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.Ss',>Y./..e eP 7 -�,e' c. <br />L- ' <br />\1'. D. kbrm IrlROo—E.P.Co.-4�Y6�2J <br />t_ � . , i.s� .` . - . - /'� � . <br />Cit,y of Everett�—W�ter llepartment <br />APPLICATION FOR WATER <br />AII Llunks rousL Uc filled in or crosscd out <br />i <br />I�,verett........ ��1-./2-..5 .............................. .......192...... <br />TO TIII; SIiPF.RINTli21UE?1T OR TIIF. R'ATIiR UliPARTDIEST: <br />CITY OF PVEI2I:TT: <br />1}�ereby npp13' fur lhe use of water in accordance a�ith the rules anJ regu- <br />lulions of thc R':�ter UipnrLmmit, far pwpuses and fix!ures stnled bclo�e. <br />During thc lime thnt nny oC lhc ���:der mnins mny be lnken up bp rca�on <br />of nng improvementa authuri2e� Ly the Cil}' o[ ISceretl. in nr ot riny ntrc�cl or <br />❑lley in which thcy mny Un�'e been laid, lhc Cily �vill not bc required to turnish <br />watc- dm'ing the Progress o[ encE impracements ta any consumcr whovc suPn1Y <br />m�y lhun Uc cut off, or }�•e �l�inb{�le- for any dnmagrs for ils fnih�rv� so to do. <br />Applicntion No.._�-�--0-i.--�?'-�=...<� O <br />�� � <br />Block C . _... Add.. __ __......_. ...... . . <br />........ / n _.. . . . . . <br />Na. ._..�..b QO�..._. ......Pi�_.Street <br />. _ . _._..........._.__ .............._............._..._.........__..................._ . ......_._........................... <br />�... The work to Ue executed Uy..._.__. _ ... _ .. �. .. _...U/n� � (,�...Plumbcr <br />Slate size ot inp• �/ fr�1 D 0'a �` d <br />_._��j...Tap to Ue inser:^d in lhe,�natfi.' �%J "�- <br />.._(..........Nnlcr closcl <br />..._�..........Dnth <br />.. <br />................L r�n nl <br />_.�--.......Plnin faucet insiJe <br />._�........Side �calk wnsher <br />...�....__..]losc bib oulside <br />.�c.:.......IIosc bib for building Purposes <br />�.-.-......Iiosn bib inside <br />� <br />....�-._..Bib tor slnUle contnin:ng............_..... stnll..........-__._.. <br />_ G�l.-��....Numbcr o[ Pcrsons in family <br />yJ._......Numbcr at rooma in building ,//, <br />The PTemises nre to be used ns n . { ti-�� �`^'��� '•�----�- <br />The aa'ner of the premises i=_ ��.. .,..�� `���-����t� -- � <br />Thengent is.........._......___........._......_....._........._____.._.._._ ..............._.............._.. <br />Thin npplication, n1Lh�mgh signed, ahall not be Uinding upon Lhe City, until <br />accepied bp lhe Superinte7ndcnt ot trhe Nnt�er llnepnrlmenl. <br />Signed.�/ 01 �`-v. C o� C_X�t���.... APPlicant� <br />Accepted...J�.. ./?..�.5..192__ By.�.:.•�t?� <br />" " G ------, crmtendent <br />