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'Ccf�CG�(� i� i4�lf '!,_L�., � . , � ��f <br />IV.•U.Pormi Jfi00—E.P.Co.--L:G�21 � " <br />City of Everett^-Watei� Departm�nt <br />APPLICATION FOR WATER <br />�111 blanks�must Uc filled in�or cros,ed ou' <br />Everett� ....................�%l��.. ...... �,�...........192� <br />TO T21C SUPEI:INTEND13N7' OR TIIF. PJATIiR DEPAItT.\SliN'C: <br />CITY OI�' B\'PIICTT: <br />I heruby npply for the usc of walcr in accardance ��•ilh thc rules nnd regu- <br />lations of thc �5'nter Department, for purpo=es �md tixtnres stnted below. <br />During the timc thnt nny o[ thc �vster mnins mny be tnken up i�y renson <br />o[ nny improecmunts nuU�urized Ly thc City o[ Pccrclt, in or o[ uny strcet or <br />nlley in which tlicy map h:i�•e bren laid, thc Cily wil! not bc required tu furnish <br />�cater during the progress of such impraventents to nny cansumer �:L•��se supply <br />m.iy thus bc cut ofi, or bc linblc fm• miy dmvages for its fnilure so lo do. <br />Applicnlion No..... �y% S// � <br />. .. ........� ............. <br />Hlock..............................__...... Lot..._..�._—�._................... Add...:....'•...'......___...___. <br />�.y' c� z r <br />Nu_.....�.3. y�... .�..�.7J ���.Gl<-.CS.. ..�✓9trcet <br />...._.. ........._.__ .................................. ...... <br />The work lo be exrcuted by..____......_._. ..... ` ................................Plmnber <br />Slatc ze of tnp. � � <br />��..Tnp to be inserted in the mnin�,'r, � i. ����� �� '�,3 G <br />' � , ,.,, ��'� <br />, ; <br />..._....\1 nter closet r <br />__�...._.....Bnth f,ITV C� ' � � �� �" � � <br />. ...'� �. � ,• <br />Urinnl ......._r' J,^,itq :-_..., <br />.._............ �:y. / . , , <br />_... � <br />.....�.-....._Plnin inucet insidc <br />....:.:........Side ��•nllc �cnshcr � . <br />.....�........Ilose bib outside ; �' /f. . . <br />................Iiuse bib tor building purposes �//Z ���� � �� <br />.._._.........IIose bib insidc <br />....::..........Sib for stnble contnining................._.stall............._..... <br />....:.:.........Numbm� of persons in :amily <br />...:5..-...Number of rooms in building /� � <br />Tlic premises nre to bc used ns n......_....._Q.7��_..9._.. ........._ .................... <br />�/ l/ G — <br />The omncr of thc prer.iiees is,<�L/•...,/Y..,..,:t ,.., ._ _.�.�„� <br />Theagent is ................._.......................__..._..._.............................................................. <br />This npplicntion, nithuugh signed, shnli not bc binding upon thc City, until <br />; ted by thc Superintendent of tJie \V�r Department. <br />......�7...�. /. �........10 ... <br />� <br />