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-ru1=d' S-Y-.�SY-q f�...-l.c�il.4� .%��- ����/�::»� <br />i. D. Furm 1-- 1u00-E.P.Co,-G :G@/ <br />City of Everett--�Water Department <br />APPLICATION FOR WATER <br />All l;lanks must Lc fi;led in at crossrJ out <br />Ecerett,......__..... _.!./.�.�.......�j..l..f:...L� ....................10'-/1... <br />P) TIIF. SUPF:itl\TENDF.\9' OF TIiP. \P:\TER DEPAR.P:,SliST: <br />CITY OF �VL•'I;PTT: <br />I hc.c6y npp!y fm thc u;c ot �catcr in u'e�rdanrC �':."h thc n�l:s r.nd re��- <br />lalimis oI Uie 1Pater popartment, for pwPoecs nnd fis�ur..; �'•ded hdcw. <br />Dcring the Iime thnt any� of the �cater mains mny Le tnl:en up Uy reason <br />of nny im�n�o�'rn:cuts aulhnrizeJ ��c Um City oE I'svcrett, ir or ef nnp .=lrcet or <br />nlle}• in �vhich �Lep n�.ey have Ucen lnid, thc Cily �eill not bc rc,uired to furnish <br />ic:�ter Juring tlie progresa of such imprm�em�.nt� to nn}' consumm� who=.e supply <br />m.�,y t}ms Lc cut aL`, crtU�c 1in61c for :mp damnges fur its fnilure so to do. <br />:1pp�icnlion ho .. ..V..g �Z--,. �J` �3 ���I /'� <br />-y, . . l7 / (! � /n, �. ' C.J� <br />BIoc6 �?.. � / _ .... 1 ot �-� ...__ _ Add.. ..!�'�-'�!.. .. <br />_. <br />C:o.. � :%..3.� . ...�-�-yC�.^,-�-4 .__..Strccl <br />Q <br />_ .. __.._ ....... .. _._...... . .__.......__ ._.. _........_. ..:..._ ..._ . .............._... <br />Thc work to be execuled Ly......___ ��-�!-,-��.__ .............Pluml�er <br />�St tc =tze of tap. <br />i � <br />..........Tnp tn bc inscrted in thc mnin. /:�=-" <br />� I ` <br />� ....j1'nter cloeet � � <br />.�.�.�.........Bnth //f' <br />_...___.....Urinnl -� . <br />...i�...Plain faucet: inside <br />......__....Side n�nik �en.shcr .� _: i . � ; i ' <br />...`...^.....Ilu=c bib aut^ide �.:r, ,,. � -� h��„��,'� �,� <br />,. fS�:ii � - :.,> -. <br />..._`..-.._Ilosc bib for buildir.g purposex � . <br />_ _-----...Aose 'oib insidc ( � . <br />._....—..— BiL for slaLlc cantaining ................... st Lf� ................ <br />......_'-.-.�.numbcr of persons in tnmily <br />..� Num6er of raoms m building� <br />The premises nre tn bc used as pn�.. . ...._. ......_ _... <br />The ow•ner of tl�e preLusrg �=.r�.+cb-+-a�-Sr'n-�-���j-,,,_�,_ �_��_�_�` <br />ri, n�ent is..........._..._........__._...._...._._......__....._.._ ................................................. <br />: npplicntion, nithougli signed, almll not bc binding upon l6c City, until <br />�' 3' �he Superinlendcnt of thc R�ater llepnrtment. <br />�bn:ed .............__................._... ..__... .._.......... ..... .... plicnnt <br />...... .. _ . ... . <br />' _.��. . ........1 2.. IIy_._........ _ � ... .. .... _ . <br />_/ � -�, � �i�57� icrmtendcnt ,_ <br />J�� : <br />