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• ��L�ld r��..t� ���5 %�'/� � <br />,� <br />w. n, eo.m a--�bno—ne.co.—sss-sa <br />"x"-�/ � r �`6 ' �d'— �-r <br />City of Everett�--Water Depai�tment <br />APPLICATION FOR WATER <br />All blmik� muet �c filled in or crossed'ouf <br />c . - - 'c ' <br />Gverett ........................................z ...1J�"S.. <br />/ O ........ ' <br />.......`Y...... <br />PO TIiP•. SUYGRINTENDENT OF TIfG R'A'CER DEPAItT1SEr'.C: <br />CITY OP PVIiRETT; <br />[ hereby applp for the usu ot ��•nter in :iccordnnee �vith Lhc roles nnd regu- <br />Intians of the R'nter Depnrlment, tor purposes nnd fixtures stated bclow. <br />of nnyDurproceme��ts au[horzed Uy�Che��City ofnEce ett, n orkof a,yLat eetsor <br />alley in �ehich Ihey mny ]�nve bcen I�iid, thc City will not bc required to furnish <br />�cnter during the progress of such improvemente tu nny rnnsmner whose suPP�Y <br />muy thus Lc cut off, or Lc linble fm• any dnntngcs for its fnilure so to do. <br />Applicntion No.........�, 3 � 7 � . - <br />Block ......................'J.�) ..Lot......�......�......._. . , ,. . <br />l.i <br />, , ..........__. Add..._....._..:'�'.r^, <br />� . .._........... <br />No........e�o�2_9../..._ ..Li,�.........3treet � <br />....... ............... ._............. ..... .......... . . <br />The �eork to be executed by..........._.......... ...__ ....................Plumber , <br />._. ._ ..._ . G a <br />�St tc aizc of taP. <br />�L.:...Tnp to be inscrted in the main. � <br />.....I........_Wnter closet � �� I 5' ___ _ <br />._F...........BnN� �i- <br />..... ....Urinnl <br />�� P nin fnucet insidc <br />���� ...-SiJe ��•�Ik «�nshcr <br />���..�..Hosc bib outside <br />���-`-._.'.:.Hose bib for builJing purposes <br />��..�.��.-�osr, bib i:�side )) <br />...--..--.�.Bib for stcL�e contnining ....................stnll�!.J........ <br />'--��,A'umbcr o[ persons in fnmily � <br />............... <br />���-�.....Numbcr of romns in building � <br />The premises nre to be used ns n....._.... <br />�-`�...___ .«-LP ............... <br />The owner of the prer.�ises is.� .................._�Qiy�-��� <br />. .. . ................... <br />Tlie ngent is ................................ <br />. .................................................................. .................. <br />This npplicntion, although signed, ch�. �l noL be binding upon the Ci6y, until <br />���r:i?ed Uy the SuperintenJent of the \V..xr Depnrtment. <br />ti �.��e., �,,,� ,�_ „_ .��— - <br />:. � �,��.-....... f�: �.L....1D2;_:. IIy...<._.._�....:� ....:... <br />� _ � - � ' �� i �. <br />t � <br />