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ti-•--C��A. � �-9-'z`I r+Y� <br />w. n. r-��m ��ar.oe-e.r.co. .s-zs�s� <br />. .4-.:�Va.wk �-��-'t-� fr-�,� <br />City of Everett--�Water Department <br />APPLICATION FOR WATER <br />All Llunks must be filled in or crossed out <br />Everett.......................1X�-3............................ 192. % <br />TO TFIS SUPEI2INTCNDGNT OP T};r �yp�pgR DGPARTilIPNT: � <br />CITY OF BVF.RETT: <br />I LereLp nppiy for the use uf �v;�ter in ��ccordance �eith the rules nnd regu- <br />Intions ot the Nater Depnr[ment, ior pm•puses nnd fia;.ures stnted Lelow. <br />Dm�ing the time thnt nny of thc wntcr mnins mny bc tnken iip by renson <br />of :my improvements nutharized by the CiLy� ot Evcrett, in or of uny street or <br />nlle}• in whieh thcy msy hnve becn Inid, the City �eill not be required to furnish <br />a��ter duri�g lhe p�ngress oi such improventents to uny consumer whose s�nn�v <br />m:�y thus be cut utf, opr be ]inble for nny dnmuges Cor its inilure so to do. <br />APPlication No...O..%.0,.� - 7/7� <br />........_...._.... <br />Block.........................1��.. .... Lot..........:.`_.......................... Add..........:__ .:. ' <br />i <br />,�,.J. ........:......... . :.. <br />No......�%�.`1...__...V 7....GG-[.z.�-�-�,rc`.......Strcet <br />............................................... ........................................... <br />..... ...................... ........ ..... <br />The work to be executed by ................ � <br />erifi� _.. .._. _...........Plumber <br />Stato size of tnp. �jj�-' <br />...�/ _j .. <br />j�..Tap to be inscrted in the mnin. / � <br />.........(._..«'nter tloset <br />......./........ Bn th <br />.......... ..Urin¢l ,%; ... <br />i. <br />.......�.-....Plain fnucet insidc / <br />.......:_-...Sidc �calk n•nsher � . <br />......�.......Iloce Lib outvide . <br />........ ...Ilose bib for huilding purposes <br />......�... ...Hose bib inside <br />....... .....Bib for stnble contnining ....................stnll.................... <br />.......�.J Idumber ot persons in tnmily <br />.`i...Numher of rooms in buildiug <br />���e P«+�»ises nre to bc used ns n._. ' <br />�...._� <br />�l........_ ....... ... .. ..... <br />`.c owner of the premises is.._ .. ¢_����< <br />!l1-c�(.a�.zr-��t-..... . <br />❑8L'tl� 15....._............_ ............................................................._.... <br />�. .............................. <br />i�p�ili� rion, nithough signed, ahnll not be 6ir.ding upon the City, until <br />�� b:�� �uperintendcut o[ thc Nntcr llepnrtment. <br />; i gn c d .................. � <br />............... Applicant <br />... ......... . ... <br />. . . .... .. ......... <br />Aecepted ........... .. r. .1.�..1..�.......192..7 <br />/ By.. �. .. ... ., <br />........ . ........ <br />�- �Superintendent <br />