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. , <br /> -, , <br />� <br />� <br /> F...�c.e io..zz.,�x 'f - � r'_.�X-.� /o- � `�- � S "•'�. � <br /> 1\',D.}orm a—Isoo—E.P.cu:-6-z6�21 � � <br /> City of Everett--•Vv ater Department <br /> �� `� �' - APPLICATION FOR WATER <br /> � , , <br /> ►� ; �� ,r�i <br /> �.: <br /> � � -� All blxnks must be filled in or crossed out <br /> 7d""t ,•', � . .' .. �. , '-� . <br /> ,E. � , - � �i <br /> �} ........ �.'!.-' f.......................1��.GY <br /> S ^ ���,'- " - .. � �. .-' � EvcrMt................. . <br /> �t�.�,.� .. . . <br /> ' TO TIIB SUPERINTENDENT OC TIjE R'ATRIt DCPAHTiliENT: <br /> CITY OR EVI'sR�TT: <br /> I hcreby npply for thc usc of ��•nlcr in accardance with thc rules +md regu- <br /> lations of thc �Vnler Depnrtment, for pm�poses :md fi�fures stated belo�v. <br /> During the timz thnt nny of tha �cater mnins mny Lc taken up bY rcason � <br /> o[ nn}- impro�•ements authurized by tha Cily of G��crett, in or o: n�q� sLrcet or <br /> alley in which they m:ry hnee hecn lnid, the City will nut bc rc�uireA to furnisU <br /> �.ater during the progress of such improeemencs to anY consumer ��•hose supplY <br /> may tnus be cut off, or yi}e IiaUlc for nny dnmages for ita fnilure so to do. <br /> Applicntion No..._.U...�(...�--3 ^ / S�S <br /> .................... <br /> Block............::......:.:...::.'..........�.jI�.o,t................/... _................. Add...._.....__....._.__. ....._. ..... <br /> A'o_....�y �..�....._._v/��lu-�:C..� .._.........Street <br /> ....._. _........................................_........... .._J........ .... ... . .. . .. . ..................................... <br /> The ��•ork to be executed 11X._.. . . �_.........Plumber � <br /> f �1�c..t�re,!�Lc.. <br /> Stnt size ot t¢p. �-s . <br /> ...�L�....Tnp to be inscrted in Lhc�mnin. , , �� <br /> i .; <br /> ...../.........R'ater closet ' � I <br /> ;.. �:. ��.',.�„ L.��� <br /> ....�..........Dnth � i . <br /> _ f <br /> ................Urmol � ' <br /> .._�:........Plxin fnucet insidc �•� � <br /> .....�.......Side tcnik «•nsher I <br /> ..../..........Iiose bib oulsidc , <br /> ..:.—........Iiosc biU for building purposcs <br /> ....:.-.......Hose 6ib inside <br /> ..—�.:........Bib for slnblc conlninin�....................slalL................... <br /> ......_:.-..Number of persons in fnmily <br /> .....�....VumUer of rooms in Suilding <br /> The premiaes nre to be used os n..._.. .._....�� ' .... _. ..... -. .._.... <br /> The o�vner of the ptemises is...�LI/?..... .• ��.f�=cr.:s<,-.l� <br /> Thcr.gent is..................................................................................................................... <br /> 'Chis application, although signed, shnll not Ue Finding uPon the City, until <br /> -i by thc Superintcncj�)rt o[ thc W ;cr D� n , enl. <br /> �`�ned.�'..C./:GLJ...�...��!LL�:��........Applicnnt <br /> �� � ( J /, „ <br /> ....�i�....-./....��....-...19 2..f�'.. II y..... ...... . . . ... .. .. . ..... <br /> �uperintendent <br />