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.L -- - <br /> 'L«x� �23 -�S .Eh- r`�—y- �-�-�--�I �r-�' 7li /��j-yY� <br /> W.D.Form a—I"n0u—F..P.Co.u-2G-2J <br /> City of Everett-�Watei� Department <br /> .APPLICATION �OR �A1'ER <br /> All blanks nmst be filled in or crossed out <br /> I?vcrett,........_1�.��(1C.:_�.........�......._.............192.�i. <br /> 'CO TIIG 5UPERINTENDrN'I' Ob' TI!1; «'ATRI; DEPAP.TbIlN9': <br /> CITY OP �Vi�.l2ETT: <br /> I hereUy npp;y for the use oC water:n accard::nce trith the rules and regu- <br /> Inticns oL thc AVater De�iartment, for pmj>oses nnd ii�dures stated Irelow. <br /> During lhc timc thaL an,� of thc �eatcr m:�ins mat� be lal:cn up by rcason <br /> af any ir.iprovements aothnrized by 6he Cicy of licerett, in or oi auy strecL or <br /> alley in whicli they may hnce been laid, tiie City will not be required to furni<h <br /> «'�ter durim� Q�c progress uf surh impirocement; to any consumer whose sUPP�Y <br /> may Lhus bc cut off, or bc liable fm• any daui.t�;es for its fnilure so to do. <br /> �/ �1 J <br /> APPlicntion�7A�o�J...0..y1....._'.........._.... <br /> � Q]ock......h......�...1....Q......_.._ Lot.�......._.�._.............. Add... .._... . ... ........__ _.. � <br /> No.._.....ca? �.. — � l � <br /> .�...�..�..........._�.�...9..... ............_....._.Street <br /> .. .. . . ...__._. <br /> . ...... . ......... <br /> � o ...... . ........ <br /> The ��ork to be c�ecuted by....__ ����<�(.�-c� .'..P]uuiUcr <br /> St1tc size o£ tap. / �� �.S_ — <br /> �- <br /> ....��z.....Tnp to be inscrted in the main. � <br /> .._..!.........\i'ntcr closet � ' ' � <br /> i <br /> .....J.........Bnch , ' ��1,?j�'4•�.. <br /> .._..':.......Urinnl � .. . . : 7 1;';}icii I:-. <br /> - <br /> ......2......Plaia faucet insidc ......, .;+........ . <br /> . .......... <br /> ......::�........Side �vnik «�usher �� .... <br /> ....../........IInse Uib outside <br /> ...._��_.....I�Iose bib for Uuil:ling purpoars <br /> ............._.Hasc bih inside <br /> .._....:.......I3ib fcr staUle contnining............._.._.stall................... <br /> -._�:......Nwubcr uf persons in fnmily <br /> �,1. ...NumUer of rooms in 6uildmg j-_ <br /> The premises are to be used ns n Q ,�R � „ <br /> .... ....._ i <br /> - � �- , .._.. <br /> ' ^ owner ol the Prceiises is .. � � ,__„ �.�ti�_ <br /> as: agent is........._____...._..........._......__._.... ._........ <br /> .... .......................................... <br /> � ^plicntion, nithough si;;ned, ;Fall not bc Uinding uPon thc City, until <br /> the Superintendc of i}�r/�later Partme� l <br /> 1 - <br /> ..ned�� .._.✓ . /Yi. ..�z�/� . <br /> �/ / ...- . APPlica��t <br /> � . :y �.._" 1'J2�F'. BY .. �� . . .�FJ/.. ' ... <br /> . � ,�._ . . . .... <br /> �;l uD�r�nter�dent��� <br />� <br /> �..- <br />