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���/2�"�� `.�'. �.��/ P. � - ii-��-�wll� <br /> W.n.kbrm J�-1fW—F..P.Cn.-6-2G�21 <br /> City of Everett�-Water Depai'tment <br /> AFPLIC�ATION FOR wATEP� <br /> All bl:mks must Uc filled in or crossed out <br /> Everelt...............��� � S` ...............192..�..�.. <br /> ............ <br /> TO THE SUi'G];INT�NDi3NT OR TIIE R'ATPR DEPARTn[ENT: <br /> CITY OR �VERGTT: <br /> I hereLy npply for the use of«�ater in accordance �cith the rules nnd regu- <br /> Intions of diu Nater Dcpnrtment, fur i�m�poses �md fixtures stnted belo�v. <br /> Puring tic time tliat nny� of thc �vntcr mnins mny bc taken up by reuson <br /> of nny improvcments nuthorized by Lhe City of F.vcrett, m or of nny stmet or <br /> n:lev in �cuid� Cuv may hn�•e bcen lnid, ihe CiLy will not bc required to furnisU <br /> w•atcr during thc progress of such improvements to nny consumer whose supply � <br /> may thus be cut off, or Uc linble for nny damnges for its fnilure so to do. <br /> 'i 7c� p �:i '�(. <br /> Applicntion No..�.7..�./...9.................._ � 2� <br /> Block.......................... .4.......... Lot.............3...Z — <br /> ................ Add.. .. s�. ...1........... <br /> No....�.�Q..�.......��.�..�...............Strect �. <br /> ....._........................................................................................_.........._. ..._..............._............... . <br /> TLe work to be executed Ly...._......._.. .�j..C!/l�..._...Plumber <br /> u�� �= <br /> - Stnt size of tnp. /y ,j ' <br /> .l�y...Tnp to Ue inserted in the n nin. <br /> ......�......3�'nter Closet <br /> �.........Budi <br /> ..... .......Urinnl �/ <br /> z <br /> ....Blmn fnucet inside / <br /> � ......-�......Side �culk washcr � ' <br /> ....�.........Ho=o bib oulside <br /> ....-.........Ilose bib for building pur�oscs � <br /> ..... .......Fiosc bib inside <br /> ..... .......Bib for slaUlc contnining...................stnll.................... <br /> ....... .....Number of persons in fnmily <br /> ....-��.... ....Numbcr of rooms in building J <br /> The P�'emises nre to be used ns n....._......�!..���.:.... . <br /> .. .....Q.. p.,._ . <br /> .............,� <br /> 1'he owner of the Premises is.�_�yG% . . ..��?-c l�� �p/r....c..�V <br /> Thcngent is..................................................................................................._�........... / <br /> This npplicntion, nlUiough signed, ,hall not be binding upon the City, until/ <br /> nccepted Uy the SuPcrintendent of the \ nter Depnr ent. � <br /> �— <br /> S i gn c d.,.�._�. ..��................................_............ .......... 1 i can t <br /> , �.�n� <br /> ��7` <br /> Acpted.....................................192...... By. ....................... S /...... <br /> /�-/a . 3I> L�A^x-F/.��-�y�erintend�.. <br /> F <br />