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_ -, <br /> z . < ,_-� , , , ;-.- �..�. �r �i - ���- �L ?v,: ; <br /> R'.D.tbrm�J—t500—ti.P.Cn.—G.26-2a ' • • <br /> City of Everett^�Water Depai•+.ment <br /> APPLICATION FQR tiV�_ATER <br /> All Uhinks nmst Ue filled in or crossed out <br /> �vcrett.,,..:::_.�6`..../'1�..�.�.C�'............102.� <br /> TO TIIP SUI'�RINTBNDisN1' OR THE R'AT��R llRPARTniliNT: <br /> C1TY OR EVEP.ETT: <br /> I 6ereby npp!y tor the u:.e of water in accord:mce �citl� the rules cnd regu- <br /> lations of tLe ��'nter Depnrtmr.nt, for �1pi'�IUPI'S :IOfI fIS�llPI'S s'nl�d bdu�c. <br /> Puring the I.imc lhnt any of thc �eater nviias mny be tnken up Ly rcason <br /> o[ ar}� improvements authorizel by thc City of rcerett, in or of any strect or <br /> alley in �ahich they may hnce Ueen lnid, the City �eill not be required to furnish <br /> wntcr during the progmss of such imProvemen[s to any consumer whose suPP�Y <br /> mc�y !i�ns Ce cut off, opr be liable for nny damnges for its fnilure so tu do. <br /> s.r-,piicnt.ion No....Q..J..S.-�........_.... � .� ��:-• :'�'i ._. <br /> ➢Incl:......._........�.../..._............... Lot...... ......... ..... Add.._....:.._...�_......_....__. ..... <br /> \o...�s2.��`._....�.GL.J�./.�.'.�............SI met <br /> _...... .. ............._....................................._....................................... ..._......_......._............... <br /> TLe v:ork tn be e�ewted by...._ .__.—:—:�.-�:�..-. . ..-,.._.... ....... .._........Plumber <br /> / U G <br /> Slnte si::e of tnp. � 2 ,���— � <br /> .��Z-.Tap to be inscrted in the mn'�. <br /> �.......... <br /> ......... ._R'nlcr dosch <br /> ...... .......Butl� <br /> . .....-:...Urinnl _� <br /> ._....�'�........Plnin favicet inside � <br /> .......—:....Side �culk �cnshcr <br /> ...._./.......IIasc bib outsidc <br /> ........—..:Hosc bib �[or Uuilding purpases <br /> ....__—...Ilosc biU insidc <br /> ......_�:..Bib for stuLlc containing...__............stall............_...... <br /> _—:.-..A'umbcr �if persons in fnmily <br /> ' �...._Numbcr nf roum3 in Luildin� <br /> �•�emises nre tu be used ns n..__....., ..__��...................�.._......... ..... <br /> • c� S. � <br /> � a�cr of the prem�ses is_L/..._... ._......... .._... ....�. t.:�_............ <br /> �t is..........................._...............__......................................� <br /> ............................. <br /> Th�. -.�pp!ication, although signed �hnll not be binding upon thc City, until <br /> ���leu �y the Superintendcnt of ihc R'ntcr Depnrtment. <br /> Signed._���.....�....�J..._� . _ _. _ _........ .. Ap licant <br /> . -:... . ... <br /> ... <br /> � . <br /> i <br /> .���e�,e�a....._ .._.../.,�.-.......is��i. ny. .6. . , . .. ... . . ............... <br /> � � �„a�nc <br />