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E , ` r' �= - <br />�c. n. i��.m �—rno—s.eco.—s-zs.s� <br />. City of Everett--�Water Department <br />APPLICATION FOR WATER <br />All Llank,v must be filled in or crussed out <br />GVcretf,..........__._...,.:./�✓.!/......Z...�..�... ...] :12.1. <br />TO 7'IIG SUPEI2INTI;NllTNT Ob' TIIR R%;\TER DF.PARTrIE\T: <br />C]TY OF EVPRITT: <br />1 hereby apply Ior lhe u:,e uf tc;�tar in ;iccord�nee ���ith the rules nnd trgu- <br />lations of the \Valer Dep:vtment, for pu�pnses :md fixtmms ntated belo�c. <br />During the Lime thnt nny o[ the u•ater mains may be taken up Ly rcason <br />of nny imprncemenls authorized Ly the Citg of lverett, in or of nnr s6rect or <br />ullcy in which ihey map hnce bcen lnid, lhc CiLy will not be required to furnish <br />«�frter durinq the progress of euch improremenfs to nny consumer whose supply <br />may thus bc cut off, or be liapble for :iny damnges for its fnilure so to do. <br />AnPlication No..._....�.A.�........_..._ -- -,,c�T�_ . <br />" <br />Block _ ....... :. _..._ Lot.... ..,. ....... Add........ <br />/ <br />�� _ _. <br />No. _ _ �..�f'.rf in...J�/..-L'. ...0 �. z-c.vrr2Street .. __.. ... <br />._.._._..__...__... _ ...................._..._..............._......._..............._.._... <br />........ _ _ __. <br />___..._._._... <br />Thc work lo Lc execuled by.....__._ .. <br />.. . ..._...Plumber <br />SLaLc,�size of Lnp, ��� �� � <br />�... t��/Z /� � „_ <br />��..Tnp Lo be inserted in thc m�/ �� <br />..__..........1Pnter closet !� <br />G. � � <br />........_._..Bntli . . <br />./�� c � �� �� � , . <br />................Urinel �'., . <br />........._.._.Plain fnuce: inniJe <br />..._...........Side �calk }��nshct . � � 1 " -,. <br />.............._Ho=c bib ouLside ��%/ � • '•+ � § . <br />� ����s.p,�j <br />--....._...._Aose Uifi for building �mrposes �'� !��n� ) \1 i <br />-.-......__.Hose bib inside �m' f;F �rtk' S�92,�j <br />..-'....._.....Bib for staLle ccntnining......fil....,,,.alalL.....���� �� <br />t <br />--.�����.-�....NumUcr of persena in fnmily ���--__ <br />_:r .. <br />�-��--.�-��_..Numbcr of rooma in building <br />The premises nre lo be used ns n..___. <br />.. ..........._.... <br />_......._.........._....__.... _ _..... <br />T6^.owner of the Premises is.._.__ �� -"� <br />.. _ _ ............ . .. <br />. . . _...._....... <br />........ ......_.._.._....._. <br />he agent in ............... - <br />..............__..._..............__...__ .... <br />......__._. <br />This npplication, atthou�h signed, shnll not Ue Eindin ................................... <br />necePled by the Super�intyendcnt af lhe q'n!.er Depnrtfienk uPon Lhe City� until <br />Signed _.4 l�.,u�. . �.._,_ �,Q,� 0 !' <br />Arcepted. .. � `� � P ant <br />�l' 2"-= '� D}'1.�,� � <br />� ............ <br />endent <br />� �. <br />