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crr-yrr--�.7-i-'f-R-�.Y . .. ,. X_��_ y��' ,. <br /> • ~ ` - <br /> \V.U.Porm 1 16V0 -E.P.Co.—L-0f..:� <br /> City of Everett^-Water Depai�tment <br /> APPLICATION FOR WATER <br /> All blsnks must l;e filled in or crossed out <br /> I?vcrett,_._..._........................._�,�......................19?z� <br /> TO TIIE SUl'ERINTENUENT OR TIIG \�'ATER DEPAIiTJ11liNT: <br /> CITl OF EVEBETT: <br /> 1 hereb}• npply fnr the use of water in �icrordance with lhc rules nnd regu- . <br /> lations of thc R'ater Dapnrtment, for pw•poses +md fislures staled beluw. <br /> During the time Lhnt nny of thc wnter mnins mny Le tnken up by renson <br /> of nny im vorements authorized by tlie Ciry of I:cerett, in or nf nny strcet or <br /> nlley in w�irh the,v �.uny hnve Lcen Inid, the City will not be required tu furnish <br /> wntcr during the p'-.,gress uf such improvements to nn}� �nnsumcr whose supply <br /> mny thus be cut uff, or Lc liable for ��r.y damuges for its (xilure so to do. <br /> Applicntion No.....8_0.0...`�.................. <br /> Rlock....:�._�.9...................._ Lot..eZ�...`.�.a�.s..._....... Add........_... _..........._._._. ..... <br /> N,,...g �-��E:.. - - . ... ser�ec <br /> o�.Q___ ........._.... . _....._. ..... <br /> ......_._............_�::_.�.�.::1(1:.l..._........................... ...................... <br /> c.r................................ ...... <br /> The work to be esecuted bY........_......./2�-�.__. ..__..___...___..PLmiber ' <br /> �t�q/tc aize of tap. � <br /> �/.�_..._Tnp to bc inscrted in thc mnin, � <br /> —� Nater closet p� <br /> ......_._..... � . <br /> ..._—:......Bnth 2 / '� /I . .` � <br /> � ,, . <br /> ...............Urinnl J��' . <br /> ................Plain faucet insidc . . ��^ _ <br /> ................Sidc �valk �casher I <br /> ................EIose bib oulside � , <br /> ._.............I{ose bib for building purpases � � . <br /> ................Hosc bib insidc <br /> ................Bib for stnble contnining....................stall.................... <br /> ...�.........A'umbcr of persons in fnmily <br /> ..fa�........Numbet of rooms in 6uilding , <br /> The premises nre to fie used ns n.___��C-Sr'�C,..�..........._............_.. <br /> The �wner of thc premises is--......................_.._............................................_........ <br /> , The ngent is.......... _........................._............. .........................._.................._................ <br /> Tliis npplication, althougl� sigr. d, � iot 6c bindi�poy,tUc Cily, until / <br /> accepted by Cr,� Su�v9ten�t e ater Depnr ent. j <br /> G r/��� � � <br /> Si ned.......:......�'. ..................... .... "'__...�Npplicnnt/ <br /> � ._i /..._...__/7 <br /> cf..:./._�',��.toz.. ..........Bv.G�. �!A/.� <br /> .... . . ...y� . . ........._v- <br /> -�.-�"y�Superintendent <br />