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-a'`'„"� 1^�"/"f7'7/. . `r,c-�.1,/�l_t.,ui //—� "'-��' f,y-Y)-� � <br />. .y <br />N. �. Fnrm �—IL00—E.P.Co.-6-26�2f <br />City of Everett•-�Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed ouL <br />Evoroet .............................._��� .,3.....................1'J2�. <br />PO TH� SUPERINTCNUENT f1F TIIP R'A'PP•.R DEPARTniENT: <br />CITY OF EVEi2�TT: <br />I hereby npply tor the u,e ot �cater in aecord:mce ���ith the rules und regu- <br />Intions of thc Nntcr Depnrtment, Cor purpo=es :md fistm�es stated bela�v. <br />During Lhe time thnt any of thc �c�ter mnins mny� be lnken up by renson <br />of nnp improvemen[s auUiorized Uy t}�e City o( Eccrett, in or of any street or <br />nlley in �vhich thcy mny hnee been ]nid, the City witl not hc required to furnisU <br />�eater during the progress of such improvements to any consunter wl�ose suPP�Y <br />m:�y thus be cut ott, ur bc linyble for uny d�mugcy for its fnilure so lo do. <br />Blnck..' lirntion.No.....�....Lot.� J.....�.Stredd.��._ �. �� �`i� �� <br />I P - ..�..-/ . ........ ........� � <br />�/7 3 <br />__.. _ _ _.. <br />.,a._. �.. 0.5........ et . , <br />_ ._......__.........__ .............................._J.�.... ..._.................__. ............_..._...._..... <br />The work to bc executed by....__l�.]..�i/Y�„_..._�_6.�,Plumber <br />Stnt size of tnp. ' � � � ;�!�cl'�-� <br />..��.�Tnp to be inserted in the mnin.� � � '� � � <br />._._�........�Patcr claset � " . ' �'' � ..,. ' <br />...._� .....Bnch � • -� ,.- , . : � <br />... <br />......�..Urinnl — <br />.......L..Plnin tnucet insidc .......�� <br />...........-...Side ���nik wnsher <br />.---..../.....Ilose bib oulsidc <br />..........�..Hosc biL for building purposes <br />................Hose bib inside <br />......::.......Bih for stnl�le conlnining....................stnll.................... <br />..-......�....Number ot persons in fumily <br />....J�. ..Number of raoms in building ,�J � <br />nremises an to be used as n......_..........Q�L!/�•........._.._....._ ._ ................ <br />�o�,ener of the premises/is�..../.../<..._ .. �, %..../. n� ..................................._............. <br />� (!IL 19 ................yc:.I�.t.I... .�YE:�....................................................... <br />� lication, nlCLnugh signed, ;hnll not 6c binding upon lhe City, vatil � <br />, he Superintende� af lhe }\'{� ter Depnrlmcnt. i <br />. gncd._v..�.......C/✓.i��%iG1_.... ..._... ... ......Applicant / <br />_ . : ��...:.. ,1�.,,..•.�......10 ,��. Dy...�%��r/�:� ......................... S <br />- uperintendent <br />