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i <br /> J <br /> �,�;�,�,. _ _ i�_• � 'i <br /> r-ot=r F-�U-._:�. . . � I <br /> 1V.P.hbrm l--16uJ-F..P.Co.-6 24-:d <br /> City of Everett--�Water Depai�tment , <br /> APPLICATION FOR WATER . <br /> All blanks musL Uc filled in or crossed out <br /> .......................1ff2�!A i <br /> r���r�cc..................... �/..3 <br /> TO THG SUPERINTPNDI:NT OP TIIE \�'ATER�DI:PARTNE�.�'T: <br /> CITY OR EV�12LT'f: � <br /> I hm•eby i�PD�y fnr the nse of��'nter in accordmice t�'ith the ivlcs a»d regu- <br /> IaCionsDur ihb thetlime tlinttm Ytof thc u�i cr mui s n�Y �e la�ken��i�U� renson <br /> o( imy imProeeinents nuthorized Ly the Citp aC Eccrett, in nr of nny sLrcet or <br /> :JIeY in ���hidi theF u,ress�af eudnim��noeemCits to�n y coisum i��wl�nsefsupply . <br /> watcr during Lhc P'.' (' <br /> ni;:y thus be cut off, or Upe�IinUl�fnr rny dmun6�s Cor its fnilure so to o. <br /> Applicntion No..........Q.�. 3.....- � <br /> .......... <br /> . ... Add.__......�`."_:�".___.._ .... <br /> ...._........ ].ot.................. .... ... . <br /> 131oc1c......................... � <br /> _ .�.5.�..�....._.�. ....... .. .Strect <br /> No......_ . � -�- <br /> q�/�������� � . ................ � <br /> . . / U . ._.. .._. .. <br /> . . . ..._.. ..... . . <br /> ._ .. . ..... . <br /> ._. .. ._... ..Plumber <br /> Tlie work to be exccuted by __ _...__ ... <br /> Stalc si2e of tnp. � j� � 7J���{ � <br /> ' ��.._.Tap to Ue inscrted in lhc m^in. \ 1^1 . <br /> ) . W <br /> ....._�........Nntcr closet II� , .,� <br /> .....�......._.Bath �^, �� �� �, <br /> 1 I � : ��� � I�,� I <br /> _.... <br /> .._�II[III� � � <br /> . I � �`�' <br /> .....�-'....Plain inuect inside ��, ._,.t:. � '.� ��1�� � <br /> i t , <br /> �-. Side wnik �r�aeher .: .. ::11 �y��1�. �: DLi'T <br /> C.i��i Of '� ..,.. � <br /> �.cllosc UiU ouLaide ..,,........•�••• . , <br /> ... <br /> � �„�_Hose bib for buildinq Purpp3C'.;.., ......."..'.,�... ..,... . .. <br /> .v:=Hosc bib iaside <br /> ......._�--..—Bib for stnLlc containing....................stall....._..._....._. <br /> ...�/ :.A'um6er uf persmis in fnmily . <br /> _.....(�....A`umbcr of rooms in 6uilding • <br /> n p' . . <br /> 7'he premises nre to bc used as n___��i�---� �� � , <br /> �_ CJ-�J'l.r�.._7"��.c,.-t- ....-.4'.�✓ <br /> 7'he owner of the Prcr.iiscs is.._........ <br /> Thcngent is........................`............................................................................................ <br /> fhis nPP��cnlion, nithough signed, shall not be binding upnn tUe City, until <br /> 4ed by the Su icrir�tc ent of the W�tcr De mrtmrnt. <br /> �- � G'......r�.,. ............ pp . nnt <br /> S�gnc ......._.....�'�?..tC7......... <br /> ����ryr����i ................... <br /> d.._.._....��.-..-:...�...-.1D llY.... itendent - <br /> - - - - - - -- - — � � <br />