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�°..�rl s-�+-�� ir - �'�I' �s ,�� �-d' -,'r <br /> w.u.e�.�„a—�roo—r:.eco.—c-:esa <br /> �ity of Everett---Water Department <br /> APPLICATION FOR WATER <br /> ' A'.1 Ulnr.ks must Ue filled in or crosyed out <br /> / i <br /> Evcrett...................................�..J.�...........I......_..........192....:. <br /> TO TIiE SUPERINTENDENT OF THG R�9TiiR USI'ARTNENT: <br /> CITY OF �VSRBTT: <br /> I hereby npply fnr the use ot water in nccordnnce �vith the rules nnd regu- <br /> lations of lhe Nuter Lcpurtment, for purpases nnd fix!ures stnted belo�v. <br /> During Lhe time that nny of the -.vater ronins mny be taken up bY rensun <br /> of nny improvements authorized by the CiLy o[ E�•crett, in or of nny street or <br /> alley in which they mny hace been lnid, lhe C�t}� will not be rnquired to furnish <br /> water dnrin� lhe progress of such improcements to any consumer whose suppiy <br /> uu�y thus be cut oit, orG beGliuqble for any damcges for its fnilure so tu do. ' <br /> APplicntion No......Q.O....C..�...............:`�� <br /> Block........................... . ot....................................... Add............. ............................. , <br /> No_.___��..�._�...._._ . .�.�...�I.��...._....Street � <br /> ..._......................................................_......._.........._... ....................._.............. <br /> , '. / ....G.c...... <br /> The work to bc executed by......�.�(,�.�.i..t��-��-���plum6er <br /> Stnte si�c of tnp. �� ��r � <br /> ..���-....Tnp to be inscrted in :Im mnin. <br /> ....�.........�VASC[ CI09CL <br /> ....t..........nocn C_,' <br /> ....—.....ur��ai , <br /> ......Z...Plnin f�mcet insidc � <br /> .......�......Side �vallc �easher <br /> ........:....._Hasc bib oulside <br /> .......-.:._fIosc bib for building purposes <br /> .....:.-......Hose bib inside <br /> ....... .....Bib for stnblc contnining....................stnll.................... ' <br /> .......�....Tumber of persons in fnmily ��` <br /> ..._:7..--A`umUer ot romns in building , �A� <br /> The premises nre to 6e used ns n........_. . �c.../_v.. ._...........:�..... ....:.:...__.._..... <br /> �r -�--- <br /> The ua�ncr of thc premises is....��... .�..�......, .�...lr.r..—.2<.t:H�ce.r.:t.us:.u..�...L..0 • <br /> Thcngent is..................................................................................................................... <br /> �. �-^licntion, nllhouRK siqned, ;hnll not be binding upm. the City, until <br /> tie Sup� intcr(dent the Nnter Depnrtment. <br /> :ied...,.:..�.._'�'�l.�/s..��,..... ..Applicun� <br /> �� � p � v <br /> AccepteJ......i:i�..-�:.-_�'..7_192...... By.......::::K:kt:. ..F� � <br /> �. . ..:.......... . <br /> ,° ' tendent <br /> :� <br />