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� <br /> , <br /> � <br /> , <br /> ; <br />. <br /> � <br /> ,i <br /> I <br /> ���7.}i il- i4-::'; .. � y �c.-.-�v.s_5.- '}_ . � . n . . � <br /> '.C.U.F�rm A_.I6�If1—g.P.Co.-6 9G'L� <br /> City of Everett�--�Tater Department <br /> A�PLICA�'ION FOR WATER <br /> All blanls must bc tillcti in or cro�.<.ed oa: <br /> ��.���ee..............__....y!2 ..3............_......_......._i�s�. <br /> TO 1'HA: SUPI'sRINTI?NDF.\T OF 'CIII's \YATI;R DliPA6TJIP\'C: <br /> CITY OF CVP•.I;I:TT: <br /> I hereb�� npp!y for llie use of crater in uceordance with the �vles :md mgu- <br /> latinns nf the Nnter Deparhnent, for purpoc�s m�d fix.m�es stuted bclo�v. � <br /> During the time that :my uf ":c �sater'm.iins mny be tnkzn up b�• reasun . <br /> uf :wY improcements .iuthurized 9y the Citg oi I:cerett, in or uf un}' a[reet or <br /> allcy in �shich tlmy m:�y h�iae bcen laid, lhe City mill nut bc required to furnish <br /> �cafer dm�ing the prugress of such impruvemeuts to any� consnmer «'hose supply, <br /> mny tlms be cut off, or�/b^e�Lable tur :uiy d:una�;es for its f:iilure so to do. <br /> Application Nu......R..1...�..�........ .-. 7 ��5 y(�� n t i <br /> 2 <br /> �0�tu�--.0 lnd I" <br /> llloclt....................................__ LOf............... . . Add.� .."_"_ _ � <br /> 4 �p / . _. .._....._.._.. . . <br /> Ne...._a�. /...._ ./...1-.v�G1Lt./�--�..._................Strect <br /> _...... ... ...__ ...._. _ ......._. ...... _.__._. __ .....___ _._.._ ._ ....__.. ....__.__. <br /> The work to be esecuted by...._ __.. . .t_. G� _........ _. ....__.._.. ......PlumLer ! <br /> Stute size of tap. i��/ t. <br /> ..�� . <br /> ..Z._.Tap to be inserted in tlic nt.vin, <br /> .....�....__.St'ntcr closct . <br /> ....�...........I3 n cli . <br /> .......�.....Urinnl ' " <br /> `-i <br /> ._�_._.Plain Saucct insiJc .� <br /> .....-.......Sidc n�:ilk n-m�Lcr <br /> ..._�..........ilose bib oul.,ide <br />� .....�........fIose bib for building pm�pose:; <br /> ..... . .....IIose bib insiJe <br /> ._�.-..Bib fm• staUle c�nt:iining._...........__..stnil_.................. <br /> ........�....Numbcr of t�ersuns in fnmily <br /> _.,5-.\�umbcr of rooms in building <br /> Tlie prumises arc to bc used as a ��� <br /> ........_ ....._... <br /> __.... <br /> Tb� omner at the P�'emises i. -. � , C(�^) <br /> . . . ._.._ ._..... <br /> �. ngent is......_.............:_.___.............__.... <br /> .._..._..................__..........._......_._....__. <br /> � epplication, a�ltlmugh signcd, sh.ill not Lc binding upon the City, until <br /> _a Uy Lhe Superintendcn/t�of the y�1'�n.c�r��A�p urtment. <br /> i - SiFned`............_C_/�,.,,,�1 / �e-o-- ._._...........Applicnnt <br /> i 'd... _s.� ��v...... BS......[�2�i <br /> . � .............. . . . _ �,.. . <br /> �- . _.............._..... <br />. �Superintendent , <br /> f <br /> •r. <br />