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• z'`'`"�' '-/--z3-25 fl/ . . ��..��,� �'— . - 1 {. ,/'jrn , <br /> / <br /> 16.D.I'nrm.1�-1500—E.RCo.-bRG-R1 <br /> Caty of Everett�--�Wzter Department <br /> .��'PLICATION FOR WATER <br /> All Ul:inks must bc filled in or cros�^<: uct <br /> lice:ett�........................��..�"".._...................._...19E� <br /> TO 77IL SUPLRINTIiNDI3NT OP TI7� R'A'CF.P. DI3YAP.T➢iL•'NT: <br /> CITY OF EVl'sICITT: - <br /> I hereLp npply for the ase o:�cater in an:ordance with thc rules nnd iegu- <br /> lations at the Nntcr Depnrtment, far pm�poses and fix'm�es stated bclo�,�•. <br /> During LLe time thnt nny of t.he «•ater mnins mny be tnken up by rcasan <br /> of nny improcements nuihoriacd by lhe City ot '.:vrrMt, in or oC nny strcet or <br /> nllcy iu �rhich Ihcy may Lnec becn lai;l, tlic City rill not bc required to furnish <br /> ��•ntcr dm'ing tlm progress uf such im��rocmnents to nn,y co�stuncr �vhosc suppl}' <br /> muy thus Uc cul off, or be linble for :�ny dmnnges for its Cnilure so lo do. <br /> App!icntion No......_���_�...... ....... <br /> Uladc........ .. / .:, . . . . . <br /> �a .._.........:_ ...... Lok ....._....._ _..__ _........... Add.__:.....__._...............____.. <br /> Na.........�,S..2 S�. d�--�'�-�`-`....Strcet <br /> _....... . <br /> _. _ ..___.. ... ....... <br /> i �.... _ . . <br /> 7'he uork to :,c e��cuteci by... _ .. . ._. �!�-���?.,._... .. _Plumbm• <br /> /Lite sizc of lnp. <br /> . _. Tnp to Ue inserted in thc main. C o � . <br /> �......... . <br /> ...............3Puter closet „/ ' d .- i 1 <br /> ._../....._.Bnch �;� 1U <br /> ................Urinal � ��) <br /> � - <br /> �-- --.." � . � �_ <br /> ......_.......Plnin feucet inside I � � ' � • <br /> ..� .....Side �cnik �vnshcr ' : "��:, I '� � ��. i � <br /> -� ..IIaee bib oulside . � - 1;'.?(� `..._. . ' <br /> . � �. �,,,. . ., . <br /> ._'..--:..Ilosc bib for Luilding pur{iosca�:i. ..�.:.�'����: . � '� � � ' <br /> -- �-- _.... . 7(��� <br /> ......._...._.Ifosc bib insidc �... .stnll.........[.!..... ._...... _. <br /> .. . ............ . . <br /> ...............BiU far stablc containing....... ........... ..... <br /> .. / .......Tumber of persons in family <br /> .....L�.......Nmuber of rooms in Uuilding � �' � � p � <br /> TUe premises arc to be used ns n . ,_..✓��-...�.-�L'-/?-�-� r_....__... <br /> Thc oa•ner of the prer.iises �s �-:�-�-�e __.'..�-c :P..��ti,��—�-�._ <br /> ���:e ngent is.........................................._............�.,_... ._................_............................. <br /> ` nPP��cation, nithougL si�;ned, shnl! not be binding upon the City, until <br /> 'iy thc 5uperintendcnt ut the p�nter Deparlment. <br /> Signed......_.� . . ...�.o.��.��...o..-�ti.�.^ f.Applicnnt <br /> ,.... <br /> � - ..��......'.........1 2�P BS.__ .��.2.?y�.................... • <br /> -.��'?Lperintendent <br />