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£-4-�d--�. 10-'7-9�f -<7 L" <br /> _.-v..�u•-.l �:i>'>�-:.'- lrv./ . <br /> f�.1>.Pnrm�-134o—E.PRa—G=6:i �' <br /> City of Everett�-W�ter Department <br /> APPLICATiON FOR WATER <br /> All hl:mks must Uc filled in or crus=_ed oui. <br /> ��.2 3 <br /> G <br /> Eccrc[t............................... ................................._..]�2 y <br /> TO 'PHE SUPERINTEIPE\T OR TIII; PrATrR DEP�VtT,Ii�NT: <br /> . CITY OR I:VE'.:ITT: <br /> I hereby app;y for the u=c ut w�uter in accordnnre�ci.h the rules nnd 7egu- <br /> latiuns of the �i'aler DenaYment, for pwpr•=cn ar.d fix'arrr; sta:ed belaw•. <br /> Durini; lhe time tiat anY oL lhe �eatar mniss may 6c taken up by reison <br /> u: zny imprucemer,ts authorized U�• tFe Cily of I:ccmtt, in or of anp strcet or <br /> ❑qcy in u�hich iLcy may hace bcen laid, tl�,c City �vill not bc required to fu�ni=_h <br /> . �r:der durir.y the progress uf such intpmcements to nny cnnsmncr ��•Losc suPP�Y <br /> may thus Lc cut oif, ur be liable fur :�ny damogzs tor its failure so to do. <br /> Application No........._�.'�.�:r�-- <br /> ....... .... <br /> [31ock....---..7.Z:.2- . .. _. Lot_../../...._._............. ._... Add... __... ._ ._._ _ _.. .. <br /> No..__/.1.4.!._...��.. ..................._.Stmet <br /> .._ _ .... ..... . ........... .. . . ........ ............... .........__ .. .._. ........ . . ....._..._.. <br /> Tlie �vork to bc execvted by.._.. . .... ...... ...._ . .._ _ _. . ._...._. . ......Plumber . <br /> State eize of inp. � p <br /> . ���'::...Tnp to be inserted in the main. , s a_ '1-u--r f+A" � <br /> . <br /> ._�......_..R'atcr closet �- / <br /> ..I....---.....Bach ��..v--,+ 77�.,,.o�.—`-� <br /> __............Urin nl <br /> ................Plain fnncet insidc <br /> __..___....�ide w:Jlc unsher <br /> ................Hasc bib oulsiue <br /> . .. .....Ho�e bib tor Lnilding purpoces �����r' <br /> __........._.IToee bib inside <br /> .._............BiL for stnblc containin�;.....__..........stall.................... <br /> ................Kumbec ut prrsons in family . . <br /> . �.... Number o: rooms in Luilding , // � <br /> The premi.=.es am to be used ae a ./Z-�-!5..��t�. <br /> C* . 6/ , r ..._.... <br /> The owncr of the premises ix_ .�..,. _.V fiR.e�D-{�'.�_. ' <br /> __ <br /> Thc ,gent is.........._..............__...__....___...._._......... ..._.....__.............._...._...._....... <br /> 1'his applicntion, elthouqh 'gned ahall not Ue binding upon the City, until <br /> accePted by the Suprrint dci of e R cr Depnrtment, <br /> i <br /> _, , r l <br /> Figned.... . ". ..... .. . . ........_. ... .... ._ .......Applicnnt <br /> Ac:epled._.a'.�.� .�+a'�. Uy.. . <. .. ... .. . ... ( <br /> � mtendent <br /> � <br />