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Gn*'b �o-II'1-24-HJ_ E•�rrb �u-rb-sy�_fy% <br />\5'.I/. parni 1 -1Lo0—f:.l•.Cn.-6:G _f • • <br />City of Everett--�Water Department <br />APPLICATIQN FOR WATER <br />;111 blmiks must be filled in or cios=rd out <br />/a/ �6 t,.� <br />iverett,........._ .................._ _,.._............._..........._. ......192..1. <br />7'0 THE SUPE[2INTliNDliNT 0I� THF \'iATl:lt DEPAIiT1IliNT: <br />CITY OR EVEItI'sTT: <br />I LereUy nnp!y Cor tlie use ni �r:�tor in acccr!I:wce w•;th tUe rules nr,d re6u- <br />latiuns o[ the �{'atcr Departmeni, Por purpo=vs �md ti�'ur�s .tatrd lx•la�v. <br />During l}�e lime thnt anp of thc a•st^_r mains may bc lnken up by rene un <br />u( nny impro�:ements authnrized 6y the Cily oC Iic"rctt, in or of nny street nr <br />clley in which lhey mny hnt'e Ueen laid, tLe City will noL be required to fur.��.sl: <br />wsli�r Juriug lLe p�ugress of such iml"��'emeN• �o -.. -^.�sumer �chose suI P�Y <br />map tlms Uc cut uff, or Uc liable for ::nY ���"^<-- ,nilure so to do. <br />Applicntion Na._...�'.�..��'.._� • <br />..._......._... <br />61ock...... .. . . .. � . .... Add.. ..._. .._.. .. <br />_ ...... - .. _. Lot .....J .._. . . .... <br />No......___.l.%0�....:r�l'd_,Qi!-uc.c�- ...._.Strect <br />_ _. .. .. . ._. ...._... .. . _....._ . ....... . <br />......._ ......... <br />TLe ��'m'k to be executed Ly ._._ ��'� � �---- --�� �Plumhcr <br />Stntc sizc of tnp. <br />�/:Z-......_Tnp to be insericd iu the nmin. / „ I 5._�__ <br />-„—..-.....��'ntcr closet y <br />.::..'.:..-..-.....Bnth <br />:--.,._......Urinal <br />�...Plnin Lnuccl insidc <br />-...-.-�.::::...Side �cnik �cnshcr <br />_ .:..........-Hosc bib ouLsidc <br />'--...._._Hose biU inr building Purpu=e= � <br />,...--.........Hnsc bib inside !,� <br />.-�:..........IIib fnr slnLlc cmitniuing ................_stall....__...._._... <br />-.:......_..Number a[ pc�sons in fnmil;• <br />..-2._......NumLer of rooms in buildi:igq " , <br />TLe premi=es nrc lo be used ns n(�_/�—/-h�-fG��'-u,,c- (' .-.-.-.-.-.. <br />The owncr ot lhc premises ic......V-_ /Y �__.�1J1�0-�--� -.-.......-.. <br />0 <br />• .. .._._._......_ ......................_.....__....................... <br />Thc nCent is........._ ..................__...._.. . <br />This npplicnticn, nithough signed, :hnll not hc binding uPun lhc Cily, until <br />�'-•.a Ly 'he tiuperintend� oC Ui�R�ntc: llepnrtmcN. <br />�+ r/�')_ <br />'� SiFned .�L a._� ...:� ` '.. .. ... �,. .,.. Pplicnnt <br />J. � .-. .. �� �5.. � . ... .......... <br />"���i,... .intendent / <br />