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. -��, , <br /> �.�� <br /> I <br /> I <br /> 4,��' ,, - � , � ,7._ 4�,.�.`tc-�-�-(1 /o -�a - :US�r7> <br />� � ' ' <br /> 11'.It.Pnrm J--IG00--F..1�.Cu.�-6•2G�.4 <br />� City of Everettr—Water D�partment <br />� �PPLICATIOI�T FO� V�i�ATER <br /> A11 Ulunks must be filled in or crnssed out <br />� / <br /> Gvcrett,....._.........._/�_�_.�t.CJ..............................1'J2.�. <br />� PO THL SUPERINTRA'D�N1' OF THR 1�'ATFit DI;PARTi1tENT: � <br /> CITY OP �VGRliTT: <br />' I hereby aPP�3' tor the use ot �vater in ;tccardance with th� rules nnd 1•egu- <br /> lulions of thc �i�ntcr Depnrtment, for pmpo=es and ti::tures s.ated 6clo�v. <br /> During the time tl�at auy of the w:dcr mains may Ec ta!:en vp Ly renson <br /> of any impro-:oments au6hurized by the City oL C�•ere[t, in or nf xmy slreet or <br /> idley in ��•hich thcy may hnee hcen laid, the City will no! bc rcnuircd to furnish <br /> w.dm• dm•ing lt:e • -��ress of sUch impro��ements to m�y cmisumer te•liose supply <br />� may tlius he cut oif, urr/be liab/le tor :my dumages for its fnilure so to do. <br />- .lpplicution I��o.....�5...3...�7..�........... <br /> Block................_..................... Lot............� ............._........ Add..___.. .....__. ._. ._...._ _... <br /> � �o.......�..2 G..S -... . u , <br /> .... .. . .`�..-.�............_....................Sh•ect <br /> .... _.._..... ...... ..........................._............................/._................... ... .. .._. ._....................... <br /> The wurk to be executed 6y._ ���/,`e.y�jit:���.--'4.._........Plumb_r <br /> Stntc size of tap. � � _ <br /> ....1�2....Tup to Uc inser.ed in the mnin. <br /> i ....../.......\Pater cl�set <br /> ......�........Bath <br /> ......-�...._Urinal :. <br /> ......�.....Flain fnucet inside <br /> .........-.:....Biae ���nll: �casher <br /> ......./.......Ho=c bib outside <br /> ......_'-:...IIuse Uib for building pnrposes <br /> .......-.....Hnse bib insidc <br /> .....:..—....Bib for atable cont�iniuG....................stall................._. <br /> ....:..--:....Numbcr of nersons in Fn+nily <br /> .....�:......Numbcr of rooms in Uuildin� <br /> i <br /> TLe premises are to be used as a ._. _;...�,�y..f...ti��-�. 4:�- . <br /> The o�cner of the Pree 'ses is._. �.-,��_[1 ...�oc-�.� <br /> �.-�,...�-�'i.,-:��--�'� <br /> �.,� ,s��,t �5........�...cr. - <br /> ,......_. <br /> _. ............ <br /> � <br /> ^�s applicr.tion, nitliough signed, ehall not be binding upon the City, until � <br /> y the Surrrintendeyk of the R�atcr Depurtmcnt. <br /> /,/r �� �� ; - ,,_ <br /> Signed...,�......-.-.�L.4.C..-.M:u.:Ll:c 2::.�_.G'..�.....__..._.........Applic�m <br /> .. ..................:..:....:...._.192...:,. � By.....,.:......�...._......._...._..............._................. <br /> � . Snperiutendent <br /> t'r'_ . . _... . <br />