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., .-q �{^'LJ-'3.C�7J7 ` �-�'`.��.c'�1 'J � � , �� '�"l� ( <br /> R'.P.Farv/-3G00-E.P.Co.-6-:6-21 <br /> City of Everett��T'�Tater Departinent <br /> APPLIC�TION FOR WATER <br /> All Ll;mks must Le tilled in or crossed uut <br /> Evcrc[t............. '.'_................._._.........1'J2.�. <br /> .............. , <br /> TO TIIG SUPI'sR1I4TGNDGN'P OF Tllb: �VATER PliFARTMI.N'I': <br /> CITY OR EV[•:I:liT'P: <br /> I LereLy npp!}• for the use uC �c:�ter in accrrd;mce �cith tLe rules ;vid l•egu- <br /> Inliuns of'thr 1Vnter llepartment, fm• pmpo�es �md fislurc� stntecl bclow. <br /> During lhc time lh+it nny of t.ls tcatcr m��ins uvp• be taL•en uP 1�y renson <br /> nC nny inr�rocemm�ts authnriud by the CiLy uf I:�•crett, in or oC nny street or <br /> alleg iu wnich thcy may hnce been I�id, tlm City �vill not Ue required to fnrnish <br /> �cater du��ing the prugress u[ sueh imPro�•emcnts to Niy cunsumer a'hose supply <br /> may lhus bc �ut off, or Lc l`7inblc fm� sn5� dmnnbes tor its f:iilure so to do. <br /> Applicntinn Nu._._.._......Q..��.�.......... // r/ �,, � r- - � �_ ,, �1 <br /> I3lock............._......s�.�..._ _... Lot.......�..�.7....!..L..�..�..aAdd.'T..`�'-'�'�`�-��!„ � <br /> .. ._Street �� <br /> xo......3.5..3.�..�i..)..Nt-.�'`_........ . <br /> _ .. _. _... . . .... . . <br /> _ . ......... .... ....... . .... ...... .. � <br /> The work to be executed by.-......... _. ._. . 9�r. ..... .Plumber , <br /> Statc sixe of tnp. ' <br /> ./1.�t.....Tnp to Lc inscrted in thc mnin. ��� <br /> 1. � <br /> i �' � ��"�r° � <br /> ......�........R'ntcr closet �0 ' <br /> i <br /> .....�..........Bnth 7 <br /> ..::.Urinnl lf� .. <br /> ...I...... �\i � o� :_ <br /> . .....Plnin f:mcet inside v �` ,,�C� . � <br /> .. . .....Side wnik ��•ashcr ` . . � <br /> .......... � <br /> ...�..�......kioau bib oulside � - . •.�j� ` � . <br /> �.-...IIose bib for building Purposes. . <br /> .:�..fIose bi6 inside <br /> .��Z3ib for stnblc cantaiuing.........._........stnll...J��..l....... <br /> ..—�::Tumber of Persons in fnmily I <br /> ..... . .. NumLcr ot rooms in Uuilding ' <br /> .. <br /> The premises nrc to be used ns n.._. hR���rt � � ��-�-7-���--:� <br /> The o�vner of the premises is...��-`C.ro�.�1N`�.i� <br /> agentis.._....._...................................._.....__.._..........._........................................... <br /> npplicntion, nithougL siFned, shall not bc Uinding upon thc City, until <br /> �^ lh� SuPerintendeut,of"Lhc 1�'ntcr Depnrtment. <br /> � '-. _ � <br /> .� : � ! . � ... . -ttti� I�cnnt <br /> i <br /> �,�a.......................::.�:..�...G�Lt'/_ ..J . Il. ..... . nrr • <br /> .... <br /> ,: ` <br /> � — / -.......197�j.. BY...__� . . . ....................... <br /> ."'�......... ....... ...�� p rintendent <br /> L...- �;,_� <br />