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u�-a -f_ao-3o �r . ^ . �� �{--r� -� I( <br /> �v.u.r�o.��-�coo-e.r.co.-c-:a2+ <br /> City of Everett^--��Jater Department <br /> AFPLICATION FOR WATER <br /> All blanks must bc filled in or crossed out <br /> — (._ . �J/'J <br /> ....... w'.f.-._._...._/..��..........19�.4 <br /> livcrett,.._..........�...... - <br /> TO THE SUPERINTENDENT OF THE �t'ATF.R DEPAI:TTSENT: <br /> CITY OF EVEP.F.TT: <br /> I hereby npply� for the use o[�r�der in nccardance «'ith lhc rules und regu- <br /> lations of the Wnter Depurtment, for pm�po=es nnd fixtures stnted fielo�v. <br /> During lhe time thnt any of lhe �enler nmins mny be tnken uP Ly renson <br /> of nny imProvements authorized Uy the Cily of Eccrett, in or of any street or <br /> nlley in which they mny ha��c bcen lnid, tl�e City �vill not be required to furnish <br /> water during the Progress of such improvements to any consumer �.vliose suPP�Y / <br /> may thua be cut oft, or be linble tor any dam�es for its fnilure so to do. <br /> p `'� � < <_ <br /> Applicntion No....�... ...d?...a. .......... . � . <br /> '.I " . � 2 , <br /> ...._i . <br /> Block...................._.^....�......... Lot......_'-.............�... i.../....... Add..._....._.:......_....... <br /> No......_..�.0...2..e2...-�-u.�4:�/��reet <br /> _.................._...................._............................................y_ _...�_............................... <br /> The �vork to be executed by......._..�..G't-�7/,2-�iriL....__._.�..........Plumber <br /> ! 0 <br /> Stnte sixe of tup. �-ry�� �f ° ,/� G • <br /> ..._��c._Top to be inserted in the mnin, j y= Z"- <br /> .._...�.......R'nter closet <br /> ......�.......Bach <br /> _......�.....Urinal <br /> ....._Z.....Plnin fnucet :nsidc � � <br /> .........—...Side �valk �snsher � • . _ <br /> ......./.......I3osc bib oulside � <br /> ......-'......Hose bib for building purposes <br /> ...�..—....Hase 6ib in=idc ' <br /> ..._�.Bib for stnUlc conlaining............. _....etall.................... <br /> ....... ...Number of persons in fnmily <br /> .....�....NumUcr of rooms in Uuilding <br /> The Premises nre to be used as a.... .... _.��.J....�...__..................._... <br /> The owner of the premises isL�_._.�l..vL�..lizz......... <br /> Thengent is..................................................................................................................... <br /> 1'his npP��cation, nithough signed, shxll not be binding upmt the City, until ' <br /> ccepted by the Superintendent oi the Ngtcr Fnrtment. �� <br /> Signed.v........"y...e�!.:5!►'J.....��r--S'.�_�.........Appli nnt <br /> d ,, <br /> . .p�a _.._�...�...._. .. 1D2.... By...-.'.�.�..�......... ... �... ........ ..tendenk... <br /> ��� —�.0 <br /> , / � <br />