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�'`^%'.�.'�-t.X � � - `j - . � i �, . 4'-^'�k��a-ts� . S— � ' - � " � , . t <br />.., � <br />\ �� � r f <br />N.I1.FormJ—I500—F.P.Co. G:fi�2d ' <br />City of Everett�--Water Departinent <br />APPLICATION FOR WATER � <br />All binnks must be filled in or crossed out - <br />Pvcrett,.....- ......................... ....... �/ . . . ...................1!12.7.. <br />TO THE SUPERINTENDF.NT OF TIIE \1'.4TF.R EPART\IENT: <br />C[TY OF EVGRGTT: <br />I hereby npply fnr the u�e ot tvater in accordnnce with the rules nnd regu- <br />lutions uf the Nnter Department, fnr pm�puses nnd fix!tn•es sL•�ted I�clo�v. <br />During the timc thnt nnp ot the �enter mains mny be tuken up by rcason <br />of nn}• improvements nuthorized by the City oC Ecerett, in or of uny street or <br />nlley in whirh they mny hn��e becn Inid, thc City will not be required to furnish <br />��•nter during the progress uf such improccments to any consumer ���hase supl>>3' <br />may tlms be cut otf, or U�i�le r/for/ ;�ny dmm�ges for its failure so to Jo. <br />APPlicntion No ......................._a...'P...... —7 �$� �/J� � <br />Alock......�s.� ............... Lot........_,��',,............ Add.__OS.-IY�C-U � <br />, ... ........ ..... ........ <br />. ............. <br />No..._.. �.7 .O. �...' ........ ....... ............_............... . ..........Street <br />. .................. _.... ..... _..... _........ ... _......... <br />The work to be execuled Uy....._......_..._.. _. ........Plumber <br />.. _. ..__.. ...__.... . <br />State size ot tap. <br />�) <br />�,�,....._Tap to be inserted in the mnin. �' � � <br />, � <br />...J...........Nntcr closet �/ - 1�, <br />..�............Bnth � � <br />.—..�:._Urinnl <br />�_-- <br />.............._Plnin fnucet insidc , � <br />................Side ��•nll: «•nshcr �. <br />�..�.Hose Lib outside <br />..�Aose bib fur Luilding pm•poses � <br />.....-..--Iiosc bib inside <br />................Bib for stuble contnining...................staly.....�............. <br />r. . <br />—'-::..A'umbcr of pc:sons in fnmily � <br />........ . ; <br />.�.....Number of rooms in building � <br />••�.remises nrr to be used as __..... .._. <br />� . ....... . . . _ ........... .................. <br />.. . . _.p. . _� �.. <br />ncr of the premises iz.._ ..... ���/������� qy� � � <br />_.....__..._.__. . . " _ _..." ._ "\ <br />. mt is ..........................................................._....._........................................... <br />� is npplicntion, nithougU signed, ahnll not he binding upon the City, until <br />� rd by the Superintendent of lhe \Vnter llrpnrtment. <br />Signed ..............�`�r<-T-+ �„t_ APPlicunt / <br />. ...... ............. <br />Accepted...S..-/./......-: .��.. . 92.. _.. IIy... _l � <br />% <br />. . _. . . . ......................... � <br />� Superintendent <br />