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F H� � 2->s- zs .,1,� ��I_u,-�(I �_- 3 --v� _ Fir,•✓ <br /> v;.n.r���m.�--icoo_p.r.ca—csssa - . <br /> City of Everett-�Water Department <br /> _APPLICATi�.}l�1 FOR WATER <br /> NI blanks rous�oc f;'kd in or crossed ouL <br /> Evcrett,...........�/S ' ..192...... <br /> ............__................._. <br /> TO THE SUPERINTCNUF.I�T OF TIIP P,'ATf R DIiPARThtENT: <br /> CITY OP EVLR�TP, <br /> I hereby apP�l' r�r the use ot w:�ler in acc„r:iance �vith thc rulrs nnJ regu- <br /> lutions of thc \Putcr Depnr:ment, tor �ur�o«s and Cixtm�es �'�ted hcio«•, <br /> During the timc lhr! ._,y o( thc �entcr mnins mny Le t:.,:en up by renson <br /> ot nnY impro��ements auU.•;ized by the City of rcerc;'. in or of nny strceL or <br /> alley in �ehich lhuy nmp hnvo been laid, the City will nnt bu required to turnish <br /> �cnter dm�ing the progress of sucB impro�•ements to um� consumer whose suppiy <br /> m:�y thus be cut otf, ar b/e IiaLle for any dmm�ges for its fnilure so to do, <br /> APPlication•No....�/...�.:.�................. <br /> � i � . �� <br /> Dlock...........'.�.'....1....�....... ....._ Lot....... ...�__........ . .._.. Add.. ......... <br /> qn .._. . ..___... <br /> ...... .. ......._.. <br /> No.....pL.`�.. e5..� j._•..................._.Street .. <br /> . .... _. ._. ..U.... .... <br /> ..._..................................................._.._.. _...... ....._..._... .... ....._..............__....._..... <br /> The work to be exccuted by... ... _.._.... ._ . .. . _. . _...._.....PlumLer � <br /> _ ...._ .. . , <br /> Slnte ize of tnp. <br /> .....3�.�..Tnp to be inserted in the mnin. <br /> -��.............Wntcr closet <br /> .....�........Bnth <br /> ......t�:-Urinnl <br /> _..�.-......Plniu fnucet in�idc <br /> �__-�.....Side n�nik wnshcr <br /> .../..........Hosc biU outside � '� ' <br /> .....G.-...Ilo�e bib for building purposes .""i.- <br /> .........`.......IIose bib inside .�3� �� <br /> ..-�..�Bib for stablc -ontaining....................sta11 . 'W� J <br /> . <br /> . ........_.___. <br /> ....�..rumbm• of persons in fnmily J�;� � <br /> .... . <br /> ......�.......NumUcr of rooms in buildir.� <br /> The premises are to be used as u . -' �J <br /> � � . _ __ .__.. <br /> The ou•ner of the premises-is .. ,�j1-Gc�C/{,R �/ ����y� <br /> _ ._�`:'f�.!i.. <br /> The agnnt is................................. <br /> ................................... <br /> . ..... ................................ <br /> � '�^ oPPlication, nithough signed, ,hnll not b �U' ing upon Liw City, until <br /> -. �_.'��d uy the Superintendent of lhe ���nter D tment. <br /> Sign ' ....... ....Applicnnt <br /> � .._..............................__............ <br /> .� ..._. ........ <br /> ... .......... .. . <br /> ................. <br /> .......By_._.................__. i <br /> .. .................. . <br /> `� "' � _ Z�_ ��� ,.��� y{��rintenJent.. <br /> �1 � <br />