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�_...ucd 1- i �• 2'r - HJ. • . <br />£...=-�-�"-'' i , _ , . . . <br />w. n. ro� �- iroo-s.eco.-s-:es� <br />City of Everett-�Water Department <br />APPLICATION FOR WATER <br />pll binnks must Lc filled in or cros=_ed out <br />?� Z:...._ .............._........7D2. � <br />liverclL............ _�/........_... <br />TO 7'IIE SUPGRINTlinDEV��TY OF PVti1;ETT;ll1:PAlETrIENT: <br />1 hereby �pp1J' for the uae ot n•nter in :�ccardnnrc ��'�,L the rtiles and regu- <br />Inliona of the �Pater Uepmiment, for pwP���cs ^nd fix'.mes slnted bclon'. <br />lluring the time thnt nny oi 1hc watcr mnins m�Y nn orkof �,yl�st{�c�soc <br />o[ anp imProcerncnts authorized by the Cily o[ 7'.verclt, <br />ullcy in which tfiey may hnee bcen Inld, ihe City w'ill mt 6e reqaired to furniah <br />wnler during lhe pro�ress of such im;�ravrmenla to fmy concurocr w��ose supP�Y <br />may t'nus be cut off, or 6c liaUle [nr ��.nc daiO ges for its fnilure so W do. <br />Applicntion No ��� � ......./� � ' <br />,h .� Add. .__.. . . , <br />...... Lot .. . _....... _. <br />L'lock. .. . . .. _ .... <br />__. i L�� � _�,L�'Lt�. ..._. Strnet � , .. : <br />No... t•T. . . <br />._...._._ . . ...... <br />._._.... _....__... <br />.... . . ....__. . . / . <br />.. . ._. ..__._.._ _.. � .. <br />..__.. _.._. � <br />,/��(_ .. .__.Plumbcr <br />'Ihe work to be exceute<l b} -� <br />ia <br />��t te""" ���'zc ot tnp. f) <br />�Tnp to be inseried in Lhe main. � <br />.../........R'ater closet /� : <br />._ �.........Bath <br />�- . <br />................Urmal <br />.._Z.....Plnin faucet iu=ide <br />.__... ....Side �vnik t��nslmr <br />....�......._Iio=e bit• uuL.ide <br />____ ..._Aose bib for huilding purpn?rs <br />,,.-.....Hasc bib inside <br />...._.-.....Bib fm� etnUle contnining.._ ................stall.._...........__. <br />�- NumUer ot Pereons in fnmily <br />.�� Number ot roome m building <br />The Premises nre Lo be used ae n.._. -�r ��-i -- ��- -�---- � <br />The owner of the prem�ses is_... ._ ._�7�J „i��:� (//�'�'.-.� L. <br />The ngent is..........._.... ......._. _ ___._.._..._...._ ............................. <br />..._.......... ' ..... .. <br />This nPPlicntion, xllhough siqned, �hell not Ue binding vPon tfie City, until <br />nccepted Uy the Sup,c/rinle/nd�cQnt �ot� Lh�e \Vntcr Department. <br />Si�ned / � _ LL -(iY�<,✓T�..� ................. . _ _. ............ .Applicnnt <br />Acce ted....��..... ... . n . .. .............. <br />n .��.._..192Le. BY . - -. .. u erinlendent <br />