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��,-`"'=.?-7-as� ' ,_ .:i �.;. ;.e . - - � . . . . . . <br /> {4(p.}���J-1604—EP.Co.—GYU21 ' <br /> City of Everettr—W�ter Department <br /> APPLICATIOIr FOR �TATER <br /> All binnk3 mrst Uc fiiled in or cr��cd out <br /> - „ <br /> . ......._1'.12...... <br /> Ecerclt,....._..�LG. .s.�........................ <br /> 7'p TIIE SUl'lilil\TENDI:NCITY OR'EVli1tL•'TT;DEPARTD;I:\T: <br /> I lureby app1S for lhe use uf��':�ter in :iccardnnce ��•ith the rules nnd n'B�' <br /> I¢tionsDuring lhc�limc th�nttne9t<��t�����u'°�0r m:ios ni yrbe inken'uP,liY rcnson <br /> o[ nnY improcements aulhoriacd U)' thc CitS of Is:eretQ i� or of nnY sG'cet or <br /> nlle)' in .��h�ch thcYio rc 9n�f tuch im�P�'�h^�cnt� to'anv consumcr�rwho efsnPl�S <br /> o•atcr dunng Uic P ��n oo�..._....._......._......._.... Add.`1�1�.itl o. <br /> maS thus bc cuL off, or bc linble for nny damnges tor �ts Cmlure so lo d <br /> pppiicntion Nu... d-� , �� .:. � <br /> _. ..�......t:.. <br /> lllock...'../...."..�...q.....I......... Q� � I� <br /> 'J��/.d�.l....��..(!llL�a.t�,2'....C'�'[.�.._.....Street <br /> No....... . <br /> ._._.._._...._.................................__._... <br /> ............__......... <br /> ....__..._.. ....... <br /> ...._. , _.........Plumbcr <br /> The ��'ork lo Ue execuled tiS-��----- - �f`�JJ <br /> . .. ........ <br /> /i`f— <br /> State size of tnP• /' / /-5 <br /> ..�/L:.....Tnp to L•c inserled in thc main. <br /> .._�..........R'ntcr cio�aL <br /> ....�..........Bnch <br /> ._...L-.....Urinnl <br /> _..�-.__.Plain fnucet inside <br /> ........`.......Bide �vnik �cashcr <br /> ...�...__....Iiosc bil' oulsidc � <br /> ..._�-.-:_.....Ilose b b for buildinB Purp�ses <br /> ...L:-.._Aose Uib insidc <br /> i <br /> ...��.Bib for s!ablc contnining......._...........etall_� <br /> ,.v/, ...NumFer i�[ Pcrsons in fninily <br /> � ,_,,,""1.........Number of ;noms in bnilding„ / � <br /> T6e Premises nre to bc ueed ns n.......... <br /> ��..t(/�^'t_.LR--�.....__... <br /> TLe o�vncr o[ the pre.' es a ---- � �---�-������ <br /> � i ...... ..._........ <br /> '�,� ngCnt is..........��'....�j�... �._ _ _._. <br /> �pplir.dion, n kough signcd, chnii not U�T`m�^B �n thc City, antil <br /> �. :Uc Superinlendent oC.t1�c at � � <br /> _...... <br /> ......ApPlicnnt / <br /> � <br /> �.. <br /> SiGned. .._._..... .. ....... . ....�. //..� <br /> -s"� . � 192...... II3.,�:-�,�i�.�.... . ...� <br /> . ..................... <br /> �...� ....�✓ �- ------ Superintendenl <br /> � : <br />