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v�' / � 'V �O ✓ � � � . . ._ .. . . . . /1 . <br /> N.D.t�orm�—IG00—E.P.Co.—G-:G-R/ <br /> Ci�.y of Everett�Water Depai�tment <br /> AFP�ICATION FOR WATER <br /> All binnks must 6e filled in or crossed ovt <br /> Everett�........... ^.....� ...192.�ii <br /> L�..r.. ........ J.................. <br /> 'PO TIiE SUPERINTENDGNCITY OF EVEItI TT;nEPARTAiENT: <br /> I hereby xPP�Y fur the nse ot o•atm• in nccordnnce �ei[h th^ rules and �eG�- <br /> I¢tions o[ the Wnter Dcpnrtmenh, tor P���P��+es nnd fiztm•es st-'.ed belote. <br /> During the time thnt any of thc n'aler uinins mn�� bc tnken uP Uy renson <br /> of nny impro��ements nulhocized by ilm City ot licerett, in ar of nny street ar <br /> ulley in wLich they nmy hace been Inid, the City will nnt bc required to furnish <br /> w•iLLer dm�ing the progress uf snch imProvemenls lo any consumer ��'I�ose supp�Y <br /> may thus Uc cut of[, or be lirbl� for �ny dmm�ges for its fnil��re so to do. <br /> Applicntion No......�.�l� K ��3 <br /> . ............ <br /> Dlock................._�_3�....... Lot..............�.r.^................ Add. <br /> /_ /� �� __....__............__........._. <br /> No........_.'�.�._�J. ',�...�,/LL/...[tl/Iit<c.t:t�eStreet <br /> � ....... .... <br /> ........ ....... <br /> . ....... .. . . ..._ . . ....... <br /> The �.rork to bc erecu!ed bY-. . � ..LZ. — <br /> �' �� C .......Plumbcr <br /> � "c F, ,c , ' t�o 7-C- <br /> st��t e�ize of tnp / -1 , ' ' <br /> ...���.....Tnp tu be inserlcd in the main. <br /> .......�.......Wntcr cluset <br /> --....�........Bnth �1 <br /> ....._........Urinnl � ,- <br /> ,.....L...._Plnin fnucet insidc ; <br /> ....... ......Sidc walk wnshcr <br /> ......�........Hosc Uib out,idc <br /> .....:.:........Aose bib for building Purposes <br /> ....`:.........ilosc bib insidc <br /> .. <br /> ..__...Bib for staUle contnining....................stnll..........._...__. <br /> .._..... Number a[ persons in fanily <br /> �.... <br /> . .�!......Numbcr of rooms in 6uildmg <br /> TUe premises nre to be used ns n �. .. ��`���-�-- �- - ��- � ��-� <br /> � -"? <br /> The o�vner ut thc prer.iises is. ./..-......f { � ..-. < < -.<.. ..-. .... . ...... <br /> Then�ent is.........._................:�......_._......._...................._..........._......................... <br /> This npplicntion, nitho gl siFned, chnli not b binJing upon lhe City, uctil <br /> nrcepted by the Superinte d t o[ the Nnler P rtment. <br /> � � Sign l:�.LC�... ......��. f t� _ .7"_�.'�i.:t-�JJ.�pPlicant/ <br /> .................................... <br /> � �� � � � <br /> .ccepted.._.......................... ...102...... IIY... . . .......l�..r�7::;..�. ...... .......... � , <br /> ; �6 — ��M F' ✓�.`� s°�"�'��� � <br /> �(/ -o �� <br />