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�2rr� -�- �3 - �-.r c <br /> � . t �� b - i 1-vS kn-rni <br /> �v.n.e��m�_��o�e.ec�.-a-ss-z� � <br /> Gity of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All binnl;s must Ue filled in or crossed out <br /> Everett............. �/II r �J <br /> ..............................................................i�z.�.. <br /> TO TI�E SUPERINTENDEN'P OF TIIP R'ATF.R DCPARTilIGNT: <br /> C1TY OF BVEI2ETT: <br /> I hereby apP�Y tor the use o[��;�ter in nccm•dnnce �vith the ivles nnd regu- <br /> intions of the Water llepartment, for purpo�es nnd fis'ures stated bclu�r. <br /> Ruring the timc thot nny ot thc watcr mnins mny be tnken up Ly reason <br /> of nny� intproecments uuthoriud by the CiLy of Eeerett, in or ot nny streeL or <br /> nlley in which they mny hnve been I�id, tlie City will not be re�uired to furnish <br /> water dw�ing the progress o[ such improvemenls to nny consumer whose supply <br /> may thua Uc cut ott, o�r'/be lincb�le for nny dmm�ges for its fuilure so to do. <br /> Applicntion No......�7..�.rn...��,,... <br /> .......... J <br /> Bluck.......'.../.J.�j...1.0............... Lot..//.......�..7.................... Add..s..1./?.�._.'_a:.Cl�1....... <br /> No....o�.?�D..�......�i���:..................._...Street � . <br /> ..._. ._........._....................................................._.._............... <br /> ... . . . ........... <br /> ........................... <br /> The work lo Ue executed Uy...... . ��....._.............Plumbcr <br /> __,_, <br /> � Stnte sizc uf tnp, � /,�� - �� <br /> ....��._Tap to im iuc�rted m the mr;a. <br /> .-...!........Natcr closet <br /> .....�.........Bnth <br /> .....�....Urinal <br /> .....2,......Plnin fuucet inside <br /> ...-G:.-..Sidc �valk wnsLer " - <br /> ..._l,.......ao5� v�� o�is�a� , . <br /> ....�:_Hosc bib tor build�ng �mrposes � <br /> ...._L...IIose bib insidc <br /> ..._�...Bib for staLle coutnining...................stnll................ <br /> . <br /> .-._.<.�.Number of persons in fnmily <br /> �.,.,.3.......Numbcr of rooms in Uuilding <br /> The premises nre to bc used ns n_..._.. / <br /> ._. _ . .. .C�.C.t.1.c...C�,......... <br /> Tlie owner of the �retnises is..��:... . C(�yT,.��_ <br /> . - .. .. . ...... ... <br /> , Th� vgent is......... ......... <br /> .... ........ ............................__.......... <br /> ........................................ <br /> � npplicntion, nithougt �Fned. ,hnll not be binding upon the City, until <br /> �� . ..� hy tl�c Superinten of the �Vnter Depnrtment. <br /> Sign ed..�...... .. . ..... ... <br /> . . . �..... .APplicant / <br /> ." � <br /> ..�. _ �.,�� _......1�J " ��� � <br /> ;�'fJ_...... , ;�.. BY.._/� . ... .... <br /> . . ...... ........... <br /> L � ermtendent <br /> . ........ <br /> . <br />