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���-�,s-�-��-ir �:,_�-., ; <br />� a�. n. r��m��._�,00—�.r.co.—c-:t-xa .. <br />City of Everett---Water Department <br />APPLICATION FOR WATER <br />.ii� blanl:s nmsL Le filled in or crossed out <br />Eceic tt ............................ ��.��.................. ...19_'...... <br />1'0 Til1: SUPli21NTCNDENT OP TIIP \PATF.R DGPNiTilII:N'C: <br />CITY OR F.VLI2ETf: <br />I hereby apnlS fnr the use oC ���ater in nccordnnce �cith tLe rules nnd regu- <br />lations of the Nnter Pct�rrtment, for purposes :md fi�tures stated below. <br />During Uic timc th d nny of thc �catcr ronins mny be tnken up Lp reuson <br />o[ any improeements nuthurized Ly the City oC lecret[, in or of nny slrcet or <br />nllcy in which ihcy mny hnve bcen I:�id, lhe Cily c�ill not be required ta furnish <br />�vater during lhe proqress of such improvemenls to nny cunsmner �vhose supply <br />map thus be cut off, or bc liublc for :my domnges for its failure so to do. <br />APPlicntion No........�f ....-5............ — / / 3 r7 <br />131ock ..............��6 Z. ..at........ z� ...__. Add.. . i�-• <br />�7 ....._ ................ ._�.............._ . ._ _ .__..� <br />No..._....h.�..�.�..... _ . . ..... .... ._..__Street <br />..._.__......._.._._.._ .................__............._........_............ .... _......`../T .................................. <br />The n•ork to be executed by. ......._. ... ��c�� �1........._._......_..P]umber <br />Stnl size af lnp. � � �i. •�(i{f ' Q' l��.�'� <br />/ i� <br />..(.._Z.Tnp to be inserNed in tUe main. <br />.__..�.......\Pntcr closet <br />.......�.......Bath <br />........ ....�?rinnl <br />.._...2....Plnin fnucet inside /. % � <br />.__..._^..Sidc walk �vnshcr �`� <br />._.....�....._Ifu�c Lib outsidc � <br />........—...Iiose Lib for building purposes <br />........—....IIosc bib inside <br />.......—....IIib for stnble contnining ....................etnll.................... <br />....... ....A'umber of persons in fnmily <br />.....�.....NumUer o[ ronms in Uuildin � � <br />Thc premi?es nrc to bc used ns n... ..... ., ..... . . <br />The awncr ot the Premises..i _..._..�:�.�..__. .._ ct �..+..!% ....................... <br />Thcngent is....._........._ ........................_.........................._._.._,..�......................_.... <br />:'his npplicntion, altliough signed, ahnll not be binJing upon the City, until <br />ncceptcd by the Super�t�c� �� nt of theq \Vnler De nrtment. � <br />Signed.,.�.....1[.rt,t-N._• vJ!.. �p.r,.� ^. . . A pli nt <br />_...�. . ...................... <br />� r l �.... <br />- <br />Accepted. �_-a.�:?....... �./. .102.. .. Bp. ...... . _��U l�.�' _ .� . <br />.. ..s <br />( $�«y' Mr�dent <br />