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, <br />� <br /> £�..:c-d � -•� z s �,. �.,,...�_.. , _ , <br /> w.n.r;�:m�--icoo—ceco.—e-zaze <br /> Cicy of Everett��later Depar�ment <br /> � 'A�TI�N FOR WATER <br /> :ill bl:mlcs must bc Silled in .r crossed ouL <br /> Eve ett..................._��/....'�.-c..................................1D2..�. <br /> 7 .nli SUPCRI1dT�ND�N'C OR TIIP NATI:R DFPARTISEN'C: <br /> CITY OF EV�R�TT: , i <br /> I hereby spplp for the use o[ �valer in accord:mce with the rules nnd regu- � �, <br /> lations of the �Vatcr Department, for"pm�po�es :md fixtm�es siated bclo�v. <br /> Dm�ing the time that nny o[ the �vater mnins may be tnken uP liY reason � <br /> of any improvements nutliorized Ly the City of Gverett, in or of AiIY sLrect ur <br /> n11eS in which they may have been Ixid, the Ci:y �vill not be required to £urnish . <br /> w:der during the progress of such iniprovements to nny consumer whose supP�Y <br /> may thus Ue cut otf, or be licible for/ .m7 damnges for its fnilure so to do. J <br /> Application Na.................r � x..�"'. - �)Z�3 <br /> ......... . ..... . <br /> lilock...................:�i...�........,��/..c y�Lot....l�'............................... Add........._..._..........._�...........:: y� <br /> No....��':�..'::::U...L�.Street , `�i <br /> ._� � { ' - , �� .. .�, <br /> •-- <br /> , <br /> ._:........__....�..__...:.......i.�. ___.�...l.�........ .............._... <br /> ..__.... ........... ..................................... <br /> The work lo be esecuted by......��a�-j�.........-..PIlu/mUer <br /> Stcte,size OY LAjI. ��/ /G-� G �/ U <br /> �,l`.��..7.'ap to be inserted in the mnin. p'`�' 3 �/�-3 <br /> .._.(......._Wnter clo�et <br /> .._I..........Bath <br /> ._....-......Urinal � ~ ' . �� <br /> __... .., �1 <br /> ......2.—...Plain fnucet inside � . . . .. . ....-..- � <br /> ......:..-....Sidc wnik washcr � <br /> .....�.........Ilosc bib outsidc <br /> ....._�_...Hose bib for building Purposes <br /> .......`.........Hosc bib insidc <br /> ....... .....Bib for stnUle coutsir�ing....................stall.................... <br /> ......`.......rumber of persotw in fnmily <br /> ..... ... Number of rooms in building <br /> ..... <br /> The pretnises are tu be u�ed ns a.... ... . . ..... <<.�Q..........._............--............. <br /> 19ie owner of tU^. prer.iises is........ . .�5. .�....�.�.:L�[�,�,t,�[_... <br /> TI�c ngc�it is..................... ............................................................................................... <br /> Thie npplicntion, slthough signed, oLull not be hinding upon the City, until <br /> accepted by ti�e Superintei�of thq„Nuter Departrnent. <br /> , /� , <br /> Signed.�...__.........���_��:.�..... . . ...`' Applicun <br /> a��ePt�a......�'�..'_z.l�.._.......isa. ... ny./� .. . / "......................... <br /> _� . 'Superintendent... <br /> i <br /> �� _. <br />