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�n1-1�6 �-IIC-»ifl �".�� i-. <br />� I� /-/%—b�'—F%i. <br />l�t D. Porm 1 1'v;rn_.]? P.Co.—.6.2G:21 � . <br />City of Everett--�Water Department <br />APPLICATION FOR WATER <br />All binnl;s must Lc tiiled in or crosecd out <br />E�•crelt .................._............����................................1:125 / <br />TO T11L SUPF.RINTENDi:VT f�R T1IE 1VATF.R llEPARTnIENT: <br />CITY OF.L•'\'F.'R1:TT: <br />I hereLy npPl)' tor lhe ir..c of wntcr in accrrdnnce �vith tltc rules nnJ tcgu- <br />lulions ot the {S'atcr Dc�nrlment, for pm�poses �md tiz�nres sinled Lclow. <br />lluring tLc time tSat nny of the waler mnins mny be Lr�ken up by renson <br />of any in;provements ntthoriud Uy tLe City ot Isrerctt, in or of nny street or <br />allcy in which ihcy map hxee bren Inid. thc City tvilt nut be required to furnish <br />a'ater during the progress of such imprm�emente ta auy rnnsumer whose supply <br />mny tlius bc cut off, n(r bc linblc tar :mg dnnmges for ils fuilure so to do. <br />APP>icnlion No..._O.�/-S` <br />................ ........ <br />Ulock........ _ .. ... ......... Add.. ...... <br />Lo .. ... <br />xo..�, 3.� , <br />_ .._......_ _....___... <br />.�,�,�.. . C!/._ 4_._ ..................Street <br />. . . ........ . .. . .. .. . <br />. . ... ... .. . _ _.... <br />n....__ ._.....__. ._.... <br />The �vo�k lo be e:.ecuted b� .�-jti ,_ __...._ .Plumber <br />Stnt sizc af tnp - _ �� <br />.�.Z-......'inp to bv in=erted in thc main. <br />._�/..........�Yntcr closet <br />....�-..._....B�th <br />.......`......... Uri nnl <br />.._,�.......Plnin faucct insir,c <br />.__..`......._Sidc ���nik �easUe� <br />. 1.-..-........Ilosc Lib outsidc - � <br />9' <br />-L:........Hose bib for building purpo,es <br />-L.:.......Ilose bib inside <br />..L.:......BiU for stable contnining............_.....stall ...............__. <br />..-�".-:...Xumber ot persons ie :umily <br />........:.. . NumUer of rooms iu 6:iilding <br />r <br />Thc premises nre to Lc used ni n._. a-C <br />. . .. .... �. <br />1'he owner of the pre� u ea is. �% _ <br />. .._.. ..... <br />. . . . ....... . _. .. <br />Thc agent is.. . . _. �. .._/. � y� ---. <br />. . .. ......... <br />�cntion, nithnugh si�,nted, ,hall noL binJing upon lhc Cily, until <br />Superintcrylcvt6 uf tl�c i�nlcr pnrtmc��}J <br />/./ , /���J`1 <br />>igned�L...�... ��..."."..E.......... ..�.A� cnnt <br />. .. . ..... ..... ... �. pli <br />:�.:/..�1.,...2..d......102...._ "§y..._5... -.d!��.. / <br />P <br />� � �CD�nntendent <br />