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�`--�C �i-i 4•-z� -If , • , �`�.,�._.L `7- _ , , . , <br /> w.'i�.ea-,,,j—yf00—E.p.Ca.-6@8.21 • <br /> City of Everett--�u'ater Department <br /> APPLICATION FOR ��TA'TER <br /> All Llanks must bc filled in or crossed out. <br /> Everett...................... .. � tl <br /> ....�..... . .. . ............_...192...� <br /> TO 7'HF. SUPERINTENDEN'P pF TflG \S'ATF.R DEPART\iP:NT: <br /> CITY OR F.VERETT: <br /> I hereby aPpip tor the u.c of n�nter in nccordanre with the rules nnd regu- <br /> intions of the Natcr Departmen[, for pm�poses �md fis;ures stnled Lclorv, <br /> Dw�ing U�e time tynt any o( thc wntcr mnins may be tnken up Ly ronson <br /> � of nny in;pro��ements aulhm•ir.ed by the City ot Iscerett, in or of nny strecL or <br /> nlley in �ehich ihcp mny hn��e been lnid, the City wi11 not be required to furnish <br /> water during [he progress of such im�iro�rments to nny consuuter �ahose supply <br /> may thus bc cut off, or be linble for uny dmm�ges tor its Liilure so to do. <br /> Appiicxtion No....�..7_� t*' —'7� ?-f <br /> ......................... ` <br /> Qlock......................._............... Lot......_............................_.. Add��?;��.__• _�I . <br /> J._�{ a �f / _ ...... <br /> I�U........ . � . .. <br /> ............. ............ "`�'��-o-........Strect v <br /> .._..... .... . <br /> .._ _......_ _...__...............__............ ' <br /> .._._..........__. _. ....... .... ...... <br /> . . .............._............. .............. <br /> The work lo be esecuteJ by........ . . . <br /> . __ .. . . ........__................... ......Plumbcr <br /> Statc size of tap. � o� <br /> �� <br /> ���1'z-....Tnp to bc inserted in lhe mnin. � <br /> .......�.......Nntcr daset <br /> .......L.......Bnth ,� ,. <br /> ......... ....Urinnl -.';'t , <br /> ���..-Z....Plain tnucet insidc ,,.'` <br /> ........�....Sidc wolk �rnsher ," , <br /> ����..�........Hose bib outside <br /> ....._. ....Hosc bib for building purposes <br /> ....... .....Iiose bib inside <br /> ...... .......Bib for stable conininin <br /> �....................s t a I I.................... <br /> •-����..:......Numbcr of persons in fnmily <br /> ........�f..Numbcr of romns in building <br /> The premises nre }o be used ns n......._. �� <br /> ..._. . . ..__... <br /> _....._......_.__.................. <br /> Thc o��•ner of the prccii s is................_.__........._.... <br /> . .. . ._.... <br /> ._............ <br /> ..�. agent is................... ..(1yt.c.. �....._ �.. .. <br /> t...�.r�.�-:-�..............�...:...4--ti............ <br /> � ��pplication, although signeJ, ,hnll not be binding upon the Cit until <br /> �.; the Superintendcnt of the Natcr Depnrlment. Y' <br /> . -.igned.....................j,���/, ' +— _ / w- <br /> ` ..._........ .... -��"'�l� iicnnt <br /> _ � ADP <br /> � .q. _. 0`3�._I;12_:y B��...�. l�.... <br /> ....l '.: . / . . . . <br /> . . . ... . ... <br /> . J. . � --..... <br /> . Superintendent <br />