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`'�'u`"`.'-� �-i�_u..r-�-.�-. �,-�:�2��, �r. •:-� �( r•�; � <br />., <br />N'. Il, Furm I� - ��00—Ef.Co.-6�26-2� <br />City of, Everett--�Water Department <br />APPLICATION FOR WATER, <br />All binnks must be filla] in or crossed out <br />Ev�r�it ...... .........._ �Gr�! u:::Q�:..7........ ...�sz...G <br />TO TIIfi SUPEP,IA*TF,NDENT OF TIIE �CATiiR DF,PARTIIE\'f: <br />CITY OF LVEI;PTT; <br />I hcreby npply for th�� use of �c;iter in accordance with thc rules imd regu- <br />Intions of thc {pnter Depurtment, tor pw•poses nnd fix�ures S(IIICfI (IL•IOW. <br />During the time tnnt nny oC thc ��•nter mnins mny be tnken up Ly renson <br />���S 1n��vhi h!!ncytmny h�ceZbeenylnid, t�e�C ty will mt �bc�equired1totfurni.¢h <br />�cnter during the pro�ress of such improvementx to anp consumer a•hose supply <br />mny thus Le eut otf, orr/ be linble for miy dmm�ges for its fnilure so to do. <br />ADP��cntion Nu.....d..��..�. <br />... .... .I.,..... <br />Dlock.........._...�_��_��... Lot......./..7.... . <br />._...... . Add... � <br />._ � .._.._.� . <br />. .. ... ...... .. <br />� .__..._....._............ <br />No_......_... ...02_.7 �c�.- .......................Street <br />....._._..__...... .. <br />. .__ .............._................... ....... <br />. __ ... ....._........ <br />. ... . . ... . <br />The �eork to be executed Lp.,.._..__. � <br />. ...... ......... ..... .. . ... <br />. ... . .- .-...-.. . Plumber <br />, ............... . <br />St�n�tc size of tnp. I (/ D <br />' _-"l...G.....Tnp to be inserted in the mn n� � �, , ,�n � �/ % � (% <br />�_.�, ,, <br />.-.,.1.......3�'nter closet _ �, <br />._...(.........Rnth '_. / � ' <br />.....--��....Urinnl .. <br />......2..._Plnin fnucet inside <br />.........``...Side wnik wnshcr <br />........1.......Aocc bib oulside <br />�-_�_.�-.�:-Hose bib tor builJing purposes <br />-�-.....—_Ilosc biL inside <br />..........—.Bi6 tor stable contnining ....................r,tull.............. <br />— . <br />������..........A'um6cr of persons in fnmily <br />-�������Number o[ rooms in buiiding <br />The premises arn to Le used ns a .,.... <br />. .. ............ � <br />.._..__.... .. ....__ ... . <br />The o�vner of the premises is.._ ..(/,yi(,,�� ���" <br />. .��.�:.. .. <br />. .. ............ . <br />. � ngent is ........................................._... � L <br />. ................................... <br />�, �s npplicntion, nithuugh signed, shnll not be binding upon the City, until <br />. ._......... <br />'d hy the Superintendeul of the �Vnter Depnrtment. <br />. _..........Dy,.. <br />;�...:.�,_.. . ���G <br />