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• '--'-�riQ �i-4- >.S f}_ _ , . . _ .. . . . , � . . . . <br /> . I <br /> 1\'.U.Fu-m I-1Bn0—F..1`.Co.—g-:G.2i <br /> � City of Everett�Watei• Depnrtment <br /> APPLICATION FOR WATER <br /> � All Llnnl:s must bc Cillcd in or crossed out <br /> liacrclt,.........�..-.�...��....1..✓..�....��.._...........19°_.� .. <br /> PO TIIC S117'liIil\TINllPN7' OI� TIIP•. \C:iTF:R HP:PAI.T\IGK7': <br /> • CITY OF E�ti1:ETT: <br /> I herchy upply tm� the use nf w�;rter in accordanec �cith Uie rulcs and re�u- <br /> lations n[ the R'ater llepm�tmenl, fur pmpuses �md ficures atntrd belotc, <br /> Puring lhc timc tlmt nnt• uf tlte water mains mnp be tnken up Uy renson <br /> of nny imPrnrements nuthariud Uy� the Cilp of Tccrett, in or of nnv slreet nr <br /> nllep in �rhich ihey may hnce been laid, lhe City n•ill not be mquired to furnish <br /> �.cator Juring the progress uf surh improeements lo miy causnmcr u�hesc supplp � <br /> m:�y thus be cut off, or �• liable fnr anp dan�nges tur its failure so Lo do. <br /> Application A*o...._. ....�_.Q_�......... <br /> t3lack........... . /. � ........._... l.ot. . __..i._. __./..�._. ._. Add... . __ _ ____ __. <br /> No...-.����..5.�......�..C_./1./[..4'C_C.I.J.�.X.iZCI'Cet <br /> v <br /> ..__.. .. ............ ... .. ..... . . . ..... J . .. ........ . . <br /> . . .... ............_..... <br /> The ��ork to Le eaccuted b) . .. ./�) !�.�'a_.(i'-�Q .�.%' .....PlumLcr <br /> Slatc =ize of tap, � !/��— / �- <br /> / <br /> ...�Z.....Tnp to Uc inscrted in thc mnin - " -�.-- <br /> .. ..�.........R'r.lcr clnset "� .�. <br /> ...�..........i3nth (�. <br /> � <br /> ................U r m a l <br /> __�.__....Plaiu [oucet iueide <br /> .. ..�.........Side }culk �en�hir <br /> ../ .........}Io�c bib autsidc <br /> ..._____...Ilose bib for Luilding purpasrs � <br /> _._........._Ilo�e Lib insidc <br /> ................I3ib for slnblc contninin�....................stall.........._........ <br /> ................NumUcr oi persmis in fnmily, <br /> T��� humber of rooms m buildinfi <br /> premises are to be used ns n._.. .�.�..._.C/.J. �� ,,.� <br /> �� <br /> 1'lie atvner uf thc premisca is�-�:'�i2n. .,!.C.� -=�:�.-:rr ,,.�;'..C'�'��� <br /> T'ic ngenL is.........._....._................_....__........ ................__....._.._............................. <br /> - Ss npplicatian, althoiigh signed, shell not bc binding upon lhe Cily, unlil <br /> ' 'y thc Superintendcut of Lho R'ater Depnrlmrnt. <br /> ..r,_ -._ ';_ � � �--- <br /> .",ignedy�........_......�.�h'.1:.V...:.._..:'..C.)........_.�_........ .....Applicnnt / <br /> . . '_.f�....�.._....192.7. Bp'r��'';j..�.�.��L.O'('l / <br /> ............................ <br /> ' Superintendcnt <br /> �' �. <br />