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Lcc�f=i++, y.�; �^ r /r- . , �a-�a._-<C=�-2� -1c� k?„� <br />w. n. t'o.� �-- � <br />1 GOa—E.I`.Cu.-6�:6�2d <br />�ity of Everett�Water Department <br />APPLICATION FOR WATER <br />All blmiks must bc filled in or crossed out <br />liverclt ..................../�/.�L_. ��.�...._......192.� <br />1'� TIiR SUPERINT�tiDF.NT C�C TIiP \\'pTER DEPA SENT: <br />CIT1 OF EVER�TT: <br />1 hereby npply for the use of a•ater in nccurdance with the rules nnd regu- <br />latione of the 1Veter Department, for purpo�es nnd fixtures stnted below. <br />During the time that nny oi the �vnter mnins may be taken up by renaon <br />of nny improvements authorized by the City oC lircrett, in or o[ uny atreet ar <br />alley in which they mny hnve bcen laid, the City will not be required to furnish <br />�vater during the progress af such improt�ements to nny c:+nsutner n•hase supply <br />mny thue be cut nff, or Gb�e Cl.iable tor �m c�anp�g� for its flilure su to do. <br />Application No......_9..l.,..�.�...�.�,�.,.._� � C <br />....... � o a <br />Block........�a...�?........_....... Lot...........�........_........... Add.�..c,c/..�.�--� <br />. <br />No....... �5�.3_�.Ce./. cc.: ��.Strnet <br />...... _. _ ..... .. ..........__............. <br />� _.._......_'7...� ...�...... .... <br />. . ......................... .. .................. <br />� . .............. <br />The work to be exocuted by_ �. ' <br />� �.....-... .......Plumber <br />State 'zc of tep. - /,�'� <br />��_Tnp to be inscrted in the main.� ��" <br />......�......�5'nter closet � . <br />, <br />.....�........Bnth . j � ' <br />......-'......Urinnl �: " <br />......L........Plain fnucet incide � <br />......L........Side n�nik washcr <br />����-^.-.....Hosc bib out=ide <br />����...�....Hose bib for building pnrpnsra <br />�._.-........Hase bib insidc <br />...... ......Bi6 far sluLle containing ....................stell............... <br />-��..�......rumbcr of persons in fnmily <br />--�......Number ot ruoms in building /�'7-- <br />The premises nro to be uaed ns a._���1-... . <br />_ �.� <br />..._............_ . ..................._. <br />� The o���ner of the premises is.. T, T , <br />� V _-_.... <br />entis ..........................._.. <br />_... _ _.. _ .................................. <br />........... <br />icntion, althuugh signed, shnll not. be Ainding upon the Clty, until <br />� he Supe�c�cnt o th�iter Depnrtmenk � <br />med..........,...:......�.....:...,JQr.:t��.�7-'..... _ <br />��'���JJJ ...-.APPlicnnt �� <br />� �-y ..............19� By.. � � � �� <br />_. <br />/ � ............................... � <br />� .-�.' Superintendent <br />