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�-�r�-., -y �-�-�� <br />✓ - 4.��-�•--� �_ '� � - � ti �3>,-,., <br />w. n. ro.n; �—moo—e.eco.—s.se.s� <br />City of Everett�Water Department <br />APPLI���.TION FOR WATER <br />All 6lanks must Uc filled in or crosacd out <br />Ev c rc K. ...............'f "��_ L�.. �_' �'...5..'................ ..1 D 2...... <br />TO TIIE SUPERINTI3NDGNT OF TAF. R'ATF.R PEPART\iENT: <br />CITY OF EVL•'12ETT: <br />I hereby nppiy for the une of tcnter in nccordance wilh the rules nnd regu- <br />Ixliuna of the Water Bcpnrtment, for purpoees nnd fir.tnres stnted Uelow. <br />During the time thnt nny of the watcr rinins mny be taken up by rcasnn <br />o[ eny improvements authorized by the City ot F,c. �tt, in or of uny atreet or <br />alley in a•hich they mny hnve been laid, the City will noL be rnqvired lo furnish <br />wnter during lhe progress of such itnprorementa to any conaumer whose supply <br />mny thua bc cut off, o�r+/Ue lioble for imy damnges for its fnilure so to do. <br />APPlicntion No....D..�..."��...Q .................. � <br />Block....._ .........................�.�„l�4... .......... Add. �� <br />.............. <br />.._..... . . _............_... a - <br />No._..�.�_a.U....,,.ii.[/ . _ .. . . _............Street <br />........ _ ............................................................... _....... _......................... . .................................. .. <br />The wurk to be executed bp...___._......... .._T'lumber <br />� .. .... .. <br />S� te size �f tap. �� `—/ j�L........G <br />- ��� G <br />�..� .....Tap to be inserted in the mnin. � /5--� - <br />...)(.........Nnter closct � <br />Bach <br />..�..........Urinol <br />....�........Plnin fnucet inside <br />�....:r.......Side wnik n•nshcr <br />flase bib outsidc <br />..-.�,..........Hose bib for building purposee <br />...�i.........iIase 6ib inside <br />....e�.........Bib far stable contninin' ....................statl.................... <br />...... . NumLer uf prrsons in fnmily <br />...... . <br />_._.�......_..Number of rooms in Uuiiding <br />i <br />T��e memises arc to be used as e..__ ... ' l <br />. ... . 1 a �`� �.�........ _ .... <br />iNe owner of the .' es is........ <br />. .. .. _._ . .. .. .............. <br />. . _ ..._-- .......... ..... <br />The ngent is ........ .. .....��.fi�........ _ _ . <br />. . .. . . ...... ._..._ .................... <br />T'�is npplicaC �m�F1i signed, a ull n t be binding upon qic City, until <br />:ed by lhe u mtcndent nC lhe 15'ntcr Deonrtm��r <br />� <br />