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'Le._� �. - ?-G-�-L, f.v�-�'��P-1 -��C, �5>i�-1 <br /> 1\'.D.Pnrmp-1G00—E.P.Co.-6-2fi-2J • <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All blanks must bc filled in or crossed out <br /> r��,�u,......_p��........./......._..._._.........io^4. <br /> TQ TIIP•. SUPGRINTLNDENT OF Tllh: �VATh:R DF.PARTilitiNT: <br /> CITY OF EVS':ETT: <br /> I hereby npply for the use ut�caler iu accard:mce n�ith lhe rulr� nnd regu; <br /> lations of the Nater DepnrtiucnL, �or purpn=es nnd fix'ures etnted bcic�v. <br /> During thc limc thnt nny o( thc a�atcr mains mnp bc tnken up Uy reasnn <br /> of nn}� improvements authorizcd by the City of L:ccrett, in or of miy sLrcet or <br /> nlley in which they mny huve bcen Inid, lhc City �vill not 6e rcquired to furnieh <br /> watcr during thc progress ot such im�ireaements to uny consumer whose supP�Y <br /> mny thu= Uc ,.u6 ot:, or be lir.ble tm� nny danmges for its fnilure so to do. <br /> � <br /> Applicntion A'o...... ...___��............ � <br /> BIocL..........{.�.......c.7..................y..�.. Lot..............._..............._..... Add.._��'.-.�t�L��..... <br /> Na......�c7.o(...�...._..(�..1...�:.�.........._.._........Strcet . <br /> . . ............_......._...................._`__ ._........_ . . . . ........................._..._... <br /> . .___...... . ..... <br /> Thc work ta be executed by_. �Ls.�(,.. ..... .L.........�.�_-.._..Plumber <br /> Sinte sizc of tnp. J <br /> �^ Tnp to be inserted in thc tunin. � �� � ' � <br /> _,�...... ��y� ;..,;� l4 ;;:1 <br /> 1_......\inlcr closet y ..� <br /> ._..(........__Bad, °' F i U I - I'�;.'i� �'�—� <br /> ....-.......Urinnl CITY 7F EVEREj�: YlAT�di� C�':P'T <br /> / i , <br /> � Plain faucet msidc �'l..............�.......................... <br /> .....�..... ' <br /> ......._'-'....Side «•nik wnsher <br /> .__.../...._Flose biU outeidc <br /> __.._�.._IIosc bib for building lmrposes <br /> ........�...1Iosc bib insidc <br /> • ......_'-....Bib for stnblc contnining...................slnll_..._......_.._.. <br /> ........ ..NumUcr of persons in fnmily <br /> ...�.....NumUcr of romns in building <br /> Th� premises nrc to bc used ns n...('_. ...�.R.� '..............__.... . . ._. ._. <br /> The o�r•ner ot thc premises ia...__..1,`�..C/�-6�<t/�t._..�--Z.'e�+2 <br /> Theagent is....._..........................................._..___......_.................._......................._..... <br /> �-i� - 'his npplicntion, nithough signed, chall not be bindin� upon the City, until <br /> ( ��'4;ae1 :ed by the Superintendcnt oi thc Natcr Dep�nrtmejnt.(' <br /> � .. ..' V v'""�L` <br /> '. �' Signed. ...... . ...... _. ......... . .... ...../� . . Applicant <br /> -:.:.:-.; . � <br /> . .•� 7 .� .-. . .. 102�p By ..r�3� �_.. ........ / <br /> ��perintendent <br />