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�xt+J=�' 3- � 2 c, �� �.-;)..n�c_Y�5- :, _ , . _ , , <br /> w.r,.F��.m+—uoo—s.r.co.—c�zaxe <br /> City of Everett--Watei� r�epartment <br /> APPLICA�'iON FOR WATEI� <br /> All blunks must Ue :illed in or crossed out <br /> I:��crclt....................�/�..................................192..8.. <br /> TO TIIE SUPERINTEND�N'P OF THP NA'P13R DEPARTMENT: <br /> CITY OF EVBI2ETT: <br /> 7 hereby npP�B far the use of water in nccordnnce with the rules nnd regu- <br /> Intions of tLe Water Depnrtmer,t, for purpoees and fistures sinled bcloo•. <br /> lluring the time thnt nny o[ the �e�ter mnins mny be tnken up by nnson <br /> of nny improvements uuthorized by the City o[ Ecerett, in or of nnp atreeL or <br /> nlley in �vhich thcy mny hnva been lnid, thc City will not 6e mquired to furnish <br /> wnG+r during the progress ot such improvements to any consumer �vhose supply <br /> mny thus bc cut otf, oF�r}-)in le or any damages for its fnilure sc to do. <br /> Applicnlion No.....6.._�j...................�...�Z fl �1 <br /> 1 . <br /> Block........................................ Lot.................................._.... Add..............._.�A..l-�..:_.... <br /> No.......��..Q_�c._......._ .(�.'..U..���...........--..Strcet <br /> ._._.._...._................_......._............................_....__...................._...................................... <br /> / <br /> Thc work to be cxccuted by___::.�i�/._...!��_......Plumber <br /> Stnt/e eize of tnp. /�('���_'' lp '-j <br /> _�j.�a.�.Tnp to be inserted �n the mni�n�,.' .,,+ N �� <br /> I � ���a � <br /> ....../...... Nnter closet 1 , _ <br /> .. fT� �'�,��7 ;i ' ����� <br /> ....J..........Bath r,ITY OF E�EB T WATER �EP'T <br /> ......-.......Urinnl <br /> �v............. ....r............._....... <br /> ...:�.......Plnin fnucet inside <br /> ...... <br /> .......-:.....Sidc wnik «�nsher <br /> ......�.........Hose bib outside <br /> ......-......Iiose bib for Uuilding Purposes <br /> .......-.........Hase biU insidc <br /> ................Bib far stnLle contnining....................stnll.................... <br /> ....:::.........Fmvocr oi Pcrsmis in fnmily <br /> ....�......Number of rooms in bui]ding i <br /> 'he Premises ¢re to bc used ns a..................��C/.1.,_..................__................. <br /> � owner of the Premisea is............_...._.._..........._..............................._..._....._... <br /> . ' is...._................................................................................................................ <br /> `ion, nithough signed, sUnll not Ue binding upon lhe City, until <br /> �iperintend/ent ot lh�e Watcr llepnrhnent. � <br /> ' �7-Jf<Cn,1i..K.��""Er,?!.'..._. .(l��l.-�Applicnnt <br /> ............192.�......BY..�� f <br /> .. � . ... . ..... . .. [� ................................. / <br /> ` • i.�' —Superintendent / <br /> � <br />