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,xSNYti 7- i3-�..-. > . �rYi-!� (��1G�J3��-t.-� <br /> W.n.yorm 1-16uG—E.7'.Co.—G-2fi-P� <br /> � City of Everett�Water Department <br /> APPLICATION FOR WATE.R <br /> pll hlxnks must 6e filled in or croseed out <br /> �/� S� / <br /> F.verett..........................................................................1'J2..�-�.... <br /> YO TIIE SUPI:RINTENDliNCITY OF EVtE 2LTT;DP:PART\SENT: <br /> I herrby npply fur lhe use uC o'�ter in accordnnce n•ith lhe ndes and regu- <br /> lations of :he 'd'ater Depnrtntent, for purpn?es nnd fixlures stnled bclow. <br /> lluring th� time that nny at thc water mnins mny be taken up by rmson <br /> of nny improvements authoxized by the Cily ot Ercrett, in or ot nny strcc6 or <br /> nlley in �ehirh tliey mny liavc becn Inid, lhc City �cill not bc required to furnish <br /> water during tlie progress of suc'� improvemrnts to any consumer �vhose suPNY <br /> mny thus Ue cut off, ol� Ue linbll-e for :my dmunges for its fnilure su to do. <br /> Applicntion No......._�_�...7.�........... <br /> Block..... . . 1....ILoc. !`"' . . ..... . ..... . Add �_....''�... .:'_._. :_ ' <br /> _...... ,� .p� <br /> No............/.0....�.Q......W.R..1.�-l.�-A-n-<Q, .....Strcet <br /> . <br /> ........................................_..._..,.........................._ ... <br /> _........ .............. <br /> � The work to be esecuted by........._.(J..�Ji..Q�ct�CT�-I....---��-����'�umLer <br /> State sixe of tnp. <br /> .IL2_..,..Tap to be inserted in the mnin. <br /> ..._.�........Nnter closet <br /> ..../..........B¢th c . <br /> .....Urinnl L,��\ <br /> �,.�r..Plain fnucet inside \ � <br /> ... <br /> ........_`-Side wnik wnsLer <br /> ..._V._I9ose biU aulsidc <br /> ..._—:::..IIose bib for building Pnrpoees ,�� <br /> ..... ......tiose bib inside 1 <br /> ....-.-.-....Sib for ste.Lle containing....................s[all.................... <br /> ......—.....Numbcr of pereons in fnmily <br /> ..... . A�umber of rooms in building � <br /> ...... <br /> Thc premises nrc to be used ns n...__._ ,IL,9-.�-�.- - ��-��E--�-��-��--�� <br /> The owncr of the prer.iises is...��.__ ... ... ..._ ...... <br /> Thcnqent is....._..._...._........................_..........._...................._....................._....... ...... <br /> •��9 ��nr��������, althougU signed, �hnll not Ue binding upon the City, until / <br /> d b;; the Superinrt'e�nden� C the Nnter DepnrtmenL. <br /> r p� C�,��2y_� <br /> Signed ..�y.../(.�........ .............. .............. .......1......��-....ApPlica <br /> . :e ted....� ��.18� BY��....... .4.f3'.F�'........................n.. <br /> r "�"" .�=s==- Superintendent <br /> ! <br />