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�^.�^� .r-✓ �-� � r. � C_.�A-t-�.c . r � � i, - i.. �. <br />vr. u. r•o��a_ . �cuo-e.r.co.-s-:a.s� <br />City of Everett�--Wnter Department <br />�PPLICATION FOR WATER <br />'All Llnnks must be filled ;n or crossed out <br />Eve:ett .............���f�L(i�. � ...192_�:'. <br />... ......................... <br />TO TiiE SUPCRINTENDLNT OF THF. NATF. : DEPART➢iEN'f: <br />. CITY OF EVERCT'f: <br />I hereLy upply for the use ot wnter in nccordance �vith the rules nnd regu- <br />lutions of the Nnter Depnrtment, for pur�io:ea :.nd tix•m�es si�ited bclow. <br />During the time that nny of thc water m::ins mny 6e tnken up by renson <br />c[ nny iniprocements outhorized b}• the City nf Ecerett, in or ot m�y street ur <br />n!Icy in which the; m�y hnvc 6cen Inid, thc City �vill not be required to furniah <br />«'+rter during the progress oC su��h improrementv to nny consumer whoec supply <br />m:�y thus Uc cuL o:f, or 6e :inLle for nny dnmages for its failure so to �lo. <br />Applicaliun 10. _.��� <br />^ . ......J.l...--....... <br />Slock......... � �.y.. Lot.. � � __.. Add. :..... .' � -. ;. <br />_ . .... <br />..... �._.....__.... <br />No .:���.. � �Z f�r-��lr .....Street <br />......_ ___ ........................__................ .._............. ... <br />. .. ..... _ _ ...... ..... ... .......... . .... ............. <br />. . .... ... .. <br />: hc work lo bc executed by.... ._... � , c�. <br />. .. �- ........ ...... lunil�er <br />' <br />Stute size of tnp. � .aJ�- �� ' � <br />�/�._Tnp to be inserted in the mnin. � '� "��� ��j� <br />.....L�........\Vnter closet � ' : � .. ;. i ; ; � . <br />.....�.........Bnth l,i�f'i -;. .,, j' ' <br />) I�_i � <br />... <br />.—.....Urinal ' � ,: i_i:IEiT Y/�1l..B GcP'i <br />......�....Plnin f•,ucet insiJc � .' ...............� <br />l� ............ <br />............. <br />-.-.:..Side ��•nik «•nsher ""' <br />.......�........Ilo�e bib outside <br />........—...Hosc bib for LuilJing purposes <br />.........—._.Iiose Lib insidc <br />......-:..-.:.Bib for stnLle contnining......._...,.......stall._......._._..... <br />���.. - nnmber of peisons in fnmily � <br />_-...... <br />...._..��...-.....A*urnUer of rooms in building , <br />The premises nrc to be used ns n..... .. �. ' <br />` ....... ... . <br />7'hc owner of the y ��-- <br />p�ses is..... ..�_.G-!�,/c1C�(.2 ,..�2i[-iLS.� .. <br />n,, ngent is ............................................. <br />......._..__...... . <br />... ......... _ _ _.......... <br />..................... <br />��,7plicntion, although signed, shnll not be bindin� upon the City, until <br />� .� the Superintenden lhe �L'eter Depnrtmen� <br />! (/ <br />