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z.A.-td' �a-z u-2 z- r?r ti.,���� 1� '�-q—'tA��'. <br /> a•.n.t�o��,�-�son-c.r.co.-s-:c�x� <br /> City of Everett�Water Department <br /> 1�PPLICATION FOR WATER <br /> All Llanl:s must be filled in or crassed out <br /> I � <br /> � _ � <br /> Evrrett.................................. ....`.:�.�...................._...192...�.�. <br /> TO T1iE SUPGHIN'fENDENT OF 771F. R'ATER UEPAP.�fBSENT: <br /> CITY OF EVEI:ETT: <br /> I hcrcUy nPpIY for the use of �vater in nccerdance «'it.h thc rules nnd regu- <br /> lutions of ihe R'ater T_�ePnrtment, for purposes nr.d fix'.ures stated bclow. <br /> During the limc thnt ang of tnc watcr muins mny be lnken up Uy rcason <br /> oC nn}� in:prucemcats aulliorized by thc City aC E�'errtt, ir, or of nny slreet w' <br /> nlley in �chirh they mny have becn laid, tlic City w-ill not bc required to furnish <br /> n•ater during thr progress of such improcemcnts. to nny cnnsumer whuse suPP�Y <br /> may thus hc cut ofE, o* be liablc fm� any damngcs tor its failure so to do. <br /> nP��;�,t�o� xo..... .._..S..Z...f�...o........ <br /> . _ � <br /> 131ock............. �/ .. Add._ .._. .. .... <br /> � �.:.�.._ I ot ....... . ._. .. .._. ... <br /> \o. -�� � U {'_,� - .. . ..... Street <br /> _.. . _ _ . . .......... -....I..I ' <br /> ._..._. .. ...... <br /> . ...._. . . ...... <br /> The �•orlc to Ue executed bS ��wR��'� � - � ��--�-�Plum6er <br /> Slate size of tap. <br /> _._�..�....Tap to Ue iuserted in the main. �/ S o � , <br /> __....�........1Ynter closet <br /> � ''i � � . <br /> ...._�........Bath � <br /> . ................Urinnl <br /> _...�..�..Plnin inucet inside <br /> .._'—._....Side walk �cashcr <br /> ....�io�e bib out=ide ; <br /> /! <br /> `-- .—::Aosc Uib for building purpo�es j <br /> �._...........Hose bib inside � ' <br /> '--- <br /> ................Bib for staLle containing...................stall.................... <br /> — <br /> ................Number of persons in turriily <br /> ....�......Numbcr of rooms in building • <br /> The Premises nre to be used es a..C.. ,,��,, --'�/-'�Q'�� '�� �. ' ..a. . ..... <br /> ��........... <br /> The owner of tlie Ptemises is_.....C�C-�-g�-�1-�tl.c�""�.•�'^.-7�----�-- <br /> Thc agenL is.................._... . .......---...........___._......_............. <br /> ......................................... . <br /> This npplicntian, althouqh si�ned, shall not be binding uPon Lhe City, until <br /> eccepted Uy the SuPerintendsnt ot the \Vnter Department. <br /> SiGned...._......._..�..�r.(.UC.i.�..1�.�w='lv............./�. .... �PPlicant / <br /> � � i�............ .J <br /> _.... <br /> AccepLed........�-- .�1. �....198� � By..__. _ .��� ...;:. � <br /> � �, _�.=5�tperintandcut <br />