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�utFo' i � - �i - 25 - fl/ .�. .., . . ., - � . <br />e� n [�o�.o < � roo—s.r.co.—s.^_cs� <br />Cicy of E�erett�--Water Department <br />�'�PPLICATION FOR WATER <br />All binnks must Ue filled in or crossed out <br />. Ecerett.,...,:.�.:::!_.2.!.:..���"....f._-.�.*-.� .......................192.� <br />TO TIIE SUPERINTtiA'I)EIdC�TY OP LVliI`,CTT;DEPARTili1.\T: <br />1 l�m�eby npply im• the use of ���:�ter iu ncccrd:mc �•vith thc rules and regu- <br />lalions of tUc Wntcr Depnrlment, far purPuses nnd fictm^s slntcd belo��•. <br />During the lime thnt uny of lhe �caler tnnins muY Ne tnken up by renscn <br />of nny improcements nuthnrized by thc City cf Evcrett, in or uf nny sLrcet or <br />ulley in �ehich they mny hn�•e been Inid, the City will not be required to furnish <br />a�ater dm•ing tLe Progress uf such improvements to any consumer �ehose aupplg <br />m:�y thus be cut utt, o(r�' be liab:c for any� dnma�es for its fnilure so lo do. <br />Applicntion No....Q...-3..�.%........._... <br />_ � , . . , . , - � ' <br />Block ............... _.....:....-.:... )... ... I.ot.. _..... . <br />. Add...._..._.�_._._..._......_.__.... <br />�/ '�,, (�a _._V °i-f- Strnet <br />No..... � ........ .. ....... ..... ... .................... <br />............ ....... _.................... _...................................... .. _ ......................... ..................... ............. <br />The work to be executed Uy___...__... __. .._U. Q .......... ........ Plumber <br />�5 _—'_ a . <br />Sl,al/e size of tap. ' �� <br />._%�,....Tnp to be inscrled in the main. C" � V� y <br />.....�.........R'elc� closet / • <br />...�..........Bach /� <br />-- • <br />................Urmnl � <br />..,'%,..........Plnin fnucet iucidc <br />....-...-.....Side �enik �vnsher <br />....�..........Ilose 6ib outside <br />,,,....._......Hose biL for building Purposes <br />..._..—..--..-lio�e biU inside <br />......--.�..Bib for stnUle contnining ....................alall.................... <br />......-:.....- A�umbcr of persons in family <br />.._��_A'nmber of rooms in building , <br />� U,7 • <br />The premises rtrc to be nsed es n.._. _.. ��� ���-�� <br />. . ._. . . . , ................ . .. <br />�y i <br />-�. , � .,c c j�. .� � ..�:L �.� .<ti <br />owner of the Pretnises is_:/,%21/B/>..;�, ... y� <br />•�' + •^,nt is ......................................................._......................................................._--- <br />the Su er ntendm of t c�1 �� not be binding upan the Cily, until <br />�lication, although siCned, sha <br />n • '�t�cr Depnr ent. <br />�y � /�� / ' <br />SigneA/� � ti �.✓....'1'?:�_ � A 'cnnt <br />._�.�.1^' ....(�... �C�-�-� ..:......:... <br />, � �", , . <br />.....:......_...�;.. �..'__._192..:.:. � BY....�.. ..,.._..:......�..::' ..... ... ...................... <br />- � " � L , - �, §uperintendent <br />J <br />