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'z..-�-cs 9-,e -s9-�r 4_..�.c..,/ R--,s_�, - r ' <br /> a'.n.ro��-��aa-e.eco.-s�ze-z� , <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER - <br /> All binnks nmst be tilled in or crossed out <br /> Everett............................�I•.5.................................19l..2..../ <br /> TO THB SUPERINTENDENT OF TIIE R'ATF.R DEPART➢SEN'C: <br /> CITY OF EVERETT: <br /> I hereby npply for thc usc u[wntcr in nccardance �vith thc rules nnd regu- <br /> lations o[ the Water Deportment, tor pucpuscs �md fixtures sLiled beloa�. <br /> llurinq thc time that eny of the watcr mnins mny be laken uP by renson � <br /> of nny imprnvements aUthorizad by the Cily of E�mrett, in or of pny strer.t or <br /> alley in which they mny 6ave 6cen Inid, lhe City a•ill not be required to furnish <br /> wnter during thc progress uf such improvementn to eny wnsumer wliase supply . <br /> �•ny thus Le cut of[, or be liable tor nny danmges for its fnilure so lo do. <br /> Applicetion rN, o�}...........�U_4.._0......... � 6 5/� <br /> Blo�k...............�.-Z....7..-/........... Lat.......�................._.......... Add...........__......____.._.......... <br /> No....../3.r 1.........../:�-l��S......................Street <br /> _............... ........... ......._......___...........�........... ................,._...._... ........ ..........._..........._ <br /> The work to be executed by.. ����...-................_...........PlumUer � <br /> ��t te eize of t¢p. �/' <br /> ...�.�....Tep to be inserted in the mnin. !/ �• �S ��.. /CJt.L- /' <br /> ....�.........Wnter closet �`f- � ! <br /> ...L...........DAtI� " � ' <br /> �.-'......Urinal � � �� � <br /> �� Plain fnucet in=_ide � ' � �'� �'� <br /> ............._ `�% ^-". ':.: t `i. <br /> .—'—..Side �nik washcr .. ':,'.'':� .�,� � ,� � . <br /> �1�� �� (.� I ,��..-� <br /> ..�....._Hose bib oulside CI �' l �' � . <br /> , <br /> � �, ry OF fVr � � ��9�^��� r! <br /> ................Hose Lib for building purpos�a..,, GTa.-1v - "'..,s <br /> ..�.........I�ose bib inside ��" l�%c',��, <br /> .. .... <br /> ...., <br /> ... <br /> .�......._...Hib for stable contnining....................stall...:....;.........::��...... <br /> .--.-:.....Numbcr of persons in femily � <br /> ..... <br /> .....�_.......Number of rooms in building <br /> TLe premises are to be used ns n_... .��cs:�c«:LGr.(.............. <br /> The owner af the premises is..........�.<.,/.....�Lt:L .. _..__. �1� <br /> .... <br /> ................. <br /> Thengent is...................................................................................................................... <br /> This applicntian, nitMough signed, ahnll not be binding upon the Cily, until , <br /> • -oted by the Superinlend:nt of the 1Vater epartment. ,/ <br /> SignG�:....h���......� ..... . .......�. .�n'Y_l.._...........APPlicant / <br /> � �. ' � <br /> . ,-ptoa....... ........................_.1�Jz.._.. sy.......... .:. .:. yr.,!./.. ........._.. � <br /> �-���� ���uperintendent <br /> i <br />