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r . /'- . <br />`t�� �=���o-�r . «� ,� � _ „ _ <br />` ;i, D. Porm �-1G00—E.CCo. -G•:G�2� , <br />City of Everett�Water Department <br />APPLICATION FOR WA �'EFc <br />All binnl:s tnust bc filled in or crossed out <br />E verett,..�T ......... . . ... 2'... �.................192..c�.... <br />7 0 TIIG SUPERINTPNllENT OP 'CH� l5'A'P�EPART\ISNT: <br />CITT OP EV;:I2GTT: <br />I liereLy nppll' fur the use of wnt.rr in accordnnce with the ivles nnd regu- <br />1¢tions o[ lhc 1Cntcr Depnrtment, im• purpuses and fixtures staled Uclow. <br />During the time thnt nny af tlte water mnins mny be lanen up by rcasun <br />of any intprovements a�thurized by Lhc Cily oC Eccmtt, in or of nny alrcet or <br />nlley in �ahich tlmy mny hace been lnid, tlic City �vill not be required to furnisl� <br />n•nter during tl�e progress of such imp:rocement= to nuy cunsumm• xhosc auPp1Y <br />may thcs bc cut off, or}�e p:iable tor :.ny dmnnges for its fnilure so to do. <br />Applicntion No...._..�S...L.7..�...�....... -- SG`l-� <br />Bl,xk ...........?...................._....... Lnot......�. ......_../..�......... Addn...._._................................_. <br />N�........9.cJ..�.._�u�/�-�...�._.d.7�tt�M�–�r / <br />...... _ ............._ _............---.................................... _..... . ....... ._.......... <br />The �vork to bc executed Uy_........_ .......... ......... ........__..__........._..._....Plumber <br />Sl tc size of inP. � <br />�. Tnp to b^ inserted in the mnin. � 7� l <br />_.... � �g � ,,� J <br />.. <br />................R'nter closet � i <br />...............Bnth <br />� ..............Urinnl . - <br />................Pini� fnucet insidc �� ,�. � � <br />`—_ � .F �� _. , . . � <br />................Sidc walk ��•nsher � ,�. � . - �. ;� � � <br />c.._ : Art'`i( ;� .� �;��^il�..: <br />.._.........._Hose bib outside . . <br />.....�...-..._Hosc Uib for building purposes �� � � ' � . ...'. . .. . � <br />.._�--.:...._TIose biU inside .. ..... <br />_,,,......11ib tor stnUle containing ....................stall.......... ..� <br />.... .......NumUer of persons in fnroily � � <br />....�'�........Number of rooms in building/ //� • <br />The premises nrc to bc used as a./..�. ! �1.�1�Q�C .. .�...j ........... .:..... . <br />Thc o�vncr of the Premises is..._/L.�....!�-......./--..a-... .........��:..........'. <br />Tl�c agent is ...................................................................................................................... <br />�•: nPD��cation, althongh signvd, 31m11 not be binding upon thc City, unti! <br />. L;- the Superintendcnt of lhe Natcr llepnrtment. <br />/� .y� �,> <br />Signed.......Y..%v?!J......./?-tn�l.t.....� .. ............. ..:�. %Dp"�icant <br />� �...... ,; <br />ed..�..r.� .............1 .... IIy...� .......�..'.���..................... <br />� � � ��per'mtendent <br />