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Q.ella 4-�c,-zb-�l. ��_�t. :_,._�_� S _ IC�-;(. 1� r: � <br /> a.u.ro�N a-�sou-a.eco.-c-xazi <br /> City of Everett--Water Depai�tment <br /> APPLICATION FOR WATER <br /> Atl Ulm�l;s nmst Ae filled in or crossed out <br /> �verett... � .............1'J..(�. <br /> � ......................�'.....�..................... ' <br /> PO TIIE SUI'I.RINTLNllE247' OR THP \VATRF2 DL•'PAIZTMF.N7': <br /> CIT] OR CVCRI:TT: <br /> I L+creLy nnr�y ror lhe usa uf u•ater in aceerdnuec «•ith tUc rules nnd mgu- <br /> Intions of thc �Pnter Depnrtment, for purposrs :ir.d fis.ure, etuted bclaa•. <br /> During thc timc thnt +my ot ttc a��tcr mains mny be tnken up Up renson <br /> o[ any imprnvemenLs nuthorized Uy the Cit}• of F.vrre[t, in m• oI miy strcet or <br /> nlley in whirh Ihey mny hn�•e becn laid, the City ��•ill mt be requimd to furnish <br /> a�ater dnring thc progress of such improt•entents to any Consumer whose supply <br /> may thus be cut uff, or bc IinLlc�I7UI' Y.II)' (]311111�C5 for its fnilure so lo do. <br /> Applicution No........�..�..�..1._......._ 1((� ��-�- p <br /> IIlucL................_L.._....... .. Lot.....F>.:.-_9..................... Add...�`-�'�K.. . <br /> No..�.���___...��-'�-�-�_..__......................8treet <br /> . .._........... .. ....... ...... .... . ..... ..... ......._ .... .... . .. . .........._. <br /> Tlm ��oil. to be esecuted by....�4-�-Q=.4-'-�L. ........ .... PlumLer <br /> $t e si�e of tnp. <br /> � u�' <br /> . Ff.�:�......Tnp to be inserted in the mnin. �f / <br /> .....L........�<<ntcr closet � �/ (, <br /> .../............�n[h �[L <br /> ..—.......Urinnl <br /> �.....Plnin flucet ms�dc , <br /> ........ . . i .. . : . <br /> _....Sidc n•nll: �cnchcr ..�'� � <br /> .......... � .� � , , . <br /> �, !'� <br /> - ................ltose bib oulside ��:•'1 j� 1 .1 f(IL�I) <br /> .. .....Hose bib im• building purpiJ4cjs�'� EYC.';ETT IY��i�..' . <br /> ... <br /> -..._.—..Flosc bib insidc ...�................... <br /> ..... ......_. <br /> �Bib for stuUl^ contninin st -� ��'� <br /> g.................... ..... <br /> �..............Numbcr ot Pcrsons in Camily <br /> ..�... ...ATumUcr ot roums in Uuilding ' <br /> 7'Li� pi :mises nre to be used ns n/. ` (� <br /> . . _ ... .....� _.....__. <br /> '��.c own^r oi tlic prer.�ises is . !�C.r..y�. .��:.---c?r��L_....._. . <br /> �ent is..........._................_.........._.....�..._....__._._......................................._....... <br /> .. �plicution, althougL =igned, shapppll vot be binding upon the Cily, until <br /> . tha Superintendcnl if th�c�/ tcr e ,rtment. <br /> �/ � .G <br /> Signed........��r� .... . .�. ...�'.'... ...._L.�...! ...A plic¢nt <br /> 1... <br /> . 7........A. <br /> � y� <br /> Accepled.......,..�..�..-.._/ ....197ti,� By..����...��..I �/ ................ . <br /> 1 Sy crintendent <br /> � �'% <br />