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_ �,.�,-�'.r�.5'�3o-3d-lr '`<�.,c�Ci7' �.��y-/7-Sa ii <br /> W.D.Porm 1�-1G00-F.CCo.-G:G-Y! <br /> City of Everett--Watei• Department <br /> APPLICATION FOF, WATER <br /> .�.11 blunks must Uc fillcd in or crossed out <br /> Evcretl�..........................��....1�/.-............................1'J� <br /> � TO THL•' SUPERINTF.NUF.NT OF TIIF. 1PATF.R DF.PARTT[EN'C: <br /> CITY OF liV�R�TT; <br /> I Lereby npply Cor the use of w�ater in ncccrdm�ce �cith thc rules nnd regu- <br /> 1¢tions of thc R'nter Dcpnrtment, for purposes and tixtures stnled Lclow. <br /> During lhe time that any af thc �valer mnins mny be tnkcn up by renson <br /> of nny improcements authorized by the Citp oC Everett, in or of any street or <br /> nlley in n•hich lhcy mny have becn Inid, the City will nut be rer,uired to furnieh <br /> wnter durine the progress of such im�iroeemenls to any consumer whose aupplY <br /> . .......G:c c7`/ s o do. <br /> m:�y lhvs Uc cut off, or be IiaUlc for any dnnm es for �ts fnilure so t <br /> G 7�z. i...... ; , , <br /> Ap�licntion Nu.../ l. � �� � <br /> Block...�.J�l.�.._. Lo���......_....Strceikd.. ' _........^...._..:....._....� � �. <br /> No....... <br /> .._.�......._................_.....__._.._..........._.... ...... .. ..__..Gt_/ ..................................... <br /> � The work to be esecuted by....� � 1 .•.Oti]�--G�-C�..-.._..-.._--P�umber <br /> V�i� ...... <br /> Stnte size of tnp. / �-�-- <br /> Z <br /> ...�.��-...Tnp to Ue inser:ed in the mnin. <br /> .......�.......���nter closet <br /> ......-.......Bach ;� - . <br /> — ,, . ._ .., . <br /> ................Utinel � <br /> ......i....Plnin fnucet inside � <br /> ....... .....SIdC WAIIi Wi19}ICI <br /> .......�....Hose bib outside <br /> ........�....Hosc bib for building purposes <br /> ......-........Hose bib insidc <br /> ....... ......Bib for etnblc contnining....................stall.................... <br /> ...... ......Number of persons in family <br /> .....,3....Number ot rooms in building <br /> The premises urc to be used ns ... .....��`.'....... .... . . ................. <br /> /�( r / <br /> The owner of the premises is... ....,........l..�C.y��w;c�._.._..._. <br /> Thcngent is..................................................................................................................... <br /> ihis npplicntion, although signed, shnll not be biuding upan Lhe City, until <br /> .,;pted by lhe Superintend!e�ntA[ tre R'nter epnrtment. <br /> SiGned..��....t�.U.%`sd..... ......... �'i.r��-,.1,��Q. .�.... .....A ' ant '. <br /> ented......�..'�� . -:..L^,'�,.A IISi.�✓'.:l , <br /> .._.... _ l�. ...ndent..t <br /> � <br />