. . Lot ................. ' � � <br />��_ .. � .... � <br />Blocl:....... � � Add:�_ � '-' . ; , . : , . <br />.. . ............. . . _ .. ........ .. �, . <br />... _ .... ... ..:... ............ .. <br />No....... .. . �� .._.. .. ZC.�YI� ... ..._.Street � � <br />_____.._ ................... .. ..._.. ... .... . ....... .. <br />. ..._ .............. <br />Tl�e work to be execufed by �� � .. o o rvL . p�mb r <br />St3/t�' /ize o[ tnp. ,/ 3— � �• <br />a T <br />��/ 7 Tnp to 6c .nsrrted in th�nin. �> o� C �/ <br />..../.........«'atcr closet � <br />....1...........Bnth /� � <br />..._�...._Urinnl �-- , i". <br />...._�......Plain tnucei inyidc — <br />i <br />........-......Side wnik wusher <br />��_�..�.........Hosc bib outside <br />....._`.�:._fio�ie bib far building purpuses <br />........�:-....IIose bib inside <br />........�-_Bib for atuUlc wntnining....... atnll ................._. <br />.-.....-.....Number ut persons in tumily <br />.. ... Number of rooms in building <br />.... <br />T'.�� premises cre to be used as n'.. <br />_. . �i <br />_. <br />'��• owner of the premises is.. [C...!���Ytt,,,/// <br />�0_,. _.�1�.�[.........................�. <br />'F. .�ent is ................................ � <br />............. ...................._....._...... .. . . <br />. . . ... ........................ <br />�� � � npplication, although signed, ,imll not be binding upon the Ci until <br />�"+ -; : r�, '.•��' by the Superint�Jent o( Lh�Nnter Depnrt ent. <br />Si ne � • �7�,J <br />�� � e �_(�.,t�!-�.'� .�................�Cl...................... ...___......_APPL <br />�,�,.• .,,..d..........1...:.2.3....... si z,� By...S� s�,,r�_ <br />.. <br />.. .. .. . . . .... <br />' ent <br />