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� �-Y�-C,el�a-CY .' - r � .. . � r.. � . . <br />_- . . . � <br />w. n. eo� �--tcno-er.co.-c :c 2+ <br />City of Everett^--Water Department <br />APPLICATION FOR WATER <br />All binnks must be filled in or crossed out <br />EverMt,.......... /! �7 <br />............................... ..............................192.��/. <br />TO THE SUl'EIiItiT�1'DENT OR THF. NATER DEPARTDSCNI': <br />CITY OF EVEItETT: <br />[ hereUy app;y for the use of w�ter in accordance with the rules nnd regu- <br />Intions of the R'nter Depnrhnent, fur purposes nnd fistm•es stnted Uelow. <br />Dm�ing thc time thnt nny of the �cnter n�uins mny Ue taken up by reason <br />nf nnY improvements nuthorized by the City of Rvcrrtt, in or of eny strect or <br />ulley in which ihcy may hnve been'.niii. thc City wf�� not bc required to furnish <br />wnter during the progreas of such impro:ements co uny consumer whose supply <br />may thus Le cut atf, or e /`mblryc &� imy datuoges for its fnilure so to do. <br />Applicntion N .. .....`�.... a..S....... - 7 I 5�... <br />� �. . ,(� <br />Block ........................ ... ._ Lot............... �....._............ Add.__.^.='.-c�/ .'._ .CZ/..... <br />No..... �..7. (...�........ �.�.%i�i�. ................ Strect <br />. . ....... ... .. .... .... _ .... . . _.. <br />Thc work to be executed by...... ... . _.. .. _. .._._ _.... ..Plumber <br />State size of tnp. O� <br />.��_��...Tnp tn Lc inserted in ihe mnin. I (� <br />.....�........3Vntcr dosct �'� � ` <br />...�...........Cnth <br />................L"rinnl <br />.._�..—....Plain fnucet inside <br />................Side wn14 washer <br />.�:.i[ose bib uutside <br />................Ilose bib for huilding purposrs <br />... n":�se bib inside � ' ' <br />......—::.-Bib for stnble cm:tuining ....................slall....i............... <br />......-.-.�humber of persons in fnmily <br />..�-{�.......K�mber of rooms in building <br />�'� promi•.es are to be used ns g.,... .... . ........_.. _. .__.......... ._............... <br />> owner of the premi=_es is...�.--Q7!�c�t12u-L..... <br />�� ugent �� ...................................................................................................................... <br />. �.Pplicntion, nithough signed, .hnll not 6c Uinding upon the City, vntil <br />�y the Superintendent of the Nater Depnrtment. <br />Signed............� ..........................._.........._ f_"�.-:'.-�,,.......Applicant / <br />Accepted..�-/�...-�T...192...... By.� . .. . . .................................... <br />� Superinlendent <br />