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:...� •J-?a� �G ,Bl, f .-,ti,lt1�—q' ;� _ � . �. (_, �%r_ , � <br /> R'.P.1'mm 1--ILOn--E.P.Co.-6-2G.21 � <br /> City of Everett�Water Depai�iment <br /> APPLICATION FOR WATER <br /> All Ulanks must be tilled in or croesed out <br /> Bvcret t.............._.._..�/..:�..r%...'�..!-......0.....-............;:1'?..�f'. <br /> YO Tl�?G SUPliUINTIiNDI;NT OR TRG 1V.;TI�R DF.PARTDIFVT: <br /> CITY OP EVliI:l:TT: . <br /> 1 L•ereLy apply for lhe use u[ «�:�ler in accordance �eith lhe rulos :md regu- <br /> laticns ot the R'nter Dupnrtmenl, for pmpn:es nnd fic�.mr, stated bcluw. <br /> During ihc timc thnt nny ot thc watcr mnins mnv bc L•�ken up Uy rensmi <br /> oC any i�npmvements nuthnrized by thc City oC Eeerett, in or ot any strcet ur <br /> ullep in �vliirh thcy may hnvc hcen laid, thc Cily �vill not Ue required lo furnish <br /> �v�ter iiuring flre progress of such imPrn�•ements to nny consumer whose supply <br /> mcY thus Lc cul otC, o�r/bc liabl7c for :my danmgcs for its fnilure so ta do. <br /> Applicnlion No....Q....�.�. _. <br /> J .............. <br /> / <br /> I31ac6 p�... ..... Lu/t . ._... ._._. .......... Add........ . ......._... __.... .._. <br /> No..,���.0 .. _�.V C"7 ��.... .......Street - <br /> __. _. ....__... .._. ....... . ... .... � ./.. . ... .. . . . . ....._.. ..... <br /> 1 F� a•m�k la be execuled by_./�v. t-ti,__@. "�-�rv".—�--.. ....Plumber <br /> Stntc sizc of tnP• ,�i�Y"��/J��T <br /> _ I r"� , <br /> ..�2-....Tnp to be inserted in the mnin. � ,� - '. + � �. <br /> �;. � �,;: (;. <br /> (_.....��•,���r �i���c , <br /> - , - , I!'`„ `, ' <br /> ! -v r,; eu�s�rr w,ir,r, ,,;.��T <br /> ....�„�:, r,;, <br /> '� Urinnl .... ' <br /> ............... .. <br /> ....y�. .'.... <br /> __Z.......Plain fnucet inside ............. <br /> ._.... ....Sidc �c¢Ik �cnsher . .� � <br /> . .....�........I�ose bib oulsidc ',� � <br /> .__..—.....flose bib fcr building liurposes <br /> __.--_.......Ilosc bib insidc <br /> ..__-......Bib for stnUle contnining.................._stall............._.... <br /> ...._^.....NumUer u[ persons in fnmi�y <br /> ./�.. . Number of rooms in buildinq <br /> ...%, _.... <br /> ^'he �a�emises nre to Uc used us n....___.. ..�.. ._. ...._...____._........__.. _.. <br /> . :�ner of the Drcr.iises is._..___.. . _...._..._. _. ...__.........__._. ... ...__............. <br /> nLis.._............._......._.. ......._........_._. ..._........_._..._.__..._......._.................._.. <br /> ,licnlion, nithough signrd, r.hnll not be binding upon thc City, until <br /> ., the Superintendcnt ot the \Vattcr llepnr�ent. <br /> �,��i ... . � � . . : ....:' <br /> 1 i ; <br /> Sign ....... .� 1'...t.:,__..:...,:J�._..�.':l...._%.. _::..... ... .rlpplicnnt <br /> _..' <br /> �.... ..U....- .��.....�2..... I3y._ '��._ . _l2.'.. . .._............... <br /> intendent <br />