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�-� �-�.�.l..e�-."q'� ' . <br /> Y-3. -3 e.._/�- . . <br /> w.n.r�.ro�-�coo-e.r.co.-s-sss� <br /> City of Everett--Water Department <br /> APPLICATIOI�� FaR WATER - <br /> Atl binnks must be iilled in or crossed out <br /> _.. <br /> Everett............................ . .... ...��......................198�.� . <br /> TO TIIIs SUPERINTENDENT OF THF. R'ATE DEPART\IGNT: <br /> C[TY OF F.VERCTT: <br /> I hereUy apply for lhe use of wnter in nccerd:mce with the rules nnd mgu- <br /> Intiona of the Nater Depxrtment, for purposes nnd fixtures stnted below. <br /> During the lime thet uny of thc w�tcr mnins mny Le taken up bY reason <br /> o[ nny improvements authorized by lhe City of Eccrett, in or of nny street or <br /> nlley in which ihey may hace been laid, the Cily will not be required to furnish <br /> «•ater during the progress of auch improvements to any consumer whose eupplY <br /> mny thux be cut off, or 6 liable for imy dnmages for its fnilure eo to do. <br /> ApPlicetion No...._..... .� 3 377 � � <br /> ............. <br /> � '1 �) �. .. . I ( IA <br /> Block.................^�.`�.-1..... Lot........�..�............_........__. Add.._........N'J`-:.. 1. <br /> � <br /> /�� v <br /> . __ ........_.... <br /> No............�_3_i..�......_.... _-�.�C�............3treet <br /> . ..........................................................._....._. ................. .._......._.......... . . . <br /> .... .. ..... . ........... <br /> The work to be executed 6Y............--..............---..-.- -.--.-...........Plmnber <br /> SL`pte aize of tap. <br /> �f.�.��.....Tup to be inserted in the mnin. <�� <br /> � ....._.R'ntcr doset 1';l <br /> .... <br /> �. i <br /> !............n�tn - ;,.9, 1 <br /> ., ,�. <br /> . <br /> ....ur��ai �� <br /> ................Plxin fnuce! inside <br /> .__...........Side a•nik washcr <br /> .._...._...._Iioae bib outside <br /> ._.._.........Hosc bib for building purpoees � �� <br /> .._............Hos�� bib inalde � . <br /> ................Bib for eteble conteining....................atall.................... <br /> ................Nun,ber of pereons in fnmtly <br /> ....�..........Nvmber of rooma in buildinq p <br /> Thc premisea are to bo ueed as e......_.....6 . . . _ _ .�........._... <br /> The owner of the premises is.......�_..........1�:,.�a„�.� <br /> Thengent ie..................................................................................................................... <br /> This npplicntion, ulthough signed, shnit not be binding upon the City, until <br /> � 'ed by the Superintende»t ot the �Yatcr Depnrtment. <br /> ! -� <br /> Signecl........._........................................ ..... . ................. .........Applicavt \ <br /> I <br /> ,.ad........._1.:..-.��...........�l� Dy..... ................../.�... ...n...dent... ,; <br /> � � � - � . <br />