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;�.�'�x' f J�� /'I- :+?..ri, . 'r��-r;.r i>I� i: , . .r•)_l� <br /> i <br /> tV.p.Fomi�--1co0—F..RCn.—G R6".1 <br /> City of Everett�Water Depar'ment <br /> APPLICATION FOR WATER <br /> pll blanks must Ue filled in or crossed out <br /> Evcrelt�..........................�.I"/��............................192...�f. <br /> TO TSIE SUPERINI'ENDF.NCITY OI' I:VG 2tiTT;DEPAItT\fEVT: <br /> I herebY �PP�3' for the use u[ water in accordnnce n�illi ihe rnles nnd regu- <br /> IaLions ot tlie Naler Dcpnrtment, for Pm'P��es nnd fixtures xtnted below•rcason <br /> During the time tM1et nny of the µ��ter mnina may be lnken up bl' <br /> of ¢ny improvemenLs euthorized by lhc Cily of F.rcrelt, in or ot nny streeL or <br /> .illey in which Ihey mny hnce been Inid, the City will not be rcquired to furnish <br /> �rater during lhe Progress of such improcements ta nny consumer whose suPP1Y <br /> m:iy thus be cut otf, or be linble for :my damuges for its fnilure so ta do. <br /> m �jo..3��........_- '7315 ` ... . <br /> xo�k.l...................._:..:....._. �c........':.._.... . naa':`_'.'.';.c.%... :�.. -'._+.,., ' , <br /> A ilicnlion o.... <br /> �..,�...p 1....�r�,�,��'T.en-.4>_..3treet <br /> . .......................................... .._..............._...... ........_........._................... <br /> .... ............. .. .. .... . <br /> . . .The ��rork to be executed 6Y................ �/� ......... . ....-..-.........Plmnber <br /> �i' !i O t. <br /> �tate size of tnp. �/ /�� <br /> t .�. �....Tnp to be inserted in the main. , <br /> �,,........�\'nter closet � � / <br /> ..�.......Da;h J <br /> ..... .......Urinel J— <br /> .....�r.....Plain fnucet inside <br /> .......-.....Sidc n�:ilk �vnshcr <br /> .....-�--'--.Hose bib oulside <br /> ........—....Hose hib for ��nilding Purposes <br /> .......—....Ilose bib irside <br /> ........—..Bib for atable containing....................stall..._............... <br /> .......—....Number o[ P�rsnns in fmnily <br /> Z..�r�..NumLer of roo:ns in building ^x / <br /> The premises nrc to be useJ as n........'M . a�.��..j;(�_q��,�/,���--�f��-�- <br /> The owncr at the Premises is._��//J`��������'�����"�f•�3'd�tl.zo'i---t <br /> Thcagent is...................................................................................................................... <br /> This npplication, nithouqh signed, ahnll not be binding upon the City, until <br /> � �ePted by the Superintendcut of �lh�e�R'a`tcr Depn�,tm�t.— <br /> Sisned..l��JZ1iJ.,..:PA._.o..�.. ._1P/2�::.—�t:.,}.�ApF1SaAnt <br /> � ` �--��f' /./ <br /> ded._�o�..".//...'../..�P'...... Dy.�..fV1Gw.�./..S ' . ndent � <br /> '_�... <br />