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�......�r� �-t/'-�1-�l �..-�,C'.� . � -i .�� ..� I-' <br /> W.U.Form t-1Foo—&P.Co.G-2G-21 <br /> City of Everett�--Water Departr.nent <br /> APPLICATION FOR WATER <br /> All Llanks must be filled in or crossed out <br /> .�i <br /> Evcrett................_...�...-...:- ...................._ ��.192.r�... <br /> TO TIIE SUPERINTENllENT OF THC R'1LR:R PEPARTDfEN'P: <br /> C[TT OF LVE12fiTT: <br /> I �ereby npply fnr the use uf w;rter iu nccurdnnce with tlic rules nnd regu- <br /> Intions of thc Natcr Depnrtment, Cot nurposes nnd fix(.m�es stnted bcla�v. <br /> During Lhc time that nny of tbe wntcr mnins mny be tnken up by rcason <br /> of nny improvements authorizrd by the City of Bcerett, in or of nny ytreet or <br /> ulley in which they mny have Lecn lnid, the City will not be required to furnish <br /> water during the prugrese of such improvemmits to nny consumer �vhose eupply <br /> m:iy thcs Ue cut off, or bc liafbile for �ny dmm�ges for its fnilure so to do. <br /> i�pplication No.....�..C'f.....d:.�.............. S 4$(, I , <br /> Block.................. . Lot..................... Add....14:�-b:.:�.........___._. <br /> �........ .... � �............... <br /> No......r�./��-....(.�... ..l�-..�/�C.:.�. .�....�......��`'.�Stmet <br /> ._............._...'_......................_...........................i..._...... .......�.��.d-C........:......................... <br /> T}�c work to be executed by..�,�., �`� �_ . .. .........Plumber <br /> Sl�n�te s�ze of tnp. /h� �1��j— � �� <br /> ..!!..?.�...Tnp to be inserted in the nrt� <br /> / � IUlV °� 1`3�� <br /> ._........_..Natcr doset <br /> ..._�........Bath CITY OF E4cnE1)%� 'hTER DJ"T <br /> (i <br /> . .�..._.__ .._ <br /> '_......Unnal , . .................... <br /> ......�.....Plnin fnucet inside �� � � <br /> ......_—....Side wnik wnsher <br /> ._.../......_fIose bib oulsidc <br /> ...._—....Hose i�ib fur building purposes <br /> .........— .—.Ilase Lib inside <br /> .......��.-...Bib for stnUle contnining....................slnll.................... <br /> ..._J'.-...Nvr�bcr of persons in fnmily <br /> ...(D.........N��mbcr of rooms in building <br /> TUe premiees nre to be used as n.. .. ._ . � <br /> ...... ......-.........�. ..../.. ................... <br /> The uwner of tl�e prcroises is.,f�'�.�... _ _Clt�.p-4u..y,zr..[,G,(� <br /> Thcngent is...................................................................................................................... <br /> This npplicntion, nithough sifined, ,hall not bc binding upon thc City, until <br /> cepted Uy the Superinten it of the Nnter De nrtment. <br /> Signc�l.E.��..::............ :�..L�.�{.... ..._....._.._ ... .... . ......Applic:m� <br /> acpted...C���c...r..�.l.�.—.�......192..� Dy . . .. . .. .. .........�.................... .. <br /> � � Su crintenden <br /> 1 <br />