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�,_�-c�/ �_ ,., i '�.u.�! g.r? s—z�-3O —�r <br /> W.D.Ybrm i-16W—E.P.Ca.—�"•6.21 " � . <br /> City of Everett--W�ter Depai�tment <br /> APPLICATION FOR WATER <br /> All binnks must be filled in or crossed out <br /> /�}'yJ ..�.../................192�:� <br /> Evcrett..............!.(.r.__�.•_............ <br /> TO TII� SUPERINTENDENCITY OF EVEI2CTT; '�I2TZIENT: <br /> I Lereby npP�Y for the use oC wnter in nccordnnce ��'ith the rules nnd regu- <br /> lations of the Nater llepurtment, for purposes nnd fixtures stated bclow. <br /> During the lime that any of the wnler mnins mny be taken up by reason <br /> af nny impro�•ementa authorized by the City of 'ivcrett, in or ot nny street or <br /> idley in which thev may have 6cen lsid, thc City will not Uc mquired to furnish <br /> water during the progress of such improvemenls to nny consumer whose suPp1Y <br /> muy thus bc cut of[, or be liaUle fur any damnges for its fnilure so to do. <br /> ppplicntion No...........Z..�._�._�...... �p.� <br /> . Add... ... .. ......_...._.._......._. <br /> Lot......... . _. <br /> Black...............� ..... <br /> ..�.+..._...�....�......�......{--�L <br /> No........ .....D /� -/ lJ....... .�..�.........._'�iv-?.Street <br /> ��.... .............. <br /> " � . <br /> .. <br /> The work Q <br /> � . <br /> _G'>.(1._Grti.:�......................._..........._..................._.... ..._. .................. .. <br /> to be executed by....... .__.._ _...__ . .... . <br /> ......_.. ..__.....Plum r <br /> � �,� 3��� <br /> Stnte size of tnp. ,�(� {�L�'" � ' <br /> l <br /> ,__3��.T�P to be inserted in the mein. �, v• ✓ `�.��' <br /> ................R'nter doset 7�� 0 °� p`�. / <br /> ................B a t h <br /> ................Urinal / . <br /> ................Plnin fnacet insidc � <br /> ................Sidc �vnik wnshcr .. <br /> / <br /> ................Ilose bib outside <br /> .._._.,._.....Hose bib for building Purpnses � • <br /> ................Hosc bib insidc <br /> ...... <br /> .......Bib for stnble contninin�...................slall................._. <br /> ................Number of persons in fnmily . <br /> ................NumUer of rooms in building <br /> The premises nce to be use as n.......... <br /> . ._.._....__._..._............_......._.._.................. <br /> The owncr of the Ptemises is...............__.................................................................. <br /> . ............................_........................ <br /> Thengent ia....._........................................................ <br /> q�hfs npplicntion, although signed, shnll not be binding upon the City, unGt� <br /> ,ccepted Uy the Superintendent of the Wnter Dep�lCtment.. <br /> � // <br /> , � � <br /> Signcd!A/�����//i ..G-���/�� .�.... ....... lican <br /> .4ccepted.........✓r'....�..�..r.�.....1 �G�...O BY....G���'�!t'C��.. ....... . . .... <br /> � u ent <br />