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` `�S� r/. f�R A7 /( . • �--r�iLs-�._,�. �i'� - � ; t''�', <br /> w.n.t>o�m i—�soo—e.r.co.—s-zs-za ' � . , <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All binnks must be filled in or crossed out <br /> Everett................ �.��. ../1.�..'�....._......................_.......ID?� <br /> PO T2IE StiPERINTENDENT OR TIIF. \\'ATER nEPARTiliEN1': <br /> CITY OF 13VERETT: <br /> 1 hereby npply for d:e use of��vter in accerdance ���ith lhe rules and regu- i <br /> Intionv of the Nnter Department, fer purposes nnd fix!m•es stnted bclow. <br /> Dm•ing lhe time thn[ nny o[ thc k�nter mnins mny be taken up by reason <br /> of nny improvements authorized hy thc City of Ecerett, in or of nny atrcet or <br /> xlley in which they may hnve beeu lnid, the City will not be required to furnish <br /> w.:ter during the progress of such impro�•ements to nny consumer whme supply <br /> m:�y dms be cut off, or be liable for any dmm�ges for its fnilure so to do. <br /> .lpplicatiun No.__�,� � � — 7 � 2/ <br /> ..... ..................... ��. �) <br /> Dlock.............................. . Lot........................................ Ad�K2...4.r�!� <br /> 0 <br /> No._ _._�.3..�. _......�.��f-?........_...Street <br /> _...._..___. ......._........._....._._.................................................. . <br /> Thc work to be executed by.....__...__...__ ._ .� _.__....._..........._.Plum6er <br /> Stn/tc size of tnp. /�,S �- <br /> ...l�'�..Tnp to be inscrted in the mnin. <br /> ......_/......Nater clnset <br /> .......�.......Dnth . . ." <br /> ..........".-..Urinnl , �. <br /> ....._�-..Plain fnucet insidc � <br /> -.........-:...Side �mlk �cnshcr <br /> ......(........Hosc bib outside <br /> ........—....Hose bib for building purposes <br /> .. ...�.......Hose biL insidc <br /> ...._.c.:....Bib for stnbin contnining....................sti�ll.................... <br /> ........._�A'umber of nereons in fnmily <br /> ....... . Number of raoms in building <br /> �... <br /> The premises arc to be used ns n..........._.............�C.�._._............................... <br /> 'ae o�cncr of the premiss�is...... ..___.._................_. ` '� ..... ........n�.^............_ � <br /> ' .� agent is....___..........fy,:..CII,:�..twc...S:ctnfr.ti. .�1�l.....�.�.�..�.C....µ...... <br /> �;�plicntion, nithough signed, :hnll nut be binding uPon the City, until <br /> :�� the Superintendcnt of the 11'nter Depnrtment. � <br /> � Signed......................�..... ......�.. ..... . .....APPlicnnt <br /> repted..... ._.11��..-3G_.....1�2 7 By.... !�... <br /> y ... .... ..... <br /> / �Superintendent <br /> � <br />