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- � E-,;,1.,�.�/�q- '��' ��Y?� i <br /> R'.D.I'orn�1—iL00—EP.Co.—G2F.2{ .• .• � . <br /> City of Everett--�Water Departmeizt <br /> APPL'ICATION FOR WATER <br /> All binnks must Le filled in or crossed out <br /> L vc re t L.............../�Y....................._................192.�?. <br /> TO TIIE SUPERINT�ND]'sNT OY' TIIR \VATF.R DF.PAP.ThiF.N'1': <br /> CITY OF EVERETT: <br /> I l:creby npply for the v:�o uf�vater in accordance «•ith the rules and regu- <br /> Intio:,s of the R'nter Depnrtment, for purpuses �md Ciscures stated below�. <br /> During the time thnt nny ot the «nter mnins ntny be laken up hy renson <br /> r. of nny im�xovements authorized bp the City of Ecerett, in or of nny strcet or <br /> elley in w�hich they mny hnve been lr.id, the City will not be required to furnish <br /> water dnri�g .I;c prugress of such ir.i�irove�ncuts lo nny consumer wLose suppty <br /> ma}� Ums be cut utf, or be liable fo: any dnmuges tm• its fnilure so to do. <br /> /�' � -� ,. ,. <br /> Applicntion No...tJ..:S........7.............( - .�. .. _ <br /> Bluck........................:..... _ Lot...... ...... ............_........ Add..__...... . .. . ... .Q <br /> q f� / '�1 <br /> No....t��/..��..._....�...l._U.�1�...._............3treet . . . . <br /> ......_. ....._._ . .......__..._. , ......._..___._.............. . ......_�... .. . . ............_...................... <br /> The work to be c�ecuted by,. . ..Ga... .ki�-�..............plumber <br /> _ . ._ _.. . .._... <br /> Slqi� eize of tnp. �/y ��/�_�— � <br /> ���..Tap to Uc inscrted in thc mnin. <br /> ......#........�7ater closet <br /> ......�.......Bnth <br /> .........—..Urinnl <br /> ......�::.Plain faucct insidc - <br /> .........'...Sidc �ealk wnsher .-.' <br /> .......�........Hase bib outside � <br /> ........._ FIose bib for buildin� pm�pa�rs <br /> ....... .�..Hose bib insidc <br /> .....-_—.Bib for stable conlnining....................stnll......._...... _.. <br /> ... -':....A'umber of persons in tnmily <br /> ... <br /> ..... ..-. Number of romns in building <br /> ... <br /> Thc premises nre to ba used as . ..... .._._..��..._.... ... .... . ........ <br /> 1'he o�vner of thc premises ic.. ,.�...(/'7.4.�C��!�.^-�.�.�� <br /> .. ..... .... .... <br /> fhr .�gent is.._......................................................................... <br /> ......................................... <br /> "cntion, nithouqU signed, shnll not 6e binding upon the City, until <br /> .ie SuperintendcnL of Llu Wnter Drpnrtment. <br /> s�s„ea..�........... nn <br /> . ....�?:fifvs�ai........ ......... ....... A lican: <br /> ��/ .... <br /> . f�.....'-.:d.._.......19�. Hy. ...� . . ... ...................� <br /> Superintendent <br />