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t-�ex-�i' S-H—z�'��f. . . . _ �-_,•_:_.�. �; _ ._ , , ,�: , <br />1C. U. 7'orm a--Iron-61Cco.-6-zG.z1 <br />City of Everett-���Tater Depnrtment <br />APPLICATION FOR WATER <br />. All Ulanks must Uc filled in or crus,ed out <br />L.•�,�u,...........__. �.3. � <br />_... .. . . .. ._...i�� / <br />7'0 Tfii: SUPERINTTNDENT QF Tllr P; :\ 9iR PF.iAP.TJfEiQ'i: <br />CITI' OF liV131:I5TT: <br />I harc6y app!}' fnr thc u;c ci e•atcr in arcnrd:u�.cc �cith thc �ulcs and regu' <br />lalions o[ the 1�'afcr LeP���tment, fnr pwpn=e� •md fis�ir.�cs st,dcd Lrlon•. <br />llm�ing the lime thnt any uf lhe a•n:er n�nins mac 6c Laken u�i by rcasnn <br />oC nn}' iriP�'��':ements authorizcti Ly ihc Ci:y n[ Ee��retf, in or of un}- slrect or i <br />alley� in �vhich thep may ha��c been laid, thc City ��•il! nut bc mquired lo furnish .� <br />watcr during t6e P�'ogrc�s ut auch imnrocemrnt� lo nnp cnnsumcr whosc sup�ily � <br />may thus Lc cuL off, or bc IisLlc for sny�7 dunnmges fur iL fnilure so to do. _ W <br />AP�>licntion No. s.�'.�. � Q�J � o. � �O� /� <br />..__._..�. . ..... .. � . <br />R Lot.t7�C. fr..-.ty.._. _. �aa. _ cL <br />I31ock.....:�...7'�.../..__._. _. . . . . .. , <br />A'o... � 7.�L..3...._ � �.�..8trcet <br />_ __ _.__ _ _ _ <br />Tni. �r•o�l to be exttuled bY--. ._ . J.s�_ f .. .... Plumber ' <br />;.�ate size of lnp. <br />i <br />� .__ Tnp to be msirted in the maiu. � <br />..�......._...\Pnlcr closet j .�' . <br />./ .............Bnch ; ,: . � . � <br />�,, <br />"� —.....Urinnl ' � I <br />........... .. <br />,� i � <br />- R—......Plain faccet in.sii1e � � <br />_ __.. . z� ; 3 � <br />_—.-. s�a� „��ix ,•:�.<n�. � , , <br />:_ / <br />- .....Iio=c LiU outside - �:� 'i � <br />__.. �ff <br />.-,__"-.-....I:�.�e bib for building pnr� 's' ' r�� <br />� .. ....IIase FiL insiilc �� �-.. �(,� <br />_ �1� � <br />-..—......Bib for sLable containinF ...................st�,l................._. <br />.......—..Numbcr uf persons in famiiy <br />�....KmnUcr of rooms in building � <br />c�_ ' <br />iLc PTemiecs are to be use� nsp�1`� �h-__. ...._.` f___. ..._._..... <br />TUc o�vncr uf Ihc prcr.iises isL�"�rR.'.�c!>'T-'�-.5>. 7�' � �� <br />'_.....: _l. <br />., nge;tt is ...............__._....._ _.._..._..............._......._.._.....____............................. <br />application, nithouqL signed, :hall not. bc binding upon lhe � ty, until <br />Uy thc Fuperinlendcnt i the R'nlcr Department. <br />£i�[ncd.._.........__.........._ ....................._ _..................._.._.........._._.App' nnt <br />__._._1D'L_ _ BY.....__.......//:..... <br />