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Lcc� Fs7o �3 j i� . c..�-�..._.o �� .. � i n <br /> � i <br /> lV.11.l'ormd-J60o—t1P.Co.-6:68� � • <br /> ' City of Everett--�Water Depai�tment <br /> APPLICATION FOR WATER <br /> . , AII binnks mnst Lc filled in or crossed out <br /> livcrett,.._�.� .. . 4?. ...192.1... <br /> ..... <br /> . �.................... <br /> TO TI3E SUi'ERIN1'I7NL'SN'P OR TIIG \VA'CI's EPARThi�N'C: <br /> CITY OF EVEP.CTT: � <br /> I hereby npply for the use ot wntrr in nccm�dnnce ��•ith tlie rules nnd regu- <br /> lations ot the �{ater Depnrtment, for purposes nnd fisturca stnted below. <br /> During the time t6nt nny of the w�ter mnins mng be tnken up Ly renson <br /> of nny improvements nulhoria.ed by the City oC E�•erett, in or of nny strcet or <br /> ulley in �ehich they say hm•e Lcen laid, the City will not be requircd to furnish <br /> mnter durinti the progress uf such improt�entenls to nny consumer whose supply <br /> may ihus be cut off, or�bic qlinbl/e forC�nny dmm�ges for its fnilure so lo �o. <br /> APPlicntion No/.........0.....1....u....C-...... — � s 2 2— <br /> ]llock..........._...�.�I..�.._._ Lot .....��......................... Add.............._._..._....._... .... <br /> A'o..�..�..�.,5.__��.................Street .. . <br /> .._........................._................................................ � <br /> . ...................._....... ....;.................._............ <br /> The �eork to be executed byt.....__... ... '�JUA.u—G4rCl� p�umber <br /> .. .. . ......._.. .. ... <br /> Statc size of tap. � <br /> � ��, . ,� <br /> 1�-..........Tan �o be inscrted in the mnin. �I �, � 0� ,� <br /> �__-�-......._Nnter closet � . <br /> y 1 <br /> .1.............IIn�h n(����nJ <br /> V <br /> ................Urinal �\. <br /> V� <br /> -L.--....Pluin fnucet ineidc <br /> ................Sidc n•nll: ���asLer . . <br /> �----`.__Ilose bib oulsida � � . <br /> ................Hose bib for builJing purt�oses . �' <br /> L- Hose bib inside <br /> ................ <br /> -......—..�Bib for ataLle contnining....................stall ..(-.,,-., . <br /> �.��...^—.�A'umber of persons in fnmily � <br /> ��-��-......Number of raoms in buildin , <br /> Tl� premises are to be used ns n..... .......... .. <br /> . . . ....................... <br /> -�- nwner of the pretnises is�?1�,. �` <br /> _ __ <br /> . . . ... ,._..._ _ . .. <br /> .�c r,gent is.............................. <br /> ................................................................. <br /> � . ................_... <br /> hie applicntion, nithaugh signed, ,hall nat be binding upon the City, until <br /> �`;;�...; :�3 by thn Superi tendent of the.�Pu;c D rtment� <br /> . ,�,,, � / � , . <br /> Si�ed...�.,../1�!L. 'Pr�/� � K <br /> .................. <br /> .�.,. . ..... �............ ... ...Applicant <br /> ..... <br /> " ted...49..-,�'........-1D B .. � <br /> . ' . �i y-� � y ��� ... <br /> . . ............ <br /> . �:i1,j��. dent <br /> t , <br />