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��-��a 9'S-r�8'I� ��."_.r=,J ,��-�r...:"�.5� <br />N'. D. Fmm /—ifiUO—F..P.Ca.—L.26.2/ <br />City of Everett�Water Depai�tment <br />APPLICATION FOR WATER <br />All Ulnnks nmst Le tilled in or crossed aut <br />/' i1�� �j <br />Cccrett ......................( : e.r..�.i.i�/J. �... . . . . ./"�� <br />_......192.p.. <br />TO'flI� SUPERINTI?\DF.NI' OF THi: NATIiI: DFR'AIITnili\T: , <br />CITY OI�' F.Vli1:PTT: <br />I hereLy upply for the uec o[ w'aler in ncrnrdance u'ith the rules �nd regu- <br />Intiuns af ihe \l'�ler Ucpnrlment, for purposes and fixtures �Lated bclatv <br />Uuring thc time thnt nny of the �valer mnins mny bc tnkca uP �y ren=on <br />o[ ang imProvements ¢ulhorized by Lhe Cit)• oC E�'rrett, in ar af nny sLreet or <br />nlley in e�hich �hey may hn��e bcen laid. the Cily e'ill noL be mquired to furniah <br />water dm'ing the P�'ugress nt such imPrncensnls lo nny consumer whuse supp�Y <br />muy thua Lc rut oft, ar(�Ue rliah�jle fm� anp damnges for ils fnilure so to do. <br />Applicntion ho.._.O...D.._l���......._'.- c7 � � . . <br />„ ....._ ___..... <br />� _ .... Lot......_ .................:..L.......... Add..___.___..._. <br />B l o c k ........(./...........:...:.......m / <br />No.. _.. _ _.O...j �...... _, �!...�-.4�/...'i.«........ _SLmet <br />. .. ....... .. ... .. . ........ <br />...... ... . . . .. <br />. ... .. ._._ _........ <br />_ ,� <br />� ..... .. ....PlumUcr ,. <br />The work lo be executed by - - � � _ ��� � �i ( � � C . � / C� � <br />( <br />Stnte sizc of tnp. J_� • <br />_J�?:...Tap to Ue inserted in lhc mein. �� <br />_ <br />1......1�'nter doset " � ' "- � ���L �� I. �. <br />.......�.......13ath ' ";' iQon . <br />_.....�......Urinnl � � � . . � ; , � .. <br />_,............Plnin fancet inside ,, � � <br />_ __:.......Side o•�lk �cnshcr � <br />._ _?-:.....11oee bib out�ide <br />.......:.-_....iiose bib for Uuildin6 PurP��rs <br />..._-.........iiosc Uib inside <br />--......IIib for stnble con:nining........._.._.... �tall....__..__...... <br />.......... <br />..__�.:.......Numbcr of P�rsons in fnmily <br />...�.Number of rooms in building <br />The p�'emises nre ta be uscd �s n � -- � ��- � �-�'" �"��-��� <br />�-j l( .�-._ �� � �, <br />'le owner of the prcr.iises is..... . ' -�� -�� � �� <br />��� agent is....._....... __._____.._._......._ ...........................__......... <br />.._ .............___...__. <br />� npplicntion, nithough signed, ,hall noL Uc Uinding upon tfie City, until <br />� y lhe Superintc Icnt uf lhc N//le ��Depnr ent. \ <br />/ A j�l�icnnt <br />� Signed..._�:... ........_ :L::"-v�......... _..._ ..................... f .... � � <br />��...-,.�i%..-_.....792fi':. BY.._._(:/�./�/.�t����'......'.._........:._.. <br />� �'y -- 9uperinlendent <br />