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'�.�,`i'O<e'1':-la" ` ' <br />..,' \1'. D. pen�J-16o0—E.P.Co.—L-:G2� <br />..rk.aw� j./�l- ... �'.�)'1. <br />City of�Everett---Wzter Department <br />APPLICATIQN FOR WATER <br />All binuks must bc fiiled in or crossc� cy�Qt <br />� 7 `� <br />Isvcrett..........................................._!.. �..._�..................192..4 <br />TO T11L SUP�RINTENDBNT OR TIIE R'dTCR D�PART\1liNT: <br />CITY OP EVCI:E'CT; <br />I hereby npply tur lhe use ot a•ater in nccordance u•iqi tlu rules nnd 1•egu- <br />Intions ot the R�nter Depnrlment, for purpa�es +md fixiures stnted hclan�. <br />During the time thnt nny of thc waler nwins mnp Lc tnhen up L�• rc�son <br />o( nny impro��emcuts authoriud by the City o( licerett, in or ot uny strr�c or <br />nllep in �vhich the�• may liu�•e bcen Inid, tLe City �ril! not be required to furniah <br />�vnter during the progress nf such iiuprovements to nny cansumer �ahuse suPP�Y <br />m:iy thus Lc cut ufC, or bGc, linblc Cor nny dmm�ges for it� failure so to do. <br />Applicntion No...........F�_�..�..—�.�..._...._� <br />� <br />131acI .... .. ..... Lok ���,• �ryry�/ r1 �. Add __..._.. _.._.... <br />\o ._ . .. /'�"""}.NVFitrcet -..._.. <br />' /1 - .,�,^J <br />\ '.' � ......\.. �.�.t`..�..�-`. C t�..... .v , ! <br />. . ...: . �.{,;r. �. c ` ..��. , . <br />. _ _ ........................ <br />The work to be esecuted by....._...._._...__ __...___......._.._..._............_.....Plumber <br />� /5i�� or tnp. e � _, <br />.....7...Tnp to bc roscrtc' in ;he mnin. I�'" �� <br />................�C�tcr closet <br />" .IInth � <br />............... <br />,i _.. <br />_ ..............�rmal . . <br />i � <br />.....�........Pinin fnucet inside <br />................5ide �cnik �cnshcr � /1� <br />..... �........Iiose bib oulside <br />................Iiose Uib far UuilJing �iurposrs <br />................FIosc bib insidc <br />................Bib for stnblc contnining....................stnll.................... <br />.�..........Nurober of persons in fnmily <br />................Kumbcr o[ roar..s in building . <br />Tli� prcmises nre to ba used ns n......._r....._ . ............. _..� <br />. . _ _ ...... ... . <br />. ...... ..... <br />The �a•ncr of thc premises is........_._.. �1 - <br />G _ _ _ . ...... ......... <br />�� � � ng�nt s9 ........................................................._........................................................... <br />leis npplicntion, nithuugh signed, ^,hall not be binding upon the City, until <br />necepted Uy Lhe Superinj� denL of the �Vj}ter Depnrtment. <br />Signed�:.:y ��/ �%�a-C/ � <br />. ....._. ...........: .............. �................... .... . . . ..Appl i cant <br />�, r <br />. ��- ;. <br />ec.•ptri.....�-e,,i(.,...... .._192...... Dy... .. . LII�. " ::....................... <br />�� vp�rintendent <br />