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.�a..ts-.f'-r7-�r�. � 1�. _�_ ,.. �;•�v;. <br />_ ��.�_�Gn�_q' .. <br />J \\'. L. i'urm �-16U0—E.P.Ca—G :8-2d , • <br />City of Everett�Watei� Department <br />APPLICATI�N FOR WATER <br />All Llunks mu=t be filled in or crossed out <br />3 � <br />�verc tf, .................................... . _... �..........................19° � <br />TO TII� SUPCRINTENDCNT O7�' TIIP WATF.R DEP:1R7'ilISNT: <br />CITY �R EVERETT: <br />I hereLy apply Sor the uae oi �vater in nccordnnce c, ith lhc rules nnd� tcgu- <br />lations of lhe Rh�ter Dcpm�UnenL, fo: Purpuses nnd fixhire; <�lnted 6cluw. <br />Durin} the time thnt nny of Lhc �v:itcr mains m+iy 6e t:iken up Uy rcnson <br />of miy improcemmits nuthnrized U�� tlic City of Cecrelt, in or of uny strect or <br />nlley in �chich they mny 6a�•e Ueen Inid. t6e City will not Le required lo furnisl� <br />rentm� dm�in�; tLe progress cf snch improremm�ts to any cua:u:uer �vhose suPP�S <br />nuq• thus bc cut uff, or bc linble for nny damnEcs fnr its fai�ura so lo do. <br />�, <br />Applicntion No ............. ^_�...`...o'.......... -_ <br />131oc1c ......................... ............. Lot...................::{.._,........_... A�4-�--Q-p-- ��._'..5f`�^b <br />. . V �� ' ' . ,' V <br />vo.._l..._e.._. _�.._�i�.C�.�....:...>......_?......�..__'.:..._:.:__Street <br />— � , `.: ' <br />____.......__.........._ ..............._..........._.:.:'!.�a:_..._l_'_C._'_..:.:... ......�;.�....................:;. ' . <br />The �.vm•k to be e�eculed by...._.._ ....................... ..\...._......_............_......Plumber -. <br />Stnt size of tnp. <br />....��Z.Tap tu be inscrted in the mnin. � 0 U <br />......�.......\Vnter closet ��q� �' % I �1 <br />...._!.........Butlt '�. /" <br />................ li r i n n l <br />................Plniu fuvicet inside ,) <br />................Side �enik �r.:sher j <br />................Iiosc bib ouG.ide <br />................Iiosc bib for building purposes <br />................Flose biU insidc <br />................IIib for s4�.ble contnining....................stall.................... <br />................Number o[ persms in fnmily <br />.......L�...A'umber of rooms in building � p <br />The premi,es nrc to'oe used ns n........,LLCLLe_-.dL.�.Ql�4..-�..�...:p ............. <br />Tlie owncr of thc premiscs is.._........._._........_...._......_ ......................_..........._._... <br />Th� ��.�-ent is ........................................................................................._.......................... <br />;plicntS n,�on�ed, shnll not Uc binding upon thc City, until <br />the \pc c ent of lhe Vatcr Depnrtment. <br />Si��ed ................................1 1�....� ��c.. f....4pplicant <br />.. <br />�. �t... �.":� -.....��.�,-'.�...192...... BY..G�Y':�"'� %.�R/��'/' .................. <br />...... .... <br />� �= Superintendent <br />