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n ..._-t_si ;—I k- - . <br />., ,< -=i. .. <br />tv. n. eo.� �—�coo—E.r.Co.—s-zcs� <br />City of Everett•—Water Department <br />APPLICATION FOR wATER <br />� All blanks must be tilled in or crosaed out <br />' l,�.r�. ....../� ...................��:�./ <br />Ecc retc ................_.. <br />TO THP SUPERINTENllF.NCITY OF E�,EI`i;T : EPAIiTrSENT: <br />I herobp npplS fnr the use of water in necordance with lhe rules nnd re6+�- <br />lations of L'.c �Pnte: Depnrtment, [or purpuses nnd fialm�es stnteA belmv. <br />During the Lime thet nny of thc wnter mnins may be taken up bY rcnson <br />oC xny imPro•'^ments euthorized by lhc Cily nf Eccrctt, in or of nny strect or <br />¢Iley in which they mny hncc been lnid, the City �vill noL be mquired �+ turnish <br />w�der during the progress of fluch imProvements to nuy consumer whuse supp�Y <br />mny thus bc cut otf, or qbc li Ulc tyr +iny damnges fo/r its fnilurc eo to do. <br />Applicxtion No._.../....�� �0 —" � � b <br />..... ............. � , _. <br />? .. Add........._:._...._............__..... / .. . <br />nia�r ..................D�.x........ c.........1./ <br />no....._.,�.% �l...�,v�.........ser��c <br />__.........__ ....._..._......._ ............._ ... <br />.............................. ..........._.............._....... <br />. ' ...:._....o... ..__.....�m�r <br />Tye wnrk lo be executed by.� �- <br />St t si e of tap. ......._.........���o..����/6Y" <br />,��Tap to be inserted in the mnin. <br />L�d3(1 831YM 1 3A3 eU n11J <br />....�vntcr c�oset i <br />lE6t :' 1,t�;'1 } <br />—....nacn �.. � ��., �; ;;' I <br />—..._Urinal � � `�1 ;` �, . '� <br />� . <br />�.....I'inin faucet inside � ' `' <br />.......-.....Sidc wnik a•nsher <br />..._..—...-.Hose bib outside � <br />.......-.....Hose bib for building Purposes <br />..,_,..-.....Hose bib inside <br />........ <br />......Bib for stuble contniuing ....................slall.................... <br />._....,_�..Number of persons in fnmily <br />,,,,..�:....Numbcr of rooms in building ^ � <br />. ���/.� <br />Tlie prem�ses nre to be used ns n..._ �D �� Q� <br />Thc owncr ot the premises is...._ -� ��� �--/���'L�� <br />. . . . ................... ...... <br />Thcn6ent is ............................._........_.._.............._............_...... <br />'" is npplicntion, altliouqh signed, ahnll not Uc binding upon Lhc City, until <br />;..:d by the SuPcrintendent of tlie Nntcr Dr.pnrtment. <br />� �j/',� t<.. ? .... ..� Applicey <br />�Si�ed.._....�i..:`/��-L�`�,�.�....... � <br />. . <br />..... . .... t <br />.ed]�./,/d. /�, ./_.....192...... BY.�..��.l.. .....���'w'"./�..nt... i; <br />i+fiae <br />/ ... i. <br />