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rz..-�.:tA. � -r �- � L�' n-. <br />• � � <br />w. n. ; ��m �- �teoo-e_r.co.-E.ze.za <br />f�„�IAx.LcQ �"-��- r � tJ': ; � <br />City of Everett�--�Water Depai•tment <br />APPLICATION FOR WATER <br />All binnl;s must be fiiled in or cros<ed out <br />�vcrett..fl..G.� ....�.� ...............................102.2... <br />TO TI[E SUYERINTEND�NT OR TI9F. NA F.R' DGPARTDiCN1': <br />CITY OF EYBIYETT: <br />: hereby nPP�S tor tne use o[ �vater in nccordance with the rules m�d regv- <br />Intions ef the R'n:er Depnrtment, for purposes nnd fixtures st:rted Uclow. <br />D�ring the timc thnt nny o[ thc �vater mnins muy be tnken uP Ly tenson <br />ot nnp impruvements nuthorized by thc Cilp ot Ercrett, in or of nny street or <br />ulley in �vhich ihey may have bcen Inid, the Ciry wil( nut bc mquired to furnieh <br />water during the progress oi such impro�•emente to any consumer whose auppiy <br />m�y C„us be cut of[, or 6e plinble for any dmm�ges fur its fnilurc xu lo do. <br />Applicntion No..._....g._A...�.f.....�j.........._�'�' � -�"�-�-- <br />-- <br />Block ........................................ Lot................ . Add�.�i�'�..:�s: <br />U_ ... . .......... .. <br />No......... � _!z.0 ............... .... .. ........ . ..................Street <br />... . . ...... ...... . ....... ... .......... .. . ... . . .. . . . <br />. <br />� ... .. <br />The work to be executed by. .. .. ""�'�'e'�� °-`'�''�t.a..�_� <br />._..__... ... . . _. . .. .. Plumber <br />Stntc size of tnp. <br />2 r'I ° <br />.....��........Tnp te bc inserted in the mnin. � � <br />.r. ........R'atcr closet �} � I �f- � � <br />,�........Bnch r <br />.�........Urinnl �f: �.- � , -. , �._.. � <br />_.._........Plain Lmcet inside I i-�/ ��_ q �� ��� <br />Side wnik washcr A, ,`� ��� <br />Iiose bi6 outside I'�rr`�^� " 1 Q�O <br />. <br />..... <br />i I;{- f�: �� -C� <br />� :',r_HFrr tar�a nyr,- <br />..............IIose bib for building purposes � � <br />:-:�.....Flose bib insidc � <br />......—.�...Bib for staLle contnining ....................stall.................... � . <br />....�.-..Tumbcr of persons in fnmily <br />._ �...........A'umber of rooms in building ' <br />Thr premises are to be used as n . ....... .. ..... __... _......................................... <br />The owner of the Preeiises is ....... ..... .....�. ....... ..............._........ ...... <br />Thengent is ..................................--........._............................_..............................._..... <br />This <br />apted <br />signed, shnll not 6e binding upon thc City, <br />of Lt�Wotcr)De�nrtment. <br />ed......L...Y....�.....C?..�1...... __..__..._ .... ............�Applicnl <br />..................192...... By........�.�..�* �. ��/ . u ......................... <br />�3% - "� L�f-��,p-,.�perintendent <br />