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8�.s-�- M-a�-at r/ <br /> / �--,��.i�._�__...Q �1- '� -� (� f'>-�-+� <br /> W.0.1'nra��--3500—EP.Cu—L..6-2i <br /> City of Everett�W�ter Department <br /> APPLICATION FOR WATER � <br /> All Ul.uiks muet Ue filled in or crossed out <br /> Erm'ett................_....._............1�/.(... ._I92�-x. <br /> ............. <br /> TO 19IL SUPIiRINT�NDRNT OF 7'IIP \CATiiR DEPART\li3\'P: <br /> CITY OP SVEBliTT; <br /> 1 hercbg npply fnr tho usc uf tcater in ureord�mce with the rule= :md regu- . <br /> lutin�ts of Ihc A'nter Depnrtmeut, for pw•poecs and fis'm'es sinted Uclotv, <br /> During Uw time thnt nny of the «•ster mnins mny be taken up Ly ren=on <br /> uf nnp im�>rovements autLorized by Uic Cit�• of Ecemtt, in or of anp sLrcet or <br /> alley in •chich thep mny haae been Inid, lhe CiLy ��•ill not 5c mquiied to lurnish <br /> �ra[cr dm•ing the pirogress at such imnrovemenls to nny consumcr whosc sapply <br /> m�y Ums be cut atf, or be ]inble for �my dnnmgca tor i,s failure sn to do. <br /> Applicnlion No...._.._�_�'..:�� . <br /> C� . .......... <br /> Bloc6_ ...R �-d /..� Iot.... �� .... . _. Add. .__ � <br /> . . . ....... ...__. _ .. . .. <br /> P'o �.<:1 �. � /.C A, � �..L.�L���cet <br /> _. . . . ... . . ...... <br /> . .✓..�. .. :..._ _.._.... . ...___.... <br /> The �eork to bc cxecuted by.. ... .__ '1�' ___.. _ Plumbrr <br /> a _ u <br /> ��t�lc size oC tnp. <br /> /..;1....._._Tnp to be inserted in tlic main. � <br /> , I� <br /> ... ...........5i'.^.ter cinset / , ' <br /> � '� <br /> ................Bntl� y <br /> ...............Utinn I � <br /> L � ��_.. � .-. . <br /> .__ ..........Plain f�ucet insidc , . � .��.- . �' :�. <br /> .......__.....Side n•nik �ensher . ' '-� _ '�C�;i',` . <br /> ,, . '�5'1C� � ;` \...�: . <br /> � ...-.:......_Hosc Uih oulsidc �� � <br /> � .....-..`..Hose bib fnr building purpo,es ;',iY OF �-.'� .. <br /> ._____.. r . . <br /> ................}Iosc bib inside ...;.........'1�} <br /> - , 1 <br /> ...............Bib fm� stnble containing........._.........stall............ <br /> ....`.........Num6cr of persons in fnmily <br /> .....�......\un;bcr of rooms in Ucilding .h � <br /> TLc prcmises nre to bc usrd ns(n_..__../.!..e..:� < `�Q <' _�__5,.,�_� <br /> The o��•ner o[ the prce�ises is.A � r":::5-c -.• r ' �-'� � ..... <br /> r-._. /,�._.1..... .,. . .•_� <br /> � ..,nt is..........................:............._....................... ... <br /> , .......... .. . _.._................. <br /> � !icalion, ulthov�h signrd, c.hnll not bc binJing upon the City, until <br /> hc Superintendcnt ot Lhe \Va<.er Depnrhnent. <br /> �igned................ .............. .....__...._.... .� ...._. Applic�nt <br /> . ............ .. . ... ... . <br /> _.......�!....'......1D2(P By.�.�f?,.�ly� ... <br /> 7 ,�. ....... ... <br /> / � y��,3�irintendent <br />