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- <br />, �--� s �M- •-rr r �.�-�� �..T<—.z�° <br />, . . <br />W. D. Yorm �-1L00—E.CCo.-6�26�2� <br />City of Everett�Water Department <br />� r r � _�ATION FOR WATER <br />All binnks musi be filled in ot crossed out <br />IEverett� ............ .. ................. . .. . �.. `�................192'1.... <br />TO TIiE SUPER:NTTNDENT OF THE �ATER D'PARThtENT: <br />CITY OF �VEP.�TT: <br />I hereby nPP�S for the use ot wnler in nccordance with the rnles nnd regu- <br />Intions of the Wnter Depnrtment, for purposes ana fi�tm�es stnted Lcluw. <br />During the time thet nny of the �vntcr mnins mny be tnken up by rcason <br />of nny improvements authorizod Ly the Cily of C��erett, in or of any street or <br />nlley in which they mny ha�•c been Inid, the City will not be required to furnish <br />water during the progress ot such iiuprovements to eny cunsumer ���hose supFly <br />mny thus Le cut oif, ar be li�a7blGe for miy dmm�ges for� )its fnilure so to du. <br />APplicntion No...........�..A....l.. �........ ✓J .�L�- 2� <br />n, <br />Block........................!..:...... .. Lot....................................... Add........... <br />� � . _ ................._...__.... <br />No....._. i�.. t�..L...�..5.... .. .�-ln.�e�C--.�J� ..............Street <br />..._ .. ................................................._. fr'"Y `_........................... ....._.. <br />� . .. ...................... <br />The work to be executed by.. . ........_ ..... ....... . ... . ( �,..Plumbe. <br />_ . . ._.. . . . <br />S te size oT tnp. ' <br />.��........Tnp to be inserted in the mnin. o ' <br />�e <br />.-..1..........Nnter closet � i <br />Buch � � <br />..� ............. �Fy' � ; �, <br />......-vTsnB� I < <br />L.._ �J <br />.......... . Plnin fnucet inside �- <br />. <br />... ....._Side wnik washer \�-1 . <br />-`:....Hose bib outsidc � <br />.;...Hoso bib for builAing purposes <br />.......�,�.Hose bib insidc <br />....._`-.:.Bib for atnU]e contnining ....................stall................... <br />.........—Number ot persons in fnmily . <br />..eJr..���.�...Number of rooms in buildif���'%) • <br />The Premises are to be uaed as n...U....�r..�� <br />.. ... . .... <br />.. <br />The o��•ner of the premises is...... .. .. _........ ............._..... <br />. .. . .. ... .......... <br />Thengent is ................................................................................ <br />..................................... <br />This npplicntion, nithough s�' ned shnll not be binding upon the City, until <br />uccepted Uy the SupFrintendept�g: the Wnter Deoartlnent. A <br />Acceptca..........:f .-..2.. /v.......iaz�-Usy.... <br />