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.. rv. D.....•u__ ...- _ ..rae-'1! '�� <br />,,,� r'iry of Everett---Water Depai�tinent <br />� �ATION FOR WATER <br />All binnks must Ue filled in or croased out <br />O J ^7 <br />C�•crclt ........................ �...... .... _�.... /..........................192. L.. <br />TO TIiE SUPERINTtiNDEN'C OF TIIE NATF.R UF.PART1t�NT: <br />� CITY OF EVE1tETT; <br />I hereUy npply for the use of �vater in accordance u•itli the ivles and re6v- <br />lations of the Natcr Depnrtment, tnr purposes nnd fiztures stated Ueluw. <br />During lhe time thnt nnp uf the n•�ter mnine may bc taken up by renson <br />ot nny imp*ovements nuthorized by the Citp a[ �vcrctQ in or ot nnp sLrcet or <br />elley in which thcy may hnee bcen Inid, the City will nut be required to furnisL <br />wster during the progress of xuch improvements to nnY rnnsumer whose supply <br />mny thue Uc cut off, or beGlinble for :my danmqes for ils Fnilure so to do. <br />Applicnlion No .............D.7 � U • <br />..................... <br />� �� ' i� '_' . <br />Block.................._��...�............ Lot.....�......... .... ........... Add..__...... _.".-C�,'-...__... <br />No....dC.. J.r..,�l..f .....—..%..'.:.".�........��-.�lieet, . <br />The work to be eseculed Uy...........__ _..__... __..._ _.__....__....,.....Plumber <br />�t/ye eize of tnp. �� o / <br />�/N� Tnp to Lc inscrted in the m��in. �� % <br />/. .. �.... � ,, /� <br />...L..........iVntcr closel � / ��y�l' � <br />� .....Unth � � �,� �( <br />.. ....... s � � � <br />1��...Urinnl �(.,) ) <br />.._�..—.....Plnin fnucet inside �*' <br />"...��...Side wnik tvasher , "` <br />......�,-c.....I�osc bib oulsidc � � �.'�� <br />�....—.�..Iiose bib far building pucposes . � �� <br />......� ..�_�Ilosc bib inside . . ' � . <br />.-....�.-Bib for etablc contnining............_......stall .................... I \ <br />. .—..��vumber ot Pcrsons in fnmily � . ' <br />...... <br />...,�.......Numbcr of romns in building ' � <br />'The premises are to be uaed ns n ..... .. ......... .... ......._.............._ .. ................ <br />!� � �i <br />The owner of the premises is ....... ............ ... ...�CT...':F..:/f:..:..:_...:............... <br />Theagent is ...................................................................................................................... <br />This epplicntion, althaugh xigned, slmll not be binding upon the Cily, until <br />ecceFted by lhe Superintendent of lhe Nater Department. <br />Signed.._1/r��`.�..:_�...�..... � .. ..... ... .. .............. APplicant <br />Accepted...�f..%.._'.%'i.�......192.... By....... . ... .J . . ................... <br />� Superintendent <br />