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�eooZS.d:.�S-?.rC^- �r�...i..l.l.tJ-�`0 J � '!e _ 7.�-.. �r� . <br /> v" <br /> \V.D.Form J-IfOU-F P.Co.-6�26�2C <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER � <br /> All Ll�mks must Uc fiRed in or crossed out <br /> �7 � <br /> �vcrMt,.......�.�.�...G..��.J/....Ex.U....................1D2..4. <br /> TO TII� SUPERINT�A'DGN'P OF TIIE NATP•.fYD'$PART,ISEIQT: <br /> CITY OF L\'E12CT'N <br /> I hereby npply for the use ot n•ater in acmrdance �cith the rules and regu- <br /> 1¢tions of !hc �'1'atcr llcpnrtment, tor purpoaes :m<I fis'nres slnlcd 6eluw. <br /> Durin� thc time thnt any oC thc water mains mnp be laken up Uy renson <br /> of nny improcemenls nuthorizr,d by the City of F.cerett, in or of any sLreet or <br /> ulley in n•hich ihey mny hnce Ueen Inid, tlic City will not be required lo furnish <br /> �enter during the progress o[ sucl� improvements to n��y consumer whose supply <br /> may thus bc cuL off, o(yr bc liable tor :iny dmnnges for its fnilure so to do. <br /> Application No...Q..a.�..�................ y,• <br /> Block................................�... } Lot......................_............... Add.�.�...... .."..�-°r�.1 <br /> / p� �( ��,� / V <br /> No....../.U.J�..8...........1.,-u��`'��l-1'�.:QA................Streei <br /> . ... ............................_................. ............................__.. .._......._................._..... <br /> The work to be ezecuted b <br /> y......._.... ..`�<�.'.�..c<cL:t.Ldti..............Plumber . <br /> G <br /> Statc sizc of tnp. // ._���j� - <br /> c <br /> ...�2...'fap to be inserted in the �nin. � <br /> ..../..........R'nler closet <br /> ....�..........Bach <br /> ...�:.........Urinnl <br /> ...,`L......Plnin fnucet inside <br /> .._�.........Sidc �cnik n•ashcr <br /> ....�.........fiose Lib outside ' <br /> . ..�-.....I�o.� Uib for Luilding purposes -+ � <br /> ....�.........fIos�• bib insidc ,' . . <br /> ......�......IIib for stnUlc containing....................stall................_.. <br /> .._�—:.....Numbcr of persons in fnmily <br /> ..�.....Number of rooms in building , <br /> The premie:e nrn to be used as n..... .. . ... � 47�/�:f/�J<:....�:..:'.:............... <br /> TUe o�vner of the prer.�ises is..... _ . _ �L.. .(..l j...�..._.... <br /> �'_.�.... <br /> .;.�ic ngent is........................................................._............._.......�..................._. <br /> his applicntion, elthoufih signed, shnll not be binding upon the City, until <br /> ��Ki by thc Superinlendcnt o[ thc \Yate epnrtment. <br /> Si6med„rf-........l�.l.:G<�^.. .. .. �l . . .... .. pplicnn <br /> i �. ./.. � f..... <br /> �� :� �ted..J�-.-�,.?..lO..c........1s2�. Bv...... . .._ ... .GQi;.P.�...................... <br /> � 1 , . j perintendent <br />