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��cJ �.a-ys�f)/ _ 4,.:=.t�...._,� 8_ r �- %'`- .F,�-L� , <br /> �• - <br /> w.u.l'o�m�--iceo—er.co.—b zs-za <br /> a <br />' , ,,._ ,.;_ City of Everett--�Water Department <br /> APPLICATION FOR WATER <br /> All Ulnnks must bc tilled in or crosacd out � <br /> /'. <br /> - �' <br /> E�•crclt............................................ _.. .' ....192.�. <br /> ....... .... ......... <br /> TO TI{� SUP�RINTENUENT OR TIIE NATGR DEPARTIISNT: <br /> C1T7 OF EVCHETT; <br /> I hereby apply ior the use u[�cnler in nccordance ��•it:i thc rules nnd regu- <br /> lations ot the Wnter Departmeut, tor pw�poses nnd fixtures stated belew. <br /> Dm•ing the time thnt nny of lhe water ronins mnp La tnken up by reason <br /> of nny improvements authorizeQ by the City of E��erett, in ur of nny street or <br /> ulley in which ihey may hnee bcen Inid, lhe City will not hc required to furnish <br /> wnter during U�e progress of such improvements to nny consumer �vhosc supply <br /> may Uius be cut off, or bc liable fur :my damnges for its fnilure so to do. <br /> Applicnlion No............��..7..7............ Q � J <br /> p ' <br /> Block....._�t..��...'.1.Q.._..._...._^Lat.:�.7."x�...��...._........_.... Add..._...._. .:"".T.'.�.'.:..:.....� <br /> \'o...........�...�_�.."�I��........�...[..1...�............._Strcet <br /> Thc ���ork to be executed bY-.....__._......_. .......... . ......__...._..........__.....Plumbcr � <br /> Stntc sizc of tap. <br /> .�.� Tnp to be inscrted in the main.// ' r / /' u�� <br /> ..... 7 <br />� .......' .—..��'ater closet � <br /> ....._`.�..Bnth <br /> ..'....—..Urinnl <br /> `t�.'...Plnin fnucet inside <br /> ..._',...—/: Side tvnik wnsher <br /> ...v.........liasc bib outside <br /> ...._....—:.Idose bib tar building purposes <br /> �-- . Iiosc biU inside <br /> ............... , <br /> �. <br /> ................Bib fur slablc coutaining.................... � ....._....,....... <br />� ....2............Tumbcr o[ persons in fnmily ' � <br /> ...�,e..,.....NumUcr ot rooms in building � � <br /> Thc premises nre to be used as a_... ..._ _. .__ _.__.._......._. .............._............ <br /> '7he o�vner of thc ptemises is.......�µ-.��1t .�..�.-Sf:-K�.,._.___.._ <br /> 'P: • aCent is................_...................................__........._..........._........_...._..................... <br /> . npplic�dion, nith�u„h sigued, shall not Lc Uinding upon thc City, until <br /> uy tho Sup int ident of tho NnleJ�Depmtment. <br /> Signed . !�j . . . ..G%��i%iC,/.r'..:................�_... �APPlicxnt <br /> . .. ....... <br /> i <br /> � d�..:. . ..�.1........... B�J.. Dy� "� �..:... ......_/ .. ......_.................._..... <br /> - � �9nperintendent <br /> I <br />