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�_�� s _�� - �r-Kl _ - <br /> lr�-� •��%� � J� <br /> � �w.o.eo�m�-t�on-t:.r.co.-s-26-:t � <br /> (�ity of Everett-JWater Department <br /> APPLI:C�ATION FOR WATER . <br /> All Uln�ks must be filled in or crossed ou6 <br /> � .. ..............192 q.... <br /> PVerett.....................`.fj'� ......_.... .y Y <br /> � ... <br /> TO 'PAE SUPERINTENllENCITY OF EVGI'.ETT D AItTMENT: <br /> I hereby npp1Y for the use of water in nccordance with thc rules ond regu- <br /> !ations of the Wnter De{�ertment, for P��Puses r.nd fixtures staled bclow. <br /> During the time tlint nny o[ thc water mxins mny bc tnken up Ly rensun <br /> nllev�in1which theytmny�heve been Innl, Llie C ty w���1 not�be�rrquiredYtotfurnish <br /> �vater during the progreiis of such im�u•ovements to nny consumer wLose supply <br /> m:iy }hus he cut otf, orLbe plioble Gtor ,•nY �°°Sos2 ��g fnilure so to do. <br /> Application No.......0...l....�.'-../............. <br /> � � ; <br /> : .. .. . . ... .__. <br /> _,.- i� <br /> Block........................................ Lot........................................ Ad ............ ..... <br /> I.. . <br /> Q S �1�.-�.........3treet � <br /> No........./.3.- �.... .. <br /> ......... <br /> . <br /> ... ..... ........... <br /> ................. ..................................... <br /> ..................... . ..... <br /> � ...................P1umUcr <br /> The work to be executed by..�---��������- � '����"ifa" <br /> Stnt sizc of tnp. ��^ / <br /> .._�_Tnp to bc inscrted in thc mnin. � � <br /> .......�/......Weter closet .. . <br /> .......�.......Bnth .:��^ <br /> .,,.,.,�:...Urinnl � <br /> .......�.......Plain fnucet ineide <br /> �i <br /> .,....—.....Side «'alk a�ashor ' <br /> ....../......-.Hose bib outside <br /> ._..,.,^-...Hose bib for build ag PUTPnses - <br /> ._....,�.....Hose bib inside <br /> �...Bib for stxble co.�tnining....................stall.................... <br /> ......... <br /> ...,,.�.....Numbcr oY per:,ons in fnmily <br /> __.,��.....Number of rooms in building <br /> _.______................ . <br /> The premises nre to be uaed ns n..... ..- .. "� <br /> ��.._.��F....._. <br /> 1he owner uf the premises is_......�-613�" <br /> ................................ <br /> .. ................................................. <br /> The ngent is.................................. uutil <br /> 'fhis pplicntion, elthough signed, shnR not be binding upon the Cit9, <br /> �.pted y the Superintendent at lhc ��'ntcr Depnrtment. <br /> . .0 .... Pt�cn t <br /> ........ ... <br /> .. 1 <br /> - 9igned......................................._$Y . <br /> ...�wT........ <br /> .... <br /> .. - <br /> ,s- ......192� ... . .�. ... � -. .. dent <br /> ...�.._. / <br />