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__ � � :. -- —, <br />� � <br />� <br />� <br /> ,, <br /> �-- u- �S ��rl. <br /> c..� u �-ts-:s-m. .,,.�=�w—�Q _ � <br /> �c.o`r�.��+-��cun-s.r.c�.-c-2e.z� ' <br /> City of Everett--Water Department <br /> � p" r� ATER <br /> APPLICATION FOR W <br /> All blunks mt�sL Ue fillcd in or crassed out <br /> � <br /> ..�1. .�...��...................................102...... <br /> r•..•�r�u,.........� <br /> ! <br />� YO TIIIs SUPPRInT�TDi:\C1TY OF F.\'1 P.L'T'C;UrFAItTDiliN1': ` <br /> r I �i�reby npply for lhe use uf umter in nccordnnce �cilh Lhe rules nnd regu- <br /> Intions af thc \Pater Department, for PU�-P��es �md Cis�ures eli�ted 6clv�e. <br /> Durinq �:�� ��me thnt nny of the «'nter muins may be taken up by renso» <br /> of nn}' iniP=�`'enents nutho:ized by the City oC Ereretl, in or uf nnv sLreet or <br /> alley in �cFich hey mn}' hnce Ueen la�d, lhe Ci�.) �t•ill noL be required tu furnish <br /> �c:iter durmg lhe �rogress of such imprncen',:��ts :o any caneumer �chose suPD�l• <br /> m:�y tl�us Uc cuL o.t, or b� 13�for :mY dn��."�ties [or its fuilure so le dn. <br /> Applicntion Na....d .................._ .. <br /> s�o�k.........................._........... i.ac.....!....._...._...._..._.. <br /> _. aaa........::.....:_._ ..__. ._. � <br /> No...J��./..�..��[..�t.lY..L�C...........Street I <br /> ........................ <br /> _._.........._....._........ ........_..........._............ '�, <br /> ..........._......_. ............................... Y...__ .. <br /> ... Plumber ' <br /> Thc work to bc esecuted b -,- ���-U�""-�" �"" /r � <br /> ,.��i�5�� //z �.�', : : � <br /> Stnl size af tap. <br /> ,_�2....Tnp to Ue inscrted in lhc main. i <br /> ..,,,,�........«'atcr closet <br /> ..._�.........Bnth � <br /> .....L.....Urinal <br /> i <br /> ...,�:........Plnin fr.ucet insidc � <br /> � <br /> ._.............Sidc �calk w•nshcr �/ I <br /> .....j.........11oec bib outsidc �?r <br /> L �,i i <br /> ................Iiose bib for building purposes <br /> ......�-.....IIOSC Lib insidc � <br /> ..._L.....Bib for stnUle contnining....................stnll.................... <br /> ,.,,_�,-._Nm�ibcr o[ Persons in fnmily <br /> ..,...�.�..Number o[ romns in Uuilding )/� - <br /> Thc P��emises arc to 6a vsed ns n.. . a�__.../..'"Li.�.J..:4�c<<c'�`-�'`_.......... i <br /> The o�ener of the prcr.iises is........'j/7t�.�7LG.. .. <br /> ,I;r aqCnt is........._._........ . .................. . ._..................................... <br /> ... .................... <br /> � -plicntion, ^IlhouFh signed, shnli not he binding upon the City, uutil , <br /> � y tha SuPerinlenfd �t o[ t Wnter Depnrtmon� <br /> /,/ / '/�1 -y�� �f"� <br />� Signed..�Ll.�.-..W�,�...li..v.�......j.�-.:.........._APPlicnnt I <br /> /' ' ... <br /> —�� B �i�'.. . ..................... <br /> _ <br /> ... .........>...... . .-... ,�uperintendent <br /> -7' /� <br /> f <br />