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. o n <br /> 5:_.��?-'�-`-�7 11- ` - � r.;, <br /> . r� . ' <br /> W.D.Fbrm�.1G00—E.P.Co.-6-:B-21 <br /> City of Everett�Water Uepartment � <br /> ' � - T�' �TION FOR WATER <br /> 1 blunks must be filled in or crossed out <br /> �vcrett�..................._�....��.�--..............................19�..).. <br /> TO TFIE SUPERInT�NDF.NCITY OF EVERETT DEPAILTI+IENT: . <br /> I hereby aPP�Y forp the use of w•ater in nccordnnce�vith the niles �md ragu- <br /> 1¢tionaDur ing �ettimethat�m y ot thc wnter mni e mnyrbe tnken up1Ly reaeon <br /> of nny impro�•ementa authorized by the City of Everett, in or of nny atreet or <br /> elley in which Ihey mny l�nce been lnid, the City will not be reAuire� to furnish <br /> mn Athulii•nt'toneNof,onb�l��e for any��a2n5E�s for�t�f�lure-sto t�o._P �Y <br /> wnter durin the pro ress of such im�rovements to an consumer whose su p <br /> Y <br /> PP a � <br /> Block.........................._........... Lot........................................ Add.......�,.}�. .:CA ��... <br /> l <br /> xa../�/.?:........�........ ..�............... <br /> ......st�t <br /> ......................................................................... <br /> ............. <br /> ............ <br /> . .. ...................................Plumber <br /> � The work to be executed by.......__.�....../ .,vo. , _� " <br /> State eize ot tap. �`� /J �— ' �� i <br /> .,.���._Tnp to be inserted in the ninin. ' '� ��� '�,,� <br /> ......�(........�Pater closet �� �' ����=� <br /> �S�o D:^'i <br /> ....._!........Bach � _ - <br /> • ._... . . '.�. . .. ...... .. ..... <br /> ........-.....Urmal <br /> _...,._Z....Plain Snucet inside ' <br /> .......... ...Side walk washer <br /> _._..../........Hose bib ouleide <br /> ,_......�....Hose bib for building purposes ' <br /> ...... ........Hose bib inside <br /> r .....Bib for stable containing....................stall.................... <br /> ..._�:....Number of persons in family <br /> ,.....'t.Number of moms in bvilding �� �� <br /> . G.:. . " <br /> The pcem�ses ere to be used as a......_ . -.��'`�— <br /> The owner of the premises is...................................................................................... <br /> ................................ <br /> Thaagent ie..................................................................................... <br /> accaped bythe Superilnt ndent8onthe9Wnter�PeP rtmeng upon the City, until <br /> 'Signed..................C.L...l....!.Y......:'._i�.T.��.c:.- :....... ... .......Applicant I <br /> ;~�� ' / _ ... ... ........................... ( <br /> `eaPtd.......l,�..�.�..........�.�....-....-102�.. By.. ' -'�uperintendent <br /> i - <br />