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��,..0 b a.,zb- �a.m . �.uc�;I b � ��- � l • �';� � \ <br />�v. n. r�.m �- icuo-e.r.co.-s.:s.z� <br />City. of Everett���ater Department <br />APPLICATION FOR WATER <br />All 6lanks musL be tilled in or crossed out <br />i <br />Everett ............. .. .. ... ..-.... _�.5�.... ..19° _% <br />1'0 TIiL�' SUPERINTENDGNT;Oi`T�TF:R DGPAR7'T1E\T: <br />�CIT�( � EVEP.ETT: <br />I liereLy apply fat the usi• u[ �vater in nccm�dnnce �cith the niles and regu- <br />lalions of thc R'nter Department, for pw•pnses and fixlures stated Lclo�e. <br />During lhe timc thnt an}' oC thc �vater mnins m�p be tuken up by Tcason <br />nf nn}- im irovements nuttiorized by thc City oC F.vcrctt, in or ot nny street or <br />ullcy in �v�ich theS may hnvc lreen laid, lhc City «•ill not be required to furnish <br />�vaNr during the progress of such inlprovenlents to anp conaumer whose supply <br />muy thus Uc e��t uCC, o�r /be linble for :.ny dmm�ges for its failure so to do. <br />.Applicntiun A'o....p...�.�..,�.�.^........_...... . <br />61ack..............................._....._ Lot...........�........_....—............... Add.�:,._.�..:.' ._.". . .., .. <br />No........_.`�.�. -���..l�-ec".L�:!.:Gv!-�-Strcet <br />.._. . _ . ......_.... _ ....___. _ _ ........ ...... .__.. .._ .._ ......__._..... <br />Thc w•ork to be executed by ._. ._ ��� �...( .�---. .. ....PlmnUcr <br />,j_ �•= � � <br />Slnte size of Lnp. I --� _ <br />..��2.:...�.TnP to be inserted in the m�iA.. � - i �� � <br />__.L......_Watcr closet � � ` i <br />. .. <br />....�..........Buth . ._ ... � '�' ���.'i] �-- <br />C:�„ �.r �. ..'._i . .. <br />� Urinnl c ��.i' . ,� � <br />.... . <br />:. . �.....` <br />..._..2-....Plnin fnucet inside �'����� � . <br />.......�.Side tvnlA wnshcr <br />.......1........F[ose 6ib outsidc <br />.........-:...Iiose bib tor building purposes <br />.........-...Iiosc bib inside <br />......-�:..-...11ib for staLlc COI1:81tIB1�.....__._.......9IRII .................... <br />...........�Num6er ut persons in fnmiiy <br />...._:.�...�.....Number of rooms in UuilJing <br />The premi=es nre to be used ns n..i...,�.._. ....�/. •...._......_.... <br />� <br />The oa�ncr ot the Premises is._.�%/22.ti[..!/l... � <br />. <br />. . .... _. .._.. <br />Thcngent is_...._ ...................._._.._........._...._...... __...............� <br />................................. <br />-�s npplicntion, nithough signed, chnll n�i 6e 6inding upon the City, until <br />' by the Superint �t�4'tj e Wnt,r llepnrtment. ��-�`'j �, <br />SFmed�%�..�.��.•f�J�!'�!x....�. �'/, � <br />/ <br />� Lt2...-..�:�.c.......192G By.. .. ... �.. .rY./ ................_...... <br />� Superintendent <br />