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� -� �-asoo-F eco.-s-zs-za <br />`�iry of Everett�Water Department <br />r�l'PLICATION FOR WATER <br />All bl�mks must Uc filled in or crossed out <br />I?ecrett. ...............:..!..�-l�l.�...........�...192....I <br />YO 1'ills SUPliI21NTIsA'llI•:V'P OF TIIF. \VATi:R UEPARTiliGNT: � <br />C1TY OF EVEI:IiTT: <br />I hereby'npply far the nse of �cnter in nccordance `eith the rules nnd regu- <br />lotiuns of Lhe Wnter DePnrlmenl, for purpo=es �nd fislures stated Uclow. <br />During the time thet anq o[ lhc wuter mains mny bc tnken up by renson <br />ot n�S �mprovements nutlim�ized by thc Cily o[ Tecrett, in or ot nny strcet or <br />alley in n•hich �hey may hnve bcen Inid, the CiLy will not be required lo furnixh <br />water during the pragress ot auch improvements to nny ennxumer �chose supply <br />mny thus be cut off, or UBi' lq fn • ny damnges for its fnilure so to do. <br />Applicnlion No........._.....�..��..�..... <br />Block..... . ..._.. Lo_t..�� .__._.. .... Add...__.. .._ ._....._.._.. <br />No . . � �. �U — ...Strcet <br />..D.... .. ..... . ....... . . <br />�_..�-�tJZ� . <br />.... .... . .. ... . � ��"`� �. ..�. _ o L� <br />Thc work lo be excruted by� �."`^`�.`.'•'--a---K.. _.. ___. Plun er <br />$� e aizc of tnp. '�j � <br />.._��'r..Tnp to Ue inscrted in thc mnin. � <br />.....�......._\Pntcr closet � <br />0 <br />....�..........Bath ; � <br />................Urinal %` . � . <br />............_..Plnin fnucet insidc 1 � � � <br />� <br />................Side wnik wnshcr � .. ' � <br />. Ho=e bib outside �;IT` ��^ , `� . <br />, ......�.... <br />.............._Hose bib for building purposes .• � " � � <br />. ..... <br />................Fiose bib inside <br />................I3ib for stablc contnining....................atali.................... <br />......�....Number of persons in f¢mily <br />...............Number of rooms in buJding �/�e�( <br />The premises nrc lo bc used ns n. `+ 1`�a-�--..� ..,_.._... <br />The o�vner of thc premises �.��. . �.. <br />Thcagent is....._.._ ...................................._......_............................................................. <br />This npplication, although signed, shnll not be binding upon Lhe City, untit <br />nccepted Uy the SuperintenJent ot the \Vuter DePartment. <br />Signed......_...._ /'I�.F.t,�fiL,G-L..�7�l.�.__.........Applicant <br />AccepLed.._............_._......_.........102...... Dy..._.........._........_...__ .................................... <br />Superintendent <br />