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*-.+zd y:z 3-J<- ;#/. ��-v-i-c��) �- - ' �-- 1 C, (�c -> , ' . <br /> �c.n.�m.m�-isoo-F.r.r,>,-s.ze 2� . . <br /> City of .Everett�Water Depai�tment <br /> APPLICATION FOR WATER <br /> � All Ul:mks must be filled in or crossed out <br /> i'/ '� <br /> Gverett�.............................................................._.........19^. . <br /> TO 1'iiE SUPERINTLNDtiNT 01� TIIE \i'ATI'sR DEPAIZT\iti\T: <br /> CITY OP EVliI:I:TT: <br /> I hm•eby apply for the use of �caler in accord�nce wilh lhe ru;es nn! regu- <br /> lations of the Natcr Depm�lment, tor pu�puxes :md tistm•e� stntcd bclo�s. <br /> Durin� the limc tlui' nny of thc �entm• mains mny Le taken �p Lp raneon <br /> o[ nny improcements nuthn �zed by lhe ('�ity oC Eeerett, in or nf nng street or <br /> clley in which Ihey map hnce Leen la��d, ihe Cily �cill noL be required to furnish <br /> �vnter during the progress aC such im;�rovements Lo any consumer «'hase supply <br /> mny tLus hc cut off, or 1��c IinLla �r un•,• danwgcs for ils failure so to do. � <br /> C, v <br /> Ap�l�;c5ntion<J\'o..._...._I�.N..... ............... <br /> I3lock....'.`..�..P.......... Lot.......�3__.........__..__.... Add.... ..... � . <br /> ........._.__...._.. <br /> Na......../.;3�?..�._�-6-�.-fz����c,��c , <br /> __ _... ....... ...... . _._ _. ...... <br /> �-�The wark to be esecuted by .._._..... . ..... ... Plumber i <br /> State size of top. . <br /> ��j.-..�.�......Tnp to Uc inscr.ed in the mnin. <br /> .....�...._...\Vnter closet " <br /> .._�..........Bnth �/ . � ( S o-- <br /> 7 , <br /> .__.-.-..Urinnt , � . <br /> ;, 4 1 <br /> ._�...-....Plnin fnucet insidc � . .. , �. <br /> �:.-..-.::-Sidc wnik wnshcr � � -... <br /> � �7... _�- i�;?',,�� . <br /> _�...—Sose UiU oulside '� � '� <br /> ;=�,tET1 ` <br /> ._.....—I�osc bib for buil.ling p r7io=es � , �: �� '� - ^ . . . <br /> . ._... ..Hasc bib inside �, ' � � ' ��' <br /> _.._----- L <br /> ...,.___.Bib for stcble contnining..... ...._.......slnll..........ll.._ � <br /> � <br /> ...............NumLcr .�f per ons in fmnily ' .. <br /> .y.........Numlmr o[ ror.ms in building �/. " <br /> 7'he premises nre to be used ns n.......,1L.-.1'�S..-t�=�'��.__«��..........._.... <br /> Tlc o«•ncr of thc Drr �ses jf_ . ......... . . . ... . . . ... .......... <br /> ngent is...... ... ��:"��.�.'.T..(?..Z�=:..f_.� }�.t:.i_L.'.�r `: s....... ..... <br /> .pplimtion, nlU�ough si�ned, shnll not be binding upon the City, until <br /> . •: the Superintendcnt ot the R�ntcr Depnrtmrnt. <br /> Signed....._�fTd��Y1�!L�i!C....D'�.x.�i�LiCi/... ipli <br /> cnr.t <br /> . .:�.,,I ...;j'�'.._...-..���j...192.�GI Dy.._f1�.. . /.............. <br /> P.� � . . <br /> � -T_S "crintendent <br />