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- -- -r-<3_^'c. - ,7,i 6�.,:�.,�1,��) 1+�f7/'>�(� i'J�7't .. <br /> � <br /> «'.D.Pnpn.i-�500-$.P.Co.-6-26-2� , 1 <br /> City of Everett�--Water Depai�tment <br /> APPLICATION FOR WATER <br /> ' All binnks must bc filled in or crossed out <br /> \ / <br /> E�•erclt,...........�G.. ��1..... ..... �� 192_W <br /> .. .. ....... . ..�............ <br /> YO TIIC SUPGRINTCNDGNT OF TI4P VVA I?R DEPARTidEv'C: <br /> CITY OF BVBI2�TT: <br /> I I:creby apply for the use ot tcater in accordance �cith thc rules nnd regu- <br /> Intions ot tlic �Vater llcpartment, for pm�poses nnd fixrures stnted be�ow, <br /> During tbe time that any of thc water m�ins mny Le tuken up by rrnson <br /> ot nny improvements authorized by the Citp of Is�•crctt, in or oC nny strnet nr <br /> ullcy in which they may ha��e been I��id, thc City �ri;l not bc requircd to furnish <br /> wnter during the progress uf cuch improvements to nny consumer �vhose supP�Y <br /> maY thus be cut off, or b liable tor ;my dmm�ges tor its f•�.ilure so to do. <br /> ApPlicnlian No....... .. / 5 <br /> /...�................... <br /> Block.................... Lot.....r' . Add......__. . <br /> .................... ��,-0G� .�!!� <br /> Y� ...._...._...._.... ._. ., <br /> .................. <br /> No.. . . . .•_.C: ..6�t.G.L....��C........ . .........Street <br /> U <br /> _...................................._.. ..__............ _.. ...__......... ...__............ <br /> Thc work ta 6e exewted by......_........ . .......Plu bcr <br /> .._.. ..._....._. <br /> .. .... _...�i <br /> State size of tnp, �.:r��,. __�_ �� � <br /> // �.�........Tnn ta be inserted in the mnin." � <br /> ................\Pnter claset I , .�� ,/" � O G <br /> ...uo�n <br /> �- s-�.� . <br /> � ...............Urinal ' . �' .��(�, � ` <br /> (:,� � � � .. i <br /> ..............Plnin fuucet insidc ......... �"�-.1�— .. h � , `/i' <br /> ,,, <br /> . . - .".... � .; . . c-7 '7 T <br /> ....._........Side wnik }eashcr . . , G.-�/"_� � <br /> �......... _ <br /> ...-...........(Iose Uib out.^.idc ;'; . <br /> .. .............I9osc Uib fur building Purpcses <br /> ................Hose biL inside <br /> ................BiU fnr stahle contnining..............._...stnll........._......_. <br /> �����...........Num6er of persuns in fmnily <br /> ����-...........Nwnbcr of rooms in buildin�; <br /> The prmnises nrc to 6e used ns a__._.... <br /> ___.. .. ...__.. <br /> ..._..__.__..._._................... <br /> owner of the pren�ises is.......___ . <br /> . ._._. _...... . . <br /> . _............_........._.................. <br /> ..C!lt IS............................. <br /> ......................... <br /> ............... . <br /> ;�Iicntion, nl siFned, ,hnll not c bi ing up the City, �until <br /> .he Supe nt rt of e Rater pn ient, <br /> � Signed.�... ..��_ � � �L�� `.` ` <br /> ..... ........ ApPlicant <br /> r.. ..... ..... ... <br /> � � . ..�...�...��..'....".......1�J�. Hy... ..... .. <br /> �� ... ... . .. <br /> . ............ <br /> ntendent <br /> ���... <br />