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4�.-;��_-E !�,_ �.'_ � 'j ,.' . . � <br /> �c..�"� a1-14-a9-1� .. . � <br /> 1Y.f).I'arm 1-16J0—E.P.Ce.L.2G-2C . <br /> City of Everett•—Water Departinent <br /> APPLICATION FOR WATER <br /> All blauks must Lc fillecl in or c�sed out <br /> �ccrelt�......................../o.....l.�..............................192��- <br /> TO TII� SUPCRINTSNDGNCITY OP E\��RE T;�liYARTDIliNT: <br /> I hereLy +iPPly for the ase ut «'nter in nccordnnce ��'ith the rules nnd regu• ' <br /> lations of tlie «'uter Dcp:vtment, for purPoses nnd fixiures statc� h''�U`��'renson <br /> lluring the time lhub nny a[ thc �c:dm• mnins mny Ue ork�f m,y strcet or <br /> of nny imProveromits uutUorized Uy the Cilp of F.�'rrett, <br /> nl�tcr duringhthceD�'tirees ut s�u 1��in Proeem�,�.s to'nny consau cr�T�l�osefsup}>ly <br /> may� lhus b�• cut off, or�c�n� for :my ��2 35��a� its failure so lo do. <br /> Appl�ention No......_................�........_. . <br /> ', 4_.............. Lot.•26-."?7.-.�...�..... Add..._..... . .._.._......_..._._.... <br /> Block.._.....�_".... ,- Q <br /> No.....� ��..-_�..�: �Q..i1G��—..............Street <br /> ............ � <br /> . ._..._ .........__.............. ; <br /> . ._.........._..........._.............................. . <br /> . .......................... <br /> ._.__....._..... <br /> .._._._. _..................Plum cr . <br /> Thc ��•ork to be executed UY. .._..-_. ........ .._.. . <br /> Slntc sizc of tnP. <br /> ..���,.�.�. Tnp to be inscrted in the main. ,' /i <br /> .,__.,- ,--,_�Pntcr closet \(7 <br /> °✓ <br /> .......,-:,....Bndi �' � <br /> .:...—.-..Urin¢1 � <br /> _��....Plain fmicct insidc <br /> �.�.Side �cnik washer <br /> `.....Eiose bib ovt=ide � ' ' � ' /� ... <br /> �:....—.:..Hosc bib far building Pi�rposes /f � . <br /> .;.-.,.,—„-:..IIose b:b insidc 1 <br /> '.:-.-.....Bib for stnUl� contnit»ng....................etIIll.................... <br /> '..............::Tmnh:r of persons in fnmily <br /> .�.........A'umbcr of rooms in Uuilding ' <br /> �he Premises nre Lo 6c used ns n-......�C. <br /> ..... _.�. ..._...............__... ..._..._..._.... <br /> vener uf thc premises is...... .,._J........5 � <br /> . ...�............................�...._..,..._......._................. <br /> r.gent is............................ .. <br /> , q,:icntion, nithou�h signed, 3ha11 not be bindirg upon the City, untii <br /> �•. the vycr�intendent o/ the Nater Dep¢rtment. <br /> .iigne�-L��L��-� .Nt..TG'J..4.�1:._:...�.:' . .._...... ...Applicnnt <br /> ..... <br /> i �J " <br /> ' �......10� IIY....G ., ._ !(�! .................__._..... <br /> .�..n....:� _ <br /> , � __ Superintendent <br /> � <br /> I <br /> 1 <br /> � <br />