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� ,. <br />�-.'�"� 't-11-A ! ,-: , - �^✓,,-,_�e.�`c__,y : -.- :- � I-';'r'! <br />\P. D. Pnna /--ISI!u-E.P.Cb: -'u-2G.:d <br />City of Everett�`Vater Department <br />APPLIC��TION FOR WATER <br />A!1 L'.:uil;s must Ue tilled in or crossed out <br />Et•m�ett,...__.........._....5...... .._ �.�._........_...........l:r� � <br />l'0 TUG SUPBI2IVTI.NDEN'1' OP TIIIS R':1TPR D13PAR9'.i13n'P: <br />CITY OI' I3\'li12STT: <br />I hereby apply fnr the use of �vater in accnrdance �cith the rules imd rvgu- <br />lations of thc Nuter 1`epnrtment, Lor pm�po�c; nnd fixtures etaled beloa. <br />lluring :hc limc that nny uf lhe ��':iler mnins may Ue tnkcn up Ly rrason <br />of nn�• imprucements autlmrized by the Cit}� oC Eecrott, in or uf sny atreet or <br />r.11cy in whirh the,y may hace bcen Inid, thc City rvill nol Ue required to iurnisli <br />�cnter duriug Ihe prn�;ress o[ surh impra�'ements to nnt� consumer e•hose sup�il}• <br />may thus Uc cut uf[, or(j/�c/li::blc far ;m�• dnmagcs for its tnilure ro to do. <br />A�iplicnliqn Nu... ....0.."" ( O — 7 ��( � <br />-i <br />131oek... .C:..% Gf�..._../._.��L.ot _...�i .!/_.._.......... Add... _._. __.___..._._. .... <br />No._..�,7.U._d ... ._.!/.�U?.'\...._....__..Street <br />Thc �cn�k to be executed by._.___ . . .. .._._.....PlumUer <br />� <br />Slale rizc of taP. r � ( i <br />� � �GG �. ��l ,, �, i. , <br />-� ���Z.:-Tap to Ue inscrted in the main. v`- <br />... /..._....1\'ntcr closet <br />.._/..........Bu�h <br />....._�....Urinal •- . . <br />..._:L....Plnin fauceL ins�dc � . <br />..........—..Side !calk �cnshcr � <br />.......�.......Hose UiU oulside <br />._... _—liosc UiL for building parposes <br />....._�-..Ilose bib insidr <br />..._.�.Bib 1'0: stablc containing.._..._...........stnll.......__....... <br />.._-.-.-TQumbcr of persons in f.inily <br />... %�'. KumUcr of rooms in building <br />Thc j�ifilll5C9 nrc to Uc used �s n. .. .� . <br />_._! <br />� >� �� i� <br />Thc o�';ncr of thc premisc is/....�! �'ii?�. '/..-:< f��.-..l.�'__.. <br />The:�gent is .............._.........._l __.___._....__...._..........._........._............._.._...._..... <br />This npplicntiou, nithough signed, :h:�ll not bc hinding upcn thc City, until <br />::ccepted bg lhe SupcimtendenL of thc \1 itcr llepartment. <br />c:nned� .../�." PY1i!....� . � ...p .... .Applicnnt / <br />� ` � �' ` ��7 �J �� / <br />Accep;ed... _ �/_..._192'T I3� .�ll� �`� �� J <br />... ... ........ ......_ ! <br />.� �_j �upinntendent <br />