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4 u, z�/ y, �e 3�� Jf _ , <br />l\'. U. P�,rm �- 1600-E.P.Cu.-G-26-:/ <br />City of Everett-�Watar Department <br />APPLICATlON FOR WATE,R <br />dlt blanl:s nmst Uc fiiled in or crossed out <br />�eerett�......._............�lf _....�'�......19°.r.�. <br />TO TI3E SUl'E'tNTENDF.A'T OI�' TII� \\'ATI:I: D.. RTbfEtiT: <br />CPfY Or L\'E1:PTT: <br />1 hereby nppiy Sor ti�,e use of �cater in accordcnre v:ith tbe rules :md regu- <br />Intions of thc ��'atcr Dcpnrtment, fnr p�rPoses i��d fistures staled bcl:w. <br />Uuring thc Limc tlint nny of thc w:iter m�ins m�y be tnken up Up re�ison <br />o[ nnt� imPro�•cmenis authori�ed by thc Citp nt P��erett, in or of nny� �trerl or <br />nllcy in �vhich iheg may ha�'e been laid, the City will not 6c requ�:ed tu furnixh <br />u�a�er durin}; the progress of such improeentenis to any cuncumer �cF.ose supply <br />m:�y tlms Le cut off, or �jUcC�linbqle tor :�my damnges for its tnilure so to do. <br />Applicnlion No......Q../../....1.�.. . - 5 o S�� <br />...... .... <br />— - � / ._. Add.__._...._. <br />61ock........5.-.:2._.�i....__...... Lot..7i�.-....._.. ... <br />._._.._..._.___. <br />.......... . <br />�!/ �} <br />\o..._. ��.G__7.........:/JI��-G?[C._ ................3treet i, <br />. .__..........__....._ ...... <br />__._._..___..._.......__..__......_ ....................__......................_. _.. .... <br />,,: <br />The �cork to be executed by... ....._..._.�'�� ........ ._...._...;._....Plumber , <br />�ta e sizc uf tnP• �Sl�� "��� �'� �� 3�� <br />< < <br />�t <br />��-:_ .........Tap to Ue insc�ted in thc � �M'. � ?;���';, i@ � i <br />•6� T � �`\� <br />.....�.._.....\Suter closet � �„� <br />{ r,r�AY l ' 1�?0 <br />....�..........Bnth �IRTFR I:.:""T <br />......-.....Urinnl 1:!TV l.i ca•o' <br />' . ..._._... <br />......�-......Plnin faucet msidc � ... �/ <br />_ ............ .......__. <br />......-........Side �valk w•nshrr !� <br />.._f..........Ho�c bib oulside <br />....-:........11ose bib for 6uilding purpo: �� <br />.._-_....._.Iiosc UiU insidc <br />.....-:........Bib for stnble cont��ining........__........stall...._ ............. <br />.._:::_.....NumUm� of persons in tnmily <br />.. "� ..... Numbcr of romns id buildin�, i� <br />'�� rremises arc to be used ns n. . ��� � <br />_. <br />. _........ ._._...._._.... <br />r vncr ot the pier.»ses is .. ... .. ... �:t-!.. ..` i.w.�.l.�,._. <br />�� �� � <br />,�ent is.........�.�-._ ..............�J....lG'..'.�ScZ.................._....................... <br />� npplicntion, nithou�h signed, shnll not be bindin� upon the City, until <br />d by lhc SuperinleJ�df/�t oC L/h/X Yntcr Depnrtment. <br />SiGocd......_/`.".:..!�.....% y�rUL:..�... .. 4Plicunt;�- <br />......... . " .............................. <br />U, L- _ , <br />.,d.....a�..._:Lc�.........192.. .. Bp... �h�'W,�. 1. . .' . ....._ . <br />