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z-�.c.� 1\-q-7-`� }'1 It. , 4,-,ti:iex�� J.- - �' ? % �. •�, <br /> 1V.D.1'nrm�--3G00—E.P.Co.—g.:G-^.1 <br /> City of Everett�Water Depai�tinent <br /> , , � — <br /> � APPLICA�TION FOR WATER <br /> All 6lunks m+�st Uu filled in or crossed out <br /> �ve rett......................���............................192�. <br /> PO TIIli 5U1'SRINTliND�NT OF TI3G ISATI:R DBPART➢IliN'C: <br /> CITY OF E\'E12liTT; <br /> I hereby apP�Y for the use of o�ater in nccordance «�ith lhc rules nnd regu- <br /> Intiona ot the \Pater Depnrtment, for purposes :,r.d fistures stated bclo�v. <br /> During the time thnt any ot the watcr mnins mny Ue h�kett up Ly renson <br /> of �iny improremcnts nulLorized Uy Lhe City of lieerett, in or of any streM nr <br /> nllep in �chich Ihey mny huve been lnid, the City ���ill not be required to furnish <br /> n•nter during lhe progress of such improvements to any consumer whose suPP�Y <br /> moy thus be cut oit, or Le linbl�for any diuna�s/f� itf tnilure so to do. <br /> Applicntion No.......... �t <br /> 51..6..:...... ......... <br /> Block...........[........'..t........././f LoG..................................__. Add.. ..._ ..�1....A�,t_I.�:���. <br /> No...._.�.d�..�1.......f����",.�..—._�........._e............._..8treet� <br /> .._._._...._............... ......................................._.......J..........._...._........ _._..............__..--......... <br /> TLc �vork to be executed by...._. ........ ���, :a..�-Y-.�..`._...........Plumber <br /> Q' = <br /> �tc s�ze of tap. <br /> �i <br /> ,; � <br /> �......._Tup to bc inscrted i�� thc mnin. � o� <br /> . .......�.......\Pnter closet , <br /> .' ......�........Qnrh • <br /> ��Jrin¢l <br /> .�..-'...Plnin fnucet insidc <br /> -..... ..Side tvnll: tcnahcr <br /> c� <br /> ....._.........ttos� ts� �ut5�a� _. _"�.� <br /> :......�.�IIo=c bib far Uuilding purposes ..,1�/ � <br /> �Iosc bib insidc � <br /> ................Bib for staLle contnining....................stnll....._............. <br /> .-�umber o[ persons in fnmily� <br /> .......�...YumLcr of rooros in building � � � � p <br /> The premises ure to bc used as n..........l.�<5./i-�._�_Q�Cc(--�..,,..,. , _,_ <br /> 'Che on�ner of [he Premises is..�?i1n��1�µ.._�,A.d,.,�r--�v <br /> Thengent is................................................................................................�.................... <br /> This npplicntion, nithougli signcd, ,hnll not bc binding upon thc Ci`�:, until <br /> nccepted Ly th�Superintendnrt of�th�e \Vnte�r De_p�nrtment. <br /> SiEn68......_.rlk�CCd.:L.7i.Cl....L/..�/X'�LC./�LTi..... .................Applicant <br /> Accc ted._.. . � \ <br /> P �-.'�....1...�.....192,�. By.... . .. . .!� %.. <br /> / ................,....... <br /> perinlendebt <br />