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. . ._Y�.�r�L.� . • . ' . <br /> �a.«rl' tt -P,-77 - i/1 `C�vv�3�L.LA; �. — t � . r !,'i�i- . <br /> . . � r <br /> �s.u.r•o��a—i�no—e.cco.—s-zs�21 <br /> City of Everett�Watei� Department <br /> API�LIC�TTOI�T FOR WATER <br /> All Llnnl:s must bc tili:l in or crossed out <br /> livcrett..............'L.��L.:t.........Y.........................192.,j. <br /> PO TIiE SUP�RINTENDENT OF TIIG \CATI7R DEPART\SIsNT: <br /> CLTY OP GVERP•.TT; <br /> I hereLy n�iply for the use of�eater iu accm�elance tt'i.h the rules nnd regu- <br /> lations oC the Nnter Depnrtment, far purpuse, :md fis;wrs stated Ucla�v. � <br /> Puring thc limc LII:tC 911}' ot thc «:itcr mnins mny bc laken up Ug rcason . <br /> of nnp improcements auU�orized Up tlie Citp oE Ecerett, in or o[ nny �treet or . <br /> nlley in �vhich thcy m�y hnee bcen Inid, Lhc City will not be required to furnish <br /> water during the progress ot such improcements to nny consumer whose suptily <br /> mny thus Uc cuL otf, o//�r bc 1'able tor nny d.mmges tor its Suilure so to do. <br /> Applicntion ro..a..�.�Z.........:./�,��' %/.%��' Ca�0.�� . 2'4i.i-�M1 <br /> BIocL...........�..7... � t2...... Lot.....�:... Add..C....... � - `� �' <br /> 7.:.." <br /> /, G A-X. <br /> No........._¢F C.�...V..Q....._�G_�-C�._ .._`...._....Strcet <br /> D <br /> _ _ .._...__......._...._............._._..............._..._ . .. <br /> ' The �vark to bc esecuted by. ��, . - .l�..<. ........ Plumber � <br /> State eize of tap. <br /> .._�?.-....Tnp to be inscrted in tl�e mnin. " <br /> ._.�..........lhitcr closet <br /> ......1........Bnth � �J i . <br /> ......:::......Urinnl � � 1 ' � <br /> ......7.......Plnin fnucet inside � <br /> ........ .....5ide wnik �casher � <br /> ......./........I�osc bib ouLside <br /> ......._'.:...Hose bib for bui!ding purpo3es <br /> ......:::.....Hosc bib inside <br /> ........ .....Bib tor stnUlc conluining....................stull.................... <br /> ......:'../...._A'umb::r of persons in fnmily - <br /> ...._`X:.....Numbcr of rooms in building <br /> The premises arc to be used ns a. . ..... ../... ..................... ........ ........ ... <br /> i <br /> �9 r_.._........ <br /> The owncr of the premises is......,_...._'.,.�.:.......CVLt-.(�J-'�.Gz..C.._l._....___. <br /> The ngent is.................................... <br /> .................................................................................. <br /> This npplicntion, although signed, ,hali not be Uinding upon lhe Ciry, untit <br /> nccepted bp the Supurint��9d�c,nt of�.t,he Nnler Depu/rt�me—nt. <br /> Signed.n.U.(.....-...V....1T.Q'/�.'�fi...�.�Pjicnnt <br /> Accepted..._........_..............._....192..... Dy.............__........._........_............................... <br /> Superintendent <br /> �;r <br />