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., <br /> : -� <br /> . :. <br /> . ; <br /> �; <br /> -r,.,,xr � .4 - �x n --,�.L:.��.1-_;� '--- . - , .' I�;.: <br /> t1'.U.F'mm�-1Lo0—E.P.Ca.-6-26-2� <br /> City of Everett--�Water Depai�tment <br /> � �TT T�ATION FOR WATER <br /> All binnl•s must be filled in or crossed aut - <br /> Evcrett�................ .�...�..�....y...................................192�2.. <br /> f0 TIIE SUP�RINTENDENT OI�' TIIP R'ATER DEPARTniliNT: <br /> CITY OF EV�RCTT: <br /> I herchy nppl}- fnr the use oC tvater in nccordance �c�lh lhc rules and mgu- <br /> Intions ot the Nntcr DepnrGnent, for purt�oses nnd fisiures stnted bclow. <br /> During the time thnt :my of the �v;�tcr mnins mny be tnken up UY renson <br /> of nny im�:rovements nuthorized by the City of Ecerett, in or of auy atrcet or <br /> nlley in which they may hn�•e been lnid, the City will not be required to furnish <br /> �vnter during the pmgress of such improrements to nny consumer whose supply <br /> mny thus be cut of[, opr Ue linqble for nny dmm�ges for its fnilure so to do. <br /> Applicatiou 1u....D...�.�1............_-.....� ;� �-� V . <br /> Block..............:^._.l..e:......... Lot.................__..._........._.. Add.._ _.... <br /> , . .._..__..__...__.... <br /> a <br /> No..._...��..✓.I.._...... .... ._Q..._. ..�............_Strcet <br /> ._......._..._...._......._.........................................................:.:::........:_.._............_......................... <br /> Thc work to be executed by..................� . ..,... .:..Plumber <br /> Stntc size of tnp. /l�-t " . � � <br /> ..�..r.......Tlip to U: inscrted in the roain. - � �. . � - � ,� <br /> . . � ... . .,�',ii.' ' � '� <br /> ._.1..........\�'ater closet . � � ;� � <br /> ..._C.........Bath .. . '/��. .............. <br /> .....-........Urinnl <br /> ...._'?:.......Plnin fnucet inside <br /> .......'......Side wnllc �casher <br /> ........L.-.....Ilose bib outsidc ' <br /> ......_-......Hose bib fur buitding purpa,es <br /> ........�-....FIosc bib insidc <br /> ........:�......Bib for stnUlc conlnining....................stnll.................... <br /> .._ �....1'umber of persons in inmily <br /> .....�....NumUer of ruoms in buildin� <br /> Thc premises arc to be used r,s/..... .. ' .................... <br /> ) ` � �._ ..�.`�... ..._..._.. __... <br /> ; The o«•ner of the premises is...'t'c.�v-zy'...... .... ..................... ..�sA�:�.��1.—s,:�..,.. <br /> � Thc agent is............................_................ ���.............................� <br /> ............................... <br /> � This applicntion, nithough sig�eed, ahall not 6e binding upon tUe City, unLil <br /> nccepted bp the Sup�rintenden .ot he.l�Oter Depnrtment. <br /> Signed...:.:. . . ..�sR.�.-jL-�......._..Applicant � <br /> Accepted.....��c.�..._c..�...-.......1D2. ... ]3y.... .. .. . <br /> � .. . .......................... <br /> ' Superintendent <br />