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...�t�/.�.a +.ya_.� ,��u_.�?' '- i�_ ���`- li�y� . <br /> r/ . _ a <br /> {V.D.Purm l-1500—E.7`.Co.—.G�'1G".4 <br /> City of Everett--�Water Department <br /> APPLICATION FOR WATER � <br /> Atl blmiks nmst Lc filled in or crossed out <br /> �verett.............. ....f.'f........................................_...........I D2...... <br /> TO TIiG SUPERINTEND�NT OF THE R'A'fF,R DEPAtdTiliENT: <br /> CITY OF EVEI2ETT: <br /> I hereby npply fnr the use o[�ealer in accordmi.e u'ith thc rules nnd 7'egu- <br /> lations ot the Nater llepartment, for purpu�es nnd fictm•cs stated bclew. <br /> During the time thnt nny ot the �entcr mnins m�;: Lc taken uP by rrnson <br /> of nny improcements outLoriud 6y tlie City oC Ccerett, in or o[ nny ntre:t or <br /> alley in n•hich they� tnny hn�•e been lnid, lhe City will not be required 'o furnish <br /> n•ater during the progress of such improcemenls to nny consunmr �vhuer supplp <br /> mny thus bc cut utf, ofr bc�jlinblo for any dnumges for its fnilure so to do. <br /> dpplicatiun A'o.....d��..L-_h.................. / <br /> . ,. . .� ., ,i I "_ <br /> Blotk...............:......:..c..._...... Lot...........n....._._.............__.. Add.............._................._....... <br /> No.. .r.�(�....�.��.�..��...A.�..:.'Y�lf7¢ti.. .. treet �. . <br /> ........._�..L��.�'l..u.:.�.,�=r!�.--,—�....................... ............ <br /> _. <br /> The work to be executed Uy.._ _.�-C.f . ..���. Plumber � <br /> h -1 J�lrr,�.. �• rA G.�—........... <br /> �c/a,c� S�Z� oY tap. �CJ .,Cv [� <br /> .U��..Tnp to be insc�e! in tt,c mnin. ���'�,���r7�� <br /> .r..........�i'nter closcl <br /> ..�.^........Bnth � <br /> ......-........Urinal <br /> ..��........Plnin Lmcet insidc <br /> .._��..Sidc wulk �rnshcr <br /> ...,1�.�.........Hose bib outside .. � <br /> .......... <br /> ...Hose bib fur building purposev � .� <br /> i , <br /> ....�-....Hose bib inside � <br /> ................Bil for stnLlc conlnining....................stnll.................... <br /> ................Numbcr of persans in fnmily <br /> ................Numhcr of rooms in building /� �� <br /> The P�'emises nre Lu bc used as n.........C_:[/(.y_ _ ...i6�.....�......-..�... ....�.. .....- <br /> �--r <br /> The owncr of the prem��is........ ..._.....�f�o�.�y-.� .. .....�_�.i � . <br /> The ngent is..................... . �.Gi-.�niL-[n�t.�...�...0..y.... .... .iYr........... <br /> This npplicntion, ulthuuqli si�nicd, shnll not be binding upon he City, until <br /> accepted by the Superintendent o_[ th��Vnter pnrtment. <br /> �f <br /> Signed... .. .. ......... �:.�"G.... ..... . . Applicnnt <br /> j . ���....... <br /> Accepted.... . .. ..-....�.,{... . ... HY............. _:i.. .... ..,�.............................. <br /> � �y '�� �^ j�_._������e Superintendect <br /> �i���/ 1 .'."'. <br />