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. . <br /> ._��_�.." ,�- - . - �� <br /> Nl D.Fnrm/-�ISuO—F,.P.Co.—[.-GT1 <br /> City of Everett�--Water Department <br /> A1�PT.ICATION FOR WATER <br /> All LlanLs muet Le fiiled in or crossed out <br /> � ........1�L.!�. . <br /> E�•erett........... � �"4.._....___ . <br /> ........................... <br /> TO TIiE SUPF.I2INTES`PENT OF TRR NATI:B DEI'AUTniF.NT: <br /> CITY Or EVfRETT: <br /> I hereby npply fnr the u�c of u�aler in acccrdance a'ith lhe n:les m�d re�,v- <br /> laLiuns of lhe �i'ater Depanment, for purpo=es xnd fix'm'es slnicd Lclon�. <br /> During the lime thet nnS of the watcr mnins mey be taken up Ly renson <br /> of anY improvements aulhorized Uc the Citc oC Lrerett, in or of any eLreet or <br /> ailey in «�hirh thcy may hece becn la�d, thc City will not bc requireA lo furnish <br /> watec during tLe Frogress nf =uch improrementv to any cnnsumer whose suPp1Y <br /> may lhus Uc cut off, or bQe IiuUic for :my damieCes for its fnilure so to do. <br /> Applicntiun b'o... _. Y .�.�'.......... 6 6 � � <br /> _. 5 . <br /> e�o�k ...... � �c __. �aa.. ...._ _ _ .. <br /> No..... �...� � .___.Street <br /> � "�.�i ��4' 1 �....................._.. <br /> .... ..__....,._._ ................................._....._._...... ._.._. _____...._......_ .......... <br /> The �rm�k to be executed bY.....-- .-. - -- .-... . - -.- . -.....Plumber <br /> St e eizc of tnp. <br /> � Tap to be inscrted in lhe main. � 0 0 <br /> ..�.!...... � � / __ .. <br /> - - .....\Vnler closet �. <br /> � : � . <br /> ...... .......T3ath � <br /> ---:Urinel <br /> ._...�........Plnin fnucct inside ✓,�- . <br /> ._.:..-:.:.Sidc wnik toa?her � � <br /> � _r -_� <br /> .,-_!�_No?e bib oulside �- <br /> ...::...—:.Hose bib for building purposes ' <br /> ..,::..-..-:�.iiose bib ineidn <br /> ...:.-.....—..�Bib for stable conlaining._.._..........._stall.................... <br /> ..—...—:Number ot persons in family <br /> � ..NumLer of roome in building � <br /> ... ' � /� <br /> The premiaea nre to bc uaed as a.._. .�✓�+-�--��.-�-�-����������-��� � <br /> '� owner of the Premisee is....._..___...._ _ _._..... __.__..._..............__.._ _.._.. <br /> . . .iat ie....._....__._........_....___....._........................_..........._...._...................._.. <br /> .. � �alicatian, nithouqh signud, shnll not Ue binding upon Lhe City, until <br /> the Superinlendent of lhe R'atcr Depnrtment. <br /> fiiqned._��-...t.�^?r".""NUc..�..._..........APPlicnnt <br /> . � ..... ..�'3Q92fy BY.���CQ{Yr�^�............__... <br /> /�7���(J���fj�._.�n[ <br /> � <br /> i <br /> rr <br />