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G,.��;,s� r.�� 3 -�Y -'1( <br />Y:. D. Parm 1--I6JC—E.CW.-6-2G�21 <br />(�.=�'si .�u-�`... � � - J - 2=� rJrl1� <br />City of Everett^-Water Department <br />APPLICATION FOR WATER <br />All bl:mks must be tilled in or crossed out <br />Pvcrett...................7. ./�........................................1�J2. r.. <br />YO T[IS SUPBRINT�A'UENT Oi' TIIC \\'.4TCR PGPAIiTI�IEi.'P: <br />CITY OR �VliI:liTT: <br />I liereby nppl}' fur the use of «��ter in uccord:u:ce �vi:li Lhe rules nnd regu- <br />Intions of the \Vntm• Department, tor purposes �md iistm•es stat.ed bclo�v. <br />During tLc timc thnt nny of the �v�tcr mnins mny bc lnken uP UY renson <br />af mip improventents +mthorized bv thc City ot E�•crelt, in or of nny strect or <br />nllcy in �vhich theS may hnve 6cen laid, lhe Ciry �eill not be required to furnish <br />t�•ater tluring the p:ogress ot such imP�'ocements to any cmisumer who.=e suPP�Y <br />may thus bc cut ott, o(r/bpc l,ia/blu fur i:ny dmm�ges for its f.�ilurc ro l„ c'to. <br />Applicniion No.....O...D...Y..l .....1..\........- 7.2.�{9 . <br />I31ock.........�..� .............. . ... I.ot.......'"�,............................ Add._ _ .........._...................... <br />No......p�._�%. U.�.�.......�` ..Gc.��..�,.!-�........Street <br />.. ......_....._ . <br />__..__. ._.. .. __. . .___.. . <br />Thc �eorl. lo be executed bl.--- . -. --.- - . .. -...........Plumber <br />/ � �-_ 9��L.��. . O , <br />Stntc izc of tnp. � , ;. ���,. <br />��..Tap to Ue inserted in the mai»i ',.. � �- � �' =� � ; �'_� S ,33 <br />..... . . <br />i <br />� ., . <br />/.......R�acer etosec �.,. , � �'... : <br />� . <br />_.... . . � .. :� � ...✓ <br />, . <br />.... , ' <br />.....L........Bnt}1 .ilr .,r r��a��:��,.�'.�:; i L�ip11 <br />Urinnl � � <br />......^..... .:� ...................� . <br />C . ........... ...._.. <br />_..._�......Plain taucet inside � , <br />� ....SiSe «•nik n�nsher / <br />..._._:_.....13osc bib oulsidc �/7L" �' � �;� ��'.:� �. . <br />........ ..._Hoee biU fnr LuilJing parposes /� �� <br />....... ......iIase Uib insidc <br />.... ........Bib for stuUle cont�ining ....................stall.................... <br />.......� .....Nnmber of porson� in tnmily <br />.... Cf.......\umUcr ot rooms i. Luilding y�n��� � <br />., e �,remi=es arc to be nscd ns n. ../. KQ -........ � , .... <br />,. <br />. ._..__........ <br />o�vner of tUe premises iQs �..._'�i. .�..�.u,�.. .... .. ..:��:�� <br />. � gr�' is..........�...�...i...� ,..K�/�G/�. . f .................................... <br />�on, nithough signed, shall not Ue binding uPon tlie City, until <br />, �.perintendent o[ the Nntcr Dep�j1'tment. . <br />(��{n� �(� �(�y 7� /y`� <br />- ..�od �.�1.�-�U�-/�� LJ-...J/ll�y!^. ................�.....App icnnt <br />.;. / c��.,�' . <br />� - ..-...�92.;�" -.. I3S....�2..:-:.. .... � _ ............... <br />� ` - �Sti mtendent <br />