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. . ��<� t�) � p. - � , <br /> A ' � <br /> �a.n.eo�m a�-van-e.eco.-�._s:a <br /> City of Everett-�`Vater Depai�tment <br /> APPLIC�ATION FOR WATER <br /> All Llanl:s must be filled in or crossed out <br /> �- -"/ <br /> lieerett,._...............L-.m.c.::�...//�..�....................10tt.�.. <br /> 10 1'IIi] SUPEItINTCNll�NP Oh'.THIr-�F:1TP2 llEPART\ili\T: <br /> CITY Or EVli!2liTT: <br /> I hereby npplp fur the use of ��•ater i:i iiccordance �vith qic rules e.nd mgu- <br /> Intions of the A'uter Depnrtment, tor ptu�pnses mid iis'ures st:�ted bclow. <br /> lluring lhc timc thnt nny of thc �cater mnins mny be lnken uP bY renson <br /> of nuy improvenrents authorized Uy the City� oC F.��erett, in or o[ nny sLrect or <br /> alley in n�hich thet� mny itnce 6cen :nid, the City will not Le required to furnish <br /> �enter during Um progress of such intproecments to nny consumer �vhose sup�dy <br /> may thus Lc cut off, o/r/�bc liablc to:r any dnmages for its tnilure su to do. <br /> Applicnlioq ATo... d...�..�0 �/ i-S 8 Z-- <br /> lo S lo ....y................_ �l <br /> Block........................................ Lot................:�t..:'......._..... Add...._..... . . . . . .... __.... _... <br /> No...7....�'�..�a......... .. . �-•,.�_................Blreet <br /> .............._........................._........._...................__..._.......................... ._....._.................._._.... <br /> Thc work to he eicculed b � <br /> y._J�w..(`��+-... ' ....____.....Plurober <br /> Stntc size of tnp. <br /> ...�2....Tap to bc inscrted in thc main. <br /> .....L.......3Ynter closc: �i� <br /> = i <br /> ....../.........BnNi { .. . <br /> / <br /> .......-......Urinnl ' <br /> ......'..'.:......Plnin fnucet inside <br /> .......�. Side n•nik �eaehcr ' <br /> � ......::..:._Hosc bib outside <br /> ........:.:'_Hosc UiU for building purposes <br /> __...._ ....Ilose UiU insidc <br /> ........ .....Bib for stable containing....................stull.................... <br /> .........`.`...rumbcr ot persons in tamily . <br /> ...._.�...Tumbcr of rooms in 6uilding `� ,� <br /> Thc premises nre to 6e used ns n.._.. .__ .�.`.,W_�?.'... �.../.��y.��y,,.�,(l��.,.�.� <br /> 1'hc u«mcr of the pre�aises ic....._�it..._1��..�I..�[��lf/l�L........ <br /> Theoecnt is.........._...................._................_........_................._..................................... <br /> �-tiic npplicntian, nithoufili eigned, shnll not be 6inding upon the City, until <br /> t by lhc Superintendcnt of thc Nn/tcr Dc}mrt unt. <br /> 5igned_li'....... .�fl.......G'Y�����CY�._�.—.. ... ...........A plicnnt� <br /> / / �q,�ed._......_�:�...�.....192.(a By.......... .., _ . ... ... . .. . ....... ... <br /> •rm endent <br />