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� <br />, <br />,• <br /> f <br />� <br /> �-S�-.y.U,�,-se_ 7+, i�-,-�- _ � � ' �_ °l- �t�� •;� ';'i; �� <br /> C�r�..�-��L., <br />� l4'.0.P'urn�4—IG00—E.P.Co.-6-2G-2d <br /> City of Everett--�tiUater Department <br /> ��PPLICATION FOR ti`T��TER <br /> All Llnnks must be fiiled in or crossed o/ut <br />�f Everett�...........���li_�'-/.......Z_��.........192...Y <br />'�� TO TIIE SUPLRTNT3NUENT OP TIIE R'ATCR DPYARTnIGNT: <br /> CITY OF EVliRETT: <br /> I liereby npply for tLe use o; watcr in ucem�dunce with thc rulr.s und tegu- <br /> lations of the �:'�ter Deparhnent, for purpo=_es e�d fi�tu:es stated Lclo�v. <br /> During the lime that any of the �vater muins mny be inken up Ly renson <br /> of nny imPro'+emen[s autLorized Ly the Ci.y of Evcrett, iu or of any street ur <br /> alley in which they mng ha��e b.•en laid, tl�c City �rill nut b- re�uired to furuish <br /> water during the progress of :uch impruvmnents to n^y cmisvmer whose supplY <br /> may tLus be cut off, ar e li�le or xny damag�s far its fiulure so to dc. <br /> Applicutian No......�..'.�._..�........... <br />. � i� 5_ �L <br /> Block........ .... ...)........._... Lot....�..............'•_............ Add...._.....__.......__........_._... <br /> �.. • <br /> ,I o..........�.y.O...J�.�...."_'.....c�...�..:�..ZG.. <br /> �...........Street <br /> _ _........ . . .. ...... ......._. ..... . <br /> The �vork to be esecuted Uy ._. �— Plumber <br /> � U� ..... <br /> Slate size of tnp. . .'� _ �-/ '�' <br /> i . � �. 1 <br /> � ... , <br /> ..��Z_..Tap to Ue inserted in the mu�n. " . � ` �.. f y' I ' � <br /> I . <br /> � . ' � <br /> _....�.._.....Nntcr claset �� �I�R ,`; �-) �jL6 �'- <br /> ...../..._...Buth Cii� �F E'i"i; ( ��;,lT::� i _ �, ' <br /> ......-.....Jrinal :..�.._............................ .. <br /> . ............... ,�, <br /> ._...2...Pl�iin fnucet insidc <br />� � ..........—c..Side �valk washer <br /> _......�......Hose Uib outsitie <br /> i� ...._c.c:.-I�ose 6ib for building purPoses <br /> ..........—'.:Hose hib inside <br /> .........—:Bib for stnble contnining....................stall.................... <br /> ._........�NumLer of persans in fanily <br /> ....��._�NumUer cf raoms in buildino � . <br /> Thc premises nre to Uc used ns a..._ ___... _ �_ ........... <br /> . . ..'.._._......... ......�........ <br /> The oa�ncr uf .he Prer.mises ic...�yLc.•. ... .... .��./ ./_L� . ._... _..._. <br /> Thengent is............................. _........_........................_........_.............._........................ , <br /> "`,is npPlication, although sifined, chull not be binding upon the City, unti! <br /> �:� ,ed by ihe SuperinCandent of lh��nter epnrtm t. <br /> 1/ �/ �fj r � <br /> � Signed.�( /�'- V v2 .. .. ... .... ........ ..... .Applicnntr <br /> ....... /��'����.................. ... <br /> �'�..'.�. I .... ......1�J2� By.,�...... .Lf/ .. ...... . ... <br /> � � � � - uPcrintendc,it � <br /> v : <br />