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�-.—�/ 7—�1-,x,� .IJ' ���c�l g:zN�x��f' <br /> w.n.eo�m a,asoo—r.r co.-c-zu2a ' ' <br /> City of Everett��l�tei� Department <br /> ��PPL�CATION FOR WATE?Z <br /> All binnlcs must Ue filled in or crossed out � <br /> Evcrett�........... � ..192l-.. .. <br /> ....................... ....�............---...... , <br /> TO TIIE SUI'ERiNTENDI:NCITY OP EVG 2CTT;DEI'ART�IL•NT: , <br /> I hereUy :.nr�y ror the use of wnter in nccordancu �eitl� the rr.tes :md regu- <br /> Intions of thc �Vater Department, for Purposes and fixtures stated Ucluw. <br /> During thc lime thnt nny of thc waL:r mnins may Ue tuken up bY rcason <br /> of any improvements authorizcl by the Ci1.y of liverett, in ur oi nny etrect or <br /> ulley in wh�ch thep m�y hace been laid, fhe City will not 6e required to furnish <br /> water dm•ing the progress of such impro��emrnis to eny consumer whose suPl'�Y <br /> may thus bc cut otf, or he liable for any d:,mages for it�s Gi�r� to do. <br /> . APPlicatiun No.......... ..�.�.... ... £ � /� l `'. e D <br /> �. . ....... � <br /> — . .._._.._ . ..`-�-� � <br /> Block..._.....3. .. ._........._�Lo/t�.-..�f..._�.�.1......./_�...... Add.�R�`"^C'<'C_ <br /> No...._�.(...�..G. ..-....L�.l_/�'�...�__._....._.............._�`.rect <br /> _.........._.........__........_.._....._... <br /> ........ . ........... <br /> .... The worlc to be executed bY............. . . - . . - .......-.......-......Plumber <br /> ___ _ -t <br /> St tc size of tnp. ��y- - � 5�- <br /> ��.��....Tnp to be inserted in the mnin. . �., ". <br /> .._�..........Watcrdaset , . .. .., �,, '', �. <br /> � '�'..��,. �1, i � <br /> ..BntU , .-.`.,.. <br /> ...�......__ - , �, <br /> •..Urinal .. . � �� ��`� �����':.-. <br /> .....�-.. i `��(�a .. . ,,Jpj•�. <br /> ��_....Ylnin fuucet inside . '� <<p.H' ' �/ - <br /> ..,, � ...... <br /> ...:..Side walk }vashcr .".�. . ,: <br /> . . 1; <br /> J,�„_Hase bib ouCsidc �� .����'��� � <br /> ................Flosc bib for building purpos��:; <br /> _��Ho�e Uib inside <br /> ......-__.�SU for stablc contnining.__..............stnll.................... <br /> ................�mUer of persnns in family <br /> .. , 'Y ..�nY,cr of romns in building � <br /> �. .... <br /> 'ilie prer.iises are to 3e used as a... . . . . ........_...... . .........._....... ...._................. <br /> The owner of the prer.�''^e is......�6:"!-�'?.._C��__.. �5�............._......... .... <br /> / <br /> Theegent is........._......._..............._......................._......_�.__...................... _............... <br /> This aPplicntion, nithei h sidmed, shall not Lc binding upon the City, un:il <br /> :pted by the Su erint cn� of the nter Dc artment. <br /> P <br /> �` <br /> Si6m/ed............................ ...... ................. . . .................5......... �ican <br /> �epted......FI.....r25Z'........19 . BY.. ...�/YF�I,i� -.� '... .. <br /> .. .. ... en . <br /> � <br /> ,.r_._ . .. __ .. <br />