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f <br /> .�.....--�-a 4.-��_z.V rT-^'� E,ti.l�n_.<,� ��- %. � -. ; / � ;�; ,� ' <br /> . \\'.D.Fu'rm�-4�c1�-EP.Co.-6-:4�2A ' ' • . <br /> City of Everett�--Water Depnrtment <br /> APPLICATION FOR WATER <br /> All blanks iuust Ue filled in or crossed out <br /> rvcrett�........_6�-�: �.�...���f...........19°...� <br /> 7'0 TI1E SUI'tiRINT1iNll1?\'C OR THR R'.4TER DEPART3lENT: <br /> CITF OP 13VE1:CTT: <br /> I l�crcUy :ipply for the use of tvater in nccard:.nce �cith t6c rules :md Tegu- <br /> lations ot lhe R'ntcr Depnrlment, tor purpoms :md :ix�ures staMd bdeta. <br /> Uuring the timc thut miy of thc �cater mnins mny be laken up by renson <br /> of any improcements nuthorized Uy the City of I%cerett, in ar uf nup street or <br /> nlley in which ihcy mny h:n'e been Inid, the City e•ill not be required to furni,h <br /> «.:ter during lhe progress af such imprQvemcuts to any consumer �chuse suPD�Y <br /> may lhvs be cu[ off, o[r'�6c liyblc for :m�� damuges fur its failure so to do. <br /> Applicntion Vo....d..����..�............. <br /> 131ock.................__`.Z/.��.:.�.... Lot........... ...�....�.........._... Add.......... .__....__. .....__._... <br /> A*o..._.1�6_�..`.�77/'.�/?-�-........_Strcet <br /> ..... ........._..... ......................................................._....._................__.... ........ ......__........._...... <br /> The work to be esccuted bY����--�-��-" � —� Plmubcr <br /> _._..._i ���C� ' <br /> Stute sizc o[ tng �'�` _ <br /> -�...._Tnp t� 6e inserted in the mnin. ;�; '.. . . <br /> � �% '�p � ' .. <br /> ..._�. -_-Nnlcr closet ��. , � <br /> ..� :..Bntli � <br /> , , . <br /> __._.........Urinnl �_ . <br /> ...�'........Plnin fnucet i•��idc . � . <br /> -:. .�..Side ��•alk ��-nehet � ; '• � . <br /> I��. <br /> ....L._.....HoS� b�� o,ri,�a� � <br /> i <br /> -- <br /> ....._._......Aosc bib for building purposes ��/ ' % �- <br /> __.. . _...IIosc bib insidc <br /> .....:�.:........Bib for staUlc contnining....._...._.......stall.............__... <br /> ....::c,-.::....ATumber of �crsons in inmily <br /> i <br /> � NumUer ot roams in buildinq � <br /> ,�.,.1._.... <br /> Thc•Premises arc to bc ��sed ns n.`....y). �/�C-�� /..�a_................ 7... _...._ ' <br /> The o�vner of the prc�-.ises is...cC.�.�:1/..•........��L.:c=!���.. <br /> Theagent is.....__........................._............_....._.............................._......_............._..._. <br /> This application, although �igned, sUall not 6e Uinding upon the City, until <br /> necepted Uy lhe Superintendcnt t lhe \V er Depnrtmcnt. <br /> SiSnedr�........... .._. :.�!IG,w.:�...../........... pplicnnt <br /> � / / <br /> e\cceptcd�_.a.�'..,j�......_.10°�,� I3g.._.�. ._ .�/� .. .... ....... <br /> � , mtendent <br /> ( <br />