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� b� il_�. ry��-� <br />w. o. t•���� �-- v,nn-e.r.co.-c.ze.z� <br />�-r.(_,��icL �i 2']_ �l i, . � <br />Cit���r o� Everett�--Water Departn�ent <br />APPLICATION FOR WATER <br />All bLml;s must Uc filled in or crossed out <br />i� . 7 <br />�vcrett ..............G.. . . ... .... .I�...._....1'J2. �. <br />TO TIIE SUPERWTI3NllEN'f OF TIIE R'ATF.R DGPARTDiENT: <br />CtTY OF EVE1tSTT: <br />I hereby npp1Y for the use ut ��•�ter in nccord:mce �vith the rules nnJ rcgu- <br />Intions o[ the Water Depnrtment, for purposes +md fixh�res slated bclow. <br />During thc time thnt any of the �vatcr mains mny be tnken up by tenson <br />of nny improcements authorized by Uie Cih� of lieerett, in or o[ eny street or <br />nlley in which they mny hn��e bcen Inid, thc City �eill not be required to furnish <br />wuter during the progress of such improeements to nny conxumer whose supply <br />n�-�y thus bc cut oit, or( bc i Llc fur ;mv dnmages tor its fnilure so lo do. <br />APPlication Na......d..��..s.. . <br />........... <br />Ulack ..................� �..�........... Lot........��� <br />........... Add... ....... <br />......................... ..... <br />................. <br />Nu......_. ..o? � �!�GGc... .Street <br />. ._f ............... . ✓L <br />__._. ._...__._ . .............................. <br />............................... ............ ... .. <br />.. . . _ .................Q -P�II......... <br />Thc work to be exccuted b __..........��.{{ � r <br />y..... . /-.:2.Cc. ::. ......... . � mUcr <br />� y6 <br />Sliite sizc of tnp. �/ � lf ��� ��' <br />-�_.......Tnn to be inserted in the mnin. �' �/ � <br />......1.......\Pnter closet ' � . <br />, <br />......!...:.....IIad� ! � - . <br />................Urinnl <br />--��-���....Plnin fnucet insidc <br />.__.__......Sidc �enik washcr <br />- �.��.�...._Ilosc bib outsidc <br />�� ���� .�....Flose bib for building purpnses <br />.........::..._IIose bib insidc <br />�-�-...........Bib for stable contninin <br />. 8 ..................st��ll__...___.... .. <br />-���.��.......A'umbcr of persons in family <br />--��•��......Number of rooms in building <br />The premises ¢re to be uxed ns n. _. �,c. �'. <br />... . . . _. _.. . . ....... <br />The owner of the premises is.....� r� .C�..e��.� <br />Clhiu/1/ �i�r-t....7 <br />Z'hc agent is ..................... <br />.................................. . <br />. ......._ ................................. . ............ _.. <br />�''�'�� .bnpP�icntion, nithaugn signcd, shn1l not be binding upon the City, until <br />`'� Y �he Superinten� nt of the �Veter Depnrtment. <br />Sigtied...........�it�t- ......App ar.t <br />........................... .............. .......... .. <br />� � �f ...... ..... . <br />_ .,. - � <br />.._ � _...:�. ..........1�J��.�.. By..... — <br />� .................. .. <br />�� - Superintendent <br />