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' `f�e-»-}o'� ..�A <br />N. D. Furm �— � �—' � — `� � <br />1600—E,CCo.—G-26-21 <br />. City of Everett��Water Department . <br />APPLICATION FOR WATER <br />All btanlcs must be filled in ot rassed out <br />Ererett� ..............�/_!..:�! ...1J2� <br />................................... <br />TO TIiE SUPERINTF.NDENT OF THE NATF.R DEPARTDIliNT: <br />CITY pF EVl2:CTT: <br />I hereby npply for the usu of wuter in nccordnnce with Llm rules and regu- <br />Intians of the Nater llephartment, for purposes nnd fixtures stnted below. <br />of anyDmprovemm�k9 authorized bytthe�City ofAEeemtt n or�ot nly�st cet9nr <br />nlley in a•hich thcy mny have been lnid, thc City will not bc required to furnish <br />wnter during thc progress of such improvements to nny consumer �vhose aupply <br />mny thus bc cut otf, or � liuryblc� f/o�r nny dnmuges for its fnilure so to do. <br />APPlicnti�No.��...........�...J....T ............. . i <br />t.....,...1.�+.....-..L...![!.... Add..._:.:....'�.... � � .�.�::' <br />. _..__......._ .. <br />a'�'-!'�-�—`Le.. _. Strcet <br />............................................................................... ..... <br />..... . .. ..... ............................ <br />. ............ <br />The work to be executed by....._..... ' .�•,___... Plumber <br />_ _ _.. _ . .... .... . .......... <br />. .......... <br />$t�te sizc of tap. <br />� <br />..i.�..-...Tnp to bc iuscrted in the mnin. <br />.-......i_....Wnter closet <br />O <br />...._�........Bnth � �f <br />................Uri�al � � <br />................Plain fsucet inside , r\, <br />................Sidc ��•nik ���nshcr � � <br />--���-..........Hose Uib oulside <br />................Ilosc Uib for Luilding PurPoses <br />................Iiose Uib insida <br />................Bib for stnUln contninin�....................slnll.................... <br />�•�-.Q . A'umbcr of persons in family <br />•���.�!�.......Numbcr of rooms in buildinq �p_ <br />� The premises nrc to be used as n.. _.. . <br />, . . ��.....��....... <br />The owncr of the preroises is........ .. <br />.... __._.._... <br />.. _ ,.......... �o.��-LLt.c..ac�-..�+ <br />Thcngent is ...................................................................... <br />............................................... <br />T'�is npplication, nithough signed, shnll not bc binding upon Uie City, until <br />_p2ed Uy lhe Superintendent af Lhc R�nter Dr.t�xrtment. <br />' �' <br />,......( ...:..1'.�.�301...... By. <br />