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__ _ . , , <br /> ., <br /> ,Erc+�✓`�//,l/.�/f rc.._.-'`-./.3.2 3-3/ . <br /> , , , . <br /> \V.D.Form�—IG00—&CCo.-6-R6�Rl <br /> City of Everett-�Water Department <br /> APPLICATION FOR WATER ' <br /> pll blanks must be filled in or crossed out <br /> /I ; I <br /> Everelt.............l���L/I . ...........��...........29�� J <br /> TO TH� SUPERINTENDENCITY OF EVBRGTT DEPAI2TMENT: ` ' <br /> �I <br /> 1 hereLy npply for the use ot wnter in nccordnnce tvith the rules and regu- , <br /> lations of the Water Depertment, for PurPuses :md fixtures sarted Uclow. <br /> During the time thnt nny of the w:.tcr mains mny be tnken up Ly renson <br /> o[ nny impro�'ements nulhorized by the Cily of Everett, in or of uny street or <br /> ulley in which they mny heve bcen laid, the City will not bc required to furnish <br /> water during lhe progress uf such improvements to any cansumer whose supply <br /> may thus be cut off, or 6e IinUle for nny dmm�Ces for itv tnilure so to do. <br /> AppBcntion No..._.��.�....D.y"1.�......�...._.. -- I � q z. , I. <br /> (I .. � � �, � <br /> Block..................�.�..<.�.v_ ... L C..........._�._...._............. Add..__�_�.:.: ......_.__...._... ._. <br /> No........��.�' .. . �Gt/J�"'........9treet <br /> .._..._._...._.._.. .. ............................ .. ....... <br /> ......__...... <br /> __......._......._._......._...p�............ / . <br /> The work to be executed by....... .. .�G�L�.__....Plumbcr I <br /> '� i p= <br /> Sl� aize of tn /y �� a <br /> .�._�.:.._Tnp tu be inserted m the . O � <br /> ...,...�......Nater doset <br /> .......L.......Bnch MAR 2 31.931 <br /> ..._�.....Urinnl �a�T �rr <br /> ... <br /> ...._2.-....Plain faucet insidc �y ,,;,,,,,�� � <br /> ._.....^...Side tcalk �vesher I <br /> ...__�....._Hasc bib outside � <br /> .._.._".�...Iiosc bib tor building purposec ' <br /> ........ ....Tlase bib inaide <br /> ....... ......Bib for stu6le conlaining....................stnll.................... <br /> .......—/ hmnUcr of persons in fnmily <br /> ....../!l.....Number of rooms in building y <br /> The Premises nre to be used es e.... .. ..e. .........:..../__._...__......._...__........... I <br /> The owner o: the premises is..._�...... .... 7,.�t.(j,�.�a=L.__........ <br /> Thengent is.................................................... .............................................................. <br /> This nPplicntion, elthouFh signed, 3hnll not bc hinding upon thc City, until <br /> ��epted by the SuPcr�tend�� the Nnte��Haimrtment <br /> /J jr�v+��`vv <br /> SiEned........_.�.......�jl��/..C-......✓..... . . ��_,.,.rlppljcny , <br /> � _.....__......_ . <br /> . ? , i � �/ /.� .' <br /> �apted... .��.....-....�.�.,.�r...<_...19$�..✓ Dy..._�.��1'...�c...f_/.tLt�cl/ .../. <br /> ndent <br /> ✓� <br /> 7 <br />