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<br />City of Everett��Uater Department
<br />APPLICATION FVR WATER
<br />All Ll:uilcs musl Lc fi!Icd in or rrossed out '/�
<br />— r
<br />Evcrett,..._.......... � � ._19L'�....
<br />.................................................... _.
<br />TO TllP SUPGRINTENPi4\'P OP TIIP \FATI�.R bPVAP.T'nfliNT:
<br />CITY' OF CYliI:liTT:
<br />I hereby apP1p for the u;e ni u�;der in accm�dance �cith the rules nnd regu-
<br />Iatiuns of the \5'nter llepartment, for purpnses �md tix'm�es stalcd bclow.
<br />During tLc lime that nny oC lhe a•ater mn�ns m:y Le takea up Ly reason
<br />of nny imP�'orenwnls authuriacd by the Cily of I•:cerclt, in or nf nn� atmeL or
<br />aliey in �chich Ihey may hnee been laid, the City tciil nol bc requireJ to furnish
<br />wntcr durin; thc progress uf sueh imprnvc,n��nta to any cunsumcr ��ltosc suPpl)'
<br />m::y thus be cut uff, or Lc�yIinLlc far ::ny dcunagcs for its Cailurc ro lo do,
<br />Appiicntion No..__._...J..c1.�..,% `�" ; ':.
<br />..........
<br />i
<br />i > �'
<br />131ock.. ......... _ ._.,.(�I/p �t. �. � .. p. ..� ......... Add.. _ ._.. . .._.. ..._ _...
<br />No. 7%%CL� ..l.'Y-�:�-<;-Qrc!�tG.....8treet
<br />� . (1
<br />-� , ,
<br />_ __ . ' �'1 p 1
<br />The ��ork to be ca� eJ bl ���` "4 .....- -. Plumbcr
<br />Slnlc s�ze of tap �t"� 2��' . I� .�,� �
<br />��4-�-ry-� ., .,7ir `r �l i�r� lo � I �:".. ::
<br />�A . _.." .. -.�-.c ;..•,..,;-i -.
<br />C/..�_r�. Ti�p lo Lc inserted in the mnin. : ... ,:O. _ �.�.._._ ,., a�.
<br />.tE-o-.�-�,
<br />....__......_.1Vatcr closet r�-.._v-�+-..-e�` c_, r. '0 �..:,,_L. .. -.. ..�„""6
<br />�- ..BaH� ' � a� �--�zCs�a � --..... , :
<br />.............. .-,.. - . .
<br />.-+�!'�"a-_. :G2•'..;CY :":'c0 �C
<br />._ ...:..:.......Unnnl ..,... ., . . .. `� ..
<br />...1:].I.d�l C�.. ..JJ . �..1•
<br />�!.�"..........Plnin tnucet insidc � .-�-;'il o ',..ir :�c�:,ci'..�_ cC ;::•.,._
<br />...._�......_Bide �enllc n�nsLer �C`. c.l r,•. ., � : r �:: �.t`�Oil 1 y .i.� - ..
<br />�:
<br />- � Cit�� Cou_�ci1 cf Ev�reti.
<br />__............Ilosc UiL oulside .
<br />U '
<br />_ .:::...:....._Tlosc Uib tur building purposes 3JiF �' I H�� �-"''-���:�<s[
<br />..._._........Hose bib inside '»v r.� � 30 = �: "' ; , ,�+ �, ,.
<br />..:.-..:...�......Bib for slnUle containin�......._..........slall......._........_ . �
<br />.._�.,.../........NumLcr of persons in fmnily .-
<br />i'
<br />._../.........IGumbcr of romns in Uuilding ,
<br />The premises arc tn bc used ns n...... fl � �.Py(.,,� ^
<br />'�%i. � • .
<br />'PLe o�vner of the preeiises ts . ... . .. _./.. . _ �,
<br />. . . .. .... _... .
<br />Ttcagent is....._ ....................._............................_.._......_................._..
<br />. . . . .................
<br />This npplication, nithough siqned, ahrll not be binding aPon l� c City, until
<br />accePted Ly lhc 9uperintendent of tho N.�tcr Depnrtment.
<br />Signed_��,.__/(!L_..L.`.:4C��C'���... '_ ...... ... .........Apn�icnnt
<br />.1ccc ted..._ ....-.. .....:.-..........197�.. BY - .. .. . `
<br />9. . ...... ........ .......
<br />P / � �uperintenr,ent �
<br />l
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