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� � �� . �i .p�� /� �� �� 'i:A� (// � <br /> ���'�5-2_ 5 , f�y�U.ti.e�cV' u 1 <br /> N.U.Form�-1 WO—E.P.Co.-6-:G�21 • <br /> City of Everett--�Water Department <br /> APPLICATION FOR WATER <br /> All bl�mks must Uc Silled in or crossed ouj <br /> — `/ p i <br /> Ceerelt................ a /../....................192..��.... <br /> TO THB SUPERINTENDENCITY OF�VE 2GT1';DF.PARTiliBNT: <br /> I hereUy apP�Y for the use oC wnter in nccordnnce �vith thc rules and regu- <br /> Intions of the �t'ater Department, for nurposes nnd fix!ures etnted bclow. <br /> During the timc thnt nny of the �cater mnins mny Ue taken uP bY reason <br /> of nny improecinents nuthorized by thc City of F,vcrett, in or of nuY strcet or <br /> elley in which thcy mny hnve bcen Ir.id, lhe City will not Ue required lo furnisli <br /> water during thu progress ot such improeements to nny consumer whose �upP1Y <br /> muy thus Uc cut otf, or bc liable for any dmm�ges for its fnilure so to do. <br /> c ^ <br /> Applicntion No.............. . .......J...�.--... _. <br /> s,a��:...............:.. ...... t��......��_3.-..��._�:.."� a�aa........_:.'........�.........._... <br /> ........ <br /> � ...............Strnet <br /> No.......�..d.0..�.....�.. <br /> _..........._........._...................................._..... .__............__ ___.... ...................._....._...... <br /> The work lo be esecuted by............... ��+�,. .....-..............�'lumber <br /> ._.._. ...... , <br /> Srale sizc of tnp. V <br /> .�e.Z......_Tap to be inscrted in the main. J <br /> ...-. :......Nntcr c1osM \�� i./ <br /> �—�...Bath �� � <br /> ......... <br /> ..._�..Urinnl � � <br /> ....._�.Plnin fnucet inside � <br /> ......._'-.-..Side wnik �cn�hcr . <br /> ....._��Hosc bib oulsidc � <br /> ........`—...—Aose bib fur building pnrposes <br /> .........—llasc bib inside . <br /> ......._�-...-13i6 for stnble contnining....................stall..........._�'.l f <br /> ....—:Number of persons in fnmily � <br /> � ...'.......NumUer o[ rooms in Uuilding • <br /> .. xemises ¢re to 6e used ns a............ ...............___ .......... �.............. <br /> o�vner of the prer.�ises is.......................................................................... ........ .. <br /> gent is...__......_ _.. <br /> ................................................................................................... . <br /> npPlicntion, nithouqh sgned, shnll not be binding upon tho City, until <br /> F^ the SuperintcnJent of�/t`hc Nnter Depnrtment. _ <br /> Signdcl....VYY�".�...`l��[��..� .. .... � . Plicant <br /> 41.t�j1 <br /> ......... '�, /,�l <br /> �tcd `��f.._.�..1'JS._i: BY....l....�i._..2�✓�!.........._. <br /> � .... <br /> ......�}........ . ,,,,�cupS[intendant <br />