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'r�--t.r 6-�-.�i-� E�t,�! �; -s-�'9- /� <br /> '� �v.n.eo�R,d—ILuO—E.CCo.-6-2G.2J � ' . <br /> City of Everettr—Water Department <br /> APPLICATION FG� WATER <br /> All binnAs must Ue Silled in or crossed cut <br /> ������u.........................f✓i��.::::.-...........................i�a. .Y.. <br /> PO TII� SUPERIN'PrNDEA"f OF TIIP \�'ATER DCPAItTnISIQT: <br /> CiTY OR EVCRGTT: <br /> I hm•eUy npp'.y for Uie use of�cuter in accordance with the rules nnd regu- <br /> Intions of the Nutr.r Depm�tment, for pm�po;es nnd fis.m'rs slatrd bclo�v. <br /> During lhe lime thnt uny of the �eatcr mnins mny be tnken up by renson <br /> of nny improvements aulliorizcd Uy Uie City of Ecerett, in or oT nny street or <br /> alley in which thcy may hnve Ueen Inid, :tie City will nuL bc required to furnish <br /> w•ater during the progress o[ such improvements to nny consumer whose suPP�Y � <br /> m�y thus be cut off, or b�r.r liable for :my dau�nges for its fnilure so to do. <br /> Applicntion No.........lJ...��. �...... — 'J�'S� <br /> Block........:..........:.................... Lot__..'....1..:p:..........._...._..... Add..........._._.........._......... ..... <br /> No..........///.�7..L..._......�.J./��L�l1.G.c..................Street <br /> ........_.........._........................_.__....__.--......._......................................................................... <br /> The work to be executed bY......_................_.._GC.._.................................PlumUer <br /> State size of tap. I �� �5 '. � <br /> ..�Y.Tnp to be insert d�n lhe m2in. <br /> .....-........R'ntcr closet <br /> ..___......Bnth . _�I , <br /> -" • / <br /> ................Urmnl � .' <br /> ...z:......Plnin fnucet insidc <br /> ._...-.......Si1e walk «•nsl�ar <br /> ..._-J.:.......Floee bib outaidc : <br /> .......-:.....Ilosc bib for building Purpnses <br /> ....:_-.'.....Iiose biU inside <br /> _.....—.....Bib for stnble cuntnining...................slall....__............ <br /> ...._-......Idumber of persons in fnmily <br /> ...L-......Nvmbcr of rooms in huilding �, � <br /> Th� premise=. nre to be used as n.... ....f..�.....J............... ... ............... . <br /> ..u�ner of the premises is.....���fyuc....,i��........�. <br /> ;ent is..................................................................................................................... <br /> � nPP��ention, althuugh signed, shnll not be binding upon the City, until <br /> � <br /> ed L•y the Superintendent of the \Vnter Depn tmcnl. <br /> Signed.�..QLL�1r.t� .�../[� .��..,._.__......__........ pplic nt <br /> �pted.........�..a...�`x.....-.19.".�. ... By... ...C.�R.:?'.vi�.-. .. _.� .. .. ... � <br /> � uperN� <br />