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� =�- °� � i�: ��- . � <br /> .�"2cf� /z`s -- � '�-�-•-�, -�� � <br /> � <br /> ' �v.u.e��m�-icoo-�,eco.-�.zs.ze •. . . <br /> City of Everett���later Department <br /> APPLICATION FOR VJATER <br /> All binnks m�sc bc tilled in or crossed out <br /> Evcrclt�..................................��.../...1..................19� <br /> TO TIIE SUPERINI'G`IL"r.NT OP TIIE l4ATF:R DP:PAItTnfEfi7': <br /> CITY OF EVEItGTT: <br /> 7 hereby npply for the use of�vater in nccordance wilh the rules nnd regu- <br /> Intim�s of the Wnter llepnrtment., for pm�posex and tixtnres stated bulow. <br /> During the time thnt nny at the wntcr mnirs mny be tnken up Uy rensan <br /> of nny improvements nuthorized by the City of Ecrrctt, in or of nny aLrcet or � <br /> alley in which lhey mny have bcen lnid, thc City will not bc required to fu�niah <br /> �cater during lhe progress ot such improcementn to ony consumer whose supply <br /> mny thus be cut o(f, or bc linble for any dumnqes for its fnilure so to do. <br /> a�Pu�q��o� xo...........�4..9_�....... —5 S o . <br /> Block._.................�'.Z�..._ Lot...._..........Z '�i .. Add... ...... <br /> .................. .. _. _..__._. <br /> ..._........ <br /> No..._......�..�.�.- 2 <br /> .. ......�....__.._.....-�......Str�et <br /> _........._...._........ _ ....._......................... .. . .. ........_............ <br /> _ ... ........ .. ... <br /> The work tc be executed ...... � Plmn6er <br /> /� _ . . ............... <br /> b5�1 ;. ..._..... ........._ .._....._..........__ ........... <br /> S ate eize of tap. <br /> / " ; � ., , <br /> .�...........Tnp to be inserted in the main. � ,, /��_�. `.� .,, . ., <br /> ..._�.........3Vater doset ) � � <br /> .�............Bn[h .i�i: . . <br /> ................Urinol <br /> ` <br /> _..............Plnin f:mcet insidc <br /> y.......`.....Side n•nik �enshcr ' . <br /> ................Hasc bib oulsidc <br /> .....Idose bib for UuilAing Purposes ; <br /> .__...........Ilose bi6 insidc ' <br /> 1 <br /> ........—Bib for atable contnininfi....................stnll............:....... <br /> ................Numbcr of pereans in family <br /> ..�.........Numbcr of rooms in buiiding , <br /> The premises nre to be used ns a. ......._. ...._, �"���n°<-�- <br /> _.y............... . . . <br /> 7'he owncr ot the premixes is.._._.C.. :C.-1.-� n-�' � .. <br /> . ......_. _.. <br /> ._. .... ........_......_....��_ <br /> Tltcngent is.................................................................................................................... <br /> This npplicntion, nithough signrd, ,lmll not be biuding upon the City, until <br /> .cepted b:� lhe Superintendent nf the N cr N�P nrtment. <br /> Signed........��./L:L.��' ' LiZ.L���.. <br /> �>' ......�.._.., .. . .._. ...... -L�L.....Applicant / <br /> ited...._.................. �.'....... .� / / <br /> ,�j . ..... .......192...... By,f . . .'7..:`_......,�._..�..... <br /> �`'- � • v�0 L.M� a��".:e�uyr}i�dent...I <br /> ���;-_ <br />