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/ -�--- ( <br /> , ���Ji�-c,��<<10��l • ' _ <br /> ��-��1 r �' . � ,v_ ��, I� <br /> w.o.Fo.���-woo—e.eco.—s-zss� <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All blanka must be filled in or crossed out <br /> Eve rett......:............_�-i.r��..l....7................192..��..o <br /> TO TfIE SUPERINTENllF.NT OR THE �VATI:R I ARTD�z1NT: <br /> CITY OF EVE2tliTT: <br /> I hereby i�pply for the use o[water in nccordnnce«•iUi lhe rules nnd tegu- <br /> Intions oC thc �1'nter llepnrtment, tot purpuse.: :md fizlures stnted Uclaw. <br /> During thc time thaf, nny oC thc wnter maina mny Uc lnken np Uy renson <br /> of xny improecments authorized hy thc City ot I;verclQ in or of nny sLrcet or <br /> elley in which ih�y mny have Leen l�id, the City will not be required to furnish <br /> water Juring the progress uf such improvements ta nny consumer whose evpplY <br /> m:�y tfius Uc cut off, or bc liuqUle for ni�V d�mfnn,gtes for ita failure so,to do. <br /> Applicalion No......'r.�....�l...Z'............ ! 'T�� ; <br /> � � .. Add.. _ ... 1 : t . <br /> Block..................��.:...j. '.V-! ... Lot.....� __ . ....__ ._. . .... ...... <br /> ............. ............... <br /> No....�...J�...—.3..c�.... ... . .. .�'�.5.,...........Btreet <br /> ..._ .. ....__....... . ...... .._.. ....... .. /f"� ...o.D _...-.7_�---.__......... .._... <br /> The work to be executed by j .�✓ Ce/�/�.-G?%. ..., PlumUer ' <br /> 3 5 0 - .�G� [� .3%;� 7 <br /> �lnte ize of tap. �f � <br /> ,����.l..Tnp to be inscrted in the n:nin. <br /> ....�......«'ntcr closet <br /> ....�......Ba�h /. <br /> ....._�.......Urinnl C� � <br /> .....�....Plnin fnucet inside /� <br /> ..._._-....Side �vnll: �anshcr .. <br /> ......I.......I�osc bib outeidc <br /> ....._�......Idose bib for building Purposes <br /> .......-.....Ilose Lib +nsidc <br /> ......-...._Bib for elnLle contniuing........._.........stall.................... <br /> .... ......Numbcr af p�rsons in fnmily <br /> /.. <br /> ..._4'._._Numbcr of rooms in Uuilding �� <br /> The t�remises nru to be used vs x. . . .✓.�c`/:<2':/._..__..............___......____... <br /> 'Che oamer of the prer.iises ic....���..-. �C/�i�.L.c:�...c..:........... <br /> Thengent is....._............................................................................................................... <br /> � ihis npplication, nithough signed, shnli not be Uinding upon the City, until <br /> ated by the Superintendent o[ the �Vater Depnrtr�egnl. / : <br /> Signed.G:.........�!J�l.........v..�..�GriJlq,CGln-✓.I.( Applicant <br /> �� ,,C�l�r J����//�7� <br /> . .�.�1�..-.,��P�... By.(...,//��si�YC��u�tE <br /> �� <br /> / � <br />