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4��9. s-2�—zs—il/ �=�4�.ti.� g� i 7 --��� ri;-. � <br /> �s.�,.}�.�,�- �:,����_f:.,�.��,.—�:�.z� <br /> City of Everett�--�Watei� Department <br /> AP''LICATION FOR WAT�R <br /> All Ul¢nks must Le filled in or crosse�l out <br /> �3 i <br /> � <br /> , Evcrett.............................._b... � 5................192...� <br /> TO TIIF. SUPERINTENDENT OR 1'HE IPATi'sR DF.PAt.T11[EN'C: <br /> CITl OF F.VLP.ETT; <br /> I here6y npply for the use of wnter in nccordnnce �cith the rules nnd re�u- <br /> lations ot the Nater Department, for purposes nnd fixtures stnted belu�r. <br /> During the time thnt nny ot thc �rater mnins mny be tnken up by renson <br /> of nny improcenrenls autliorized Uy the City o( Everett, in or of nny street or <br /> alley in which �hey mny ha�•e bcen Inid, Lhc City wi11 not be required to furnish <br /> nnter during the progrrss of sech improvements to any coneumer whose supply <br /> mny thus Ue cut off, or 6c linble for nny dumnges for its tnilure so to do, <br /> ApPlicntion No.........._Q� � �— <br /> N .....1............... <br /> Dlock............�.1....15............. Lot.,.2/��..�.-.2..�:Add... ._; .. �.. . . <br /> N�...... . . /�:/.� ../ I <br /> r <br /> ._� . . .... <br /> .. ... ... . ........ ........... _ _ .._... ...._..__ _ _ __. __... <br /> The work to be esecuted by..................�ye��i . plu�iber <br /> State sizc of tap. � <br /> ..���....Tnp to Le inserted in the main. � <br /> " Nater closet S � o <br /> ...�........... � � � � <br /> ...�............Rnth 'Y <br /> ..--.-...Urinal � <br /> ..._v......Plnin fnucet inside <br /> ..-..�...—..Side wnik �vasher <br /> ..._.`.'.......Aosc bib ouhide <br /> ..c:.—:.::Hosc bib fdr building purposes . <br /> '-- <br /> ................Iiose bib inside <br /> -- - i <br /> ......._.......BiL for stnble contnining....................stflll.................... � <br /> ....�......Numbcr of persons in tnmily <br /> ....,�..�_Number of rooms in building ' <br /> The premises nre to be used ns n......... p <br /> _ ......_.. ....._.....................-1 <br /> ............_.... <br /> 1'he msner of the ptemises is._-�...�.:. . � <br /> ......................... <br /> . ... ........................ <br /> � e ngent is................................................... <br /> ................................................................... <br /> -' npplicntion, although signed, ahn1l not be binding upon the City, until <br /> � ��y tfie Superintendent of the Nnter Depnrhnent. <br /> Signed�_�'1..17..• .��......--`-�Lx..e....................�.. _... <br /> �/ .... An licnnt <br /> .�- �:1._.....J......._�:,�. 1'J2Vr� By...`...�._,,.... ....�...�u�✓�� <br /> .................. .. <br /> , � - ._5upetintendent <br />