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. � <br />\V. D, Fnrm <-1G00—E.1'.Co.-6-2G�21 <br />City of Everett--�Water Department <br />APPLICA'1'ION FOR WATER <br />All Llimka must Le filled in or crossed out <br />I:cer�tt ........................... � �... ...�............................192f.... <br />TO TIIE SUPEIiINTIiNllF.NT OF TIIF, tCATER UBPAItTil[ENT: <br />GITY OP F.1'GI:ETT: <br />I licrcUy nPPly for t}�c um u[ �valer in :icrord:mee �eith thc rulrs nnd regu- <br />Intiuns of the N�ter Ucpi�rtment, tor pm�pu�es and fis�ures stated bclo�v. <br />Auring the time thot nny of the tcnler mnins mny be tnken up Ly ren?an <br />ot nuy improvements nutlmcized by Uie City oC Eccrett, in or ot nny street or <br />rJley in w�hich thcy may Lave Uecn Inid, Llic City will yot be tequired ta furnish <br />w�iter during ;he progress a[ such improvemeuts to nny con�umer whose supply <br />niay thus be eut off, or be linble for :my dmnages Cor ils fnilure so lo do. <br />Applicnlion ro...........9_�..2.. �.—.... <br />Block........................................ Lot......_........_................__. Add.__.._.._.........._....__.. .... <br />No...._� � �_�....�....._.........-: _.'_.." '_...... ._ . treet <br />r i. <br />.- ; <br />. __._._. _._ ..................._.. r_.'...I. f...:......!: _ _. _........... <br />............_._..... _...._.........._........._. <br />Tl�e wm�k to be executed UY._.__...._._._... ___.. ........___. ...__....._.......PlumLer <br />�SL e size of Lnp. <br />_�� Tnp ta be inserteJ in the mnin. %g/ �- ��� <br />................\��nler clnset / I � <br />................13uth � <br />/� �u. <br />..._...........Urinnl lS�- <br />......_....Plnin fnucet inside �ye�''� � !'i" <br />�_ .. _.......Side tcalk tvnsher �.'-II� � G' , . , <br />.� . <br />_ .._.._..._Hoec Uib oulside �,.1 ` <br />. . _........Iioso bib for building purposes '� <br />................Iiose bib inside <br />................Bil Sor etaLlc conlnining...................elall................. . <br />................NumUcr .t persons in fnmily <br />................NumUcr of rooms in U;�ildin� J/��_ <br />Tlie premises nre to be vaed ns �n,..(�. 1�`-'�"-'�.-�-`-�--�-(_ <br />7'he oa�ner ot thc Premises is L."sYliS-�.� .. <br />__ .. <br />The ngent is_ . . . ......... ...._..........._.................. - ...._.. <br />. ._._.....__ ................................. <br />Thla npplicalion, although signed, ,hnll not be binding upon thc City, until <br />ncceP�M1 by the Superinlendcnt of the �Vnter Department. <br />.._ ........._._..._._..nppLon�c <br />Accrnl� a ............................. ._....192...... IIy_._..........__......__..__......_....._................_.. <br />Superintmident <br />