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1i ' ('�`'�-_ <br /> � ;-lE,2b-F11. �L��}"1 � —�,— i� <br /> �c.u.eo�m<—ir,00—s.r.co.—r:c:� . • . <br /> City of Everett�Water Dep�l'tment <br /> APPLICATION FOR WATER <br /> All blanks must be tiiled i:i or crossed out <br /> � / <br /> I'svcrett,......._...c.:.-�.�.�....�.._�.................19?.(a. <br /> YO TiIP SUPER{NTGNDENT OF TIII? \�'ATEA DEPAI:Tn[ENT: <br /> C1TY OF L•'VEl2ETT: � <br /> I hereby nPD�Y for the u:e of �•:nler in nccard:mce �cith lhe ri4c, nnd regu- . <br /> letions of the \Vnter Depurhneut, Cor purpo:�es and fixtures stated bcla�e. <br /> During the lime thnt nny of tUe �vater mains mnp be tnken up Ly rcason <br /> of nny improvements nuthorized by lhc City of i3verett, in or o[ nny strcet nr <br /> nlley in which ihey may hnre bcen lnid, the City �eill not be required to furni�h <br /> water during the progress ot snch improvements to eny consumm• whose suPP�>' <br /> may tlms Le rut off, �ojr 6e l(i�able for auy damaqes [or its failure su to do. <br /> Applicntion N ..0... .../..1................ . ; � . l y <br /> �i� � „ <br /> : �u� -� <br /> Ulock.............._�.......n... Lot........... . ...___.. Add...:.._._.-`.r:��.,...'.:........... :.. ' <br /> . .......... <br /> . -- ./ , . <br /> No.. �.G,-........... ..........:.�...-.._Strect . � <br /> Z y�......._ . <br /> ... . ... . ... . .... _ _ .............. <br /> . <br /> The work to be esecuted by �.��`�'� � / ._.. . ...... ..Plumber <br /> State size of tap. 7.`���� <br /> I \. , <br /> ...��2�--..Tnp to Le inserted in the mnin. I � , i t ' . . . <br /> ..... f.......R'nter cl'oset �. .,, . � � - ' ' <br /> ... _ ��� <br /> . .: �. ._�1 . <br /> ........1.......BoU� �:,�.�;' r'i EVE!J:•1T,.Y71Jt.H i. .. <br /> '�Urinul '' � <br /> ............... .. . , <br /> ' �- _._........;" i� <br /> .......y..Plnin fnucet insidc . �.�.................. .. . <br /> ....._..�-Sidr u•nik tcnshcr � • <br /> ........� <br /> ......Hose bib oulsidc �" <br /> � _._..._�.Hose bib for Uuilding purpnses <br /> ..........�-.Flosc bib insidc <br /> .......... Dib for stnblc wntnining....................stall........._ _...... <br /> .......... .A'umher of persons in fmnily <br /> ......�..Number of raoms in building J—� <br /> The premises are ta be used ns i�.. .._...Y.°C-A.:.7'_....._........................_._.. � <br /> Thc owner of the Preciises is.��.Cer.-��L�.._ _.. ....... ... ..............._... � <br /> � . <br /> Thengent is............_......................................__........................................_........_.......... <br /> Thie npplicntion, nithough signed, r.hnll not Uc bindin� upon the City, until <br /> uecepted by the Superintcr.dc o[ lhe Nuter epnrtment. <br /> SigneJ....,{..._�ac`t.`."�:_--_.......t.'..^.'.�-�-�-.........Applicnnt <br /> / \ / �` <br /> Accepted..� .(ll..-....�.-.......192.(O BY.....Zc _. ....:l�Ql.. ........._............ <br /> ��{�erintendent ' <br />