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�"`�y 9- `I � o -r � <br />_ �w�r rs.v. �. 1�-�,-�t <br />4:. D. I'orm i-140U—E.P.Co.-6.24-2I ' • <br />City oi' Everett�--�Water Department <br />.�PPLIC���TION FOR WATER <br />All blunks must bc fillcd in or crosse out <br />x. � - <br />�verett ...................................... _...�.�....�................_...1� <br />TO TIi� SUPERINTENllF.NT OR Tlir NATBR DE ARTIIENT: <br />CITY OP �VERliTT: <br />I hereUy nnp;y for the use of w�tter in nccordance «•ith the rules and regu- <br />Intions of t!�e Water Depnrtmr.nt, for purposes and fixtm•es staLed Ueloiv. <br />of nnyDmprovements au'thorized�bytthe Cily ofaEverett n orkof nybst eetsur <br />niley in which lhey may have becn :aid, tl�e City will not be required to furnish <br />wuter during the progresa of such improvements to nny mnsumer whaso suPP�Y <br />may thus Le cut off, or Cb�c linble for any damriges for its fnilure so to do. <br />APPlicntion No.........../..O ��`............ - i� Z 2_ <br />...... . _ <br />Block......!�i, ���..� ................... I.ot....�1.................................. Add............. <br />._.......__....._...__. <br />No ............../..�%/ 2.....-.....3�..�...................Street <br />........................._._ ........__._..............._...._ ........................... <br />The work to be executed by .................._. __..................................._PlumUer <br />y <br />�,tn/4e size of tap. <br />.'.�2._��...Tnp to be inserted in the mnin. � }��, �� � <br />_�� <br />.....1.........Nater closet 5 <br />_./............Bath ' I ic-[�. �}'v <br />O <br />...--r.�Urinnl ' � <br />� <br />�� ..............Plnin faucet insidc <br />.�— <br />................Sidc n�alk washer � . '"" <br />�Ziosc bib outsidc <br />�liose Lia ibr building Purposes --� . <br />.�Yfose bi� inaidc I <br />��---.�..-.-Bib for stab]c containin I <br />g....................s tnll............_.... . <br />���.�'.J........:.Idumber oL persons in fnrt,ily <br />�-�.f.......NumUer of romr.s in building <br />The premises are'to be uaed ns n..........._._............ <br />. _ _....._........ <br />...... ................... <br />e owner of the premises is.__ ................._.............................. . <br />........................... <br />..... <br />c agent is ......................................................... <br />......................... <br />...................... . . . <br />. liis npplication, nithough signed, sLall not bc Linding upon the City, until <br />,Erted by the S erintendent of the \Vnter Deportment. <br />Si6med..../`f`f/J�U . <br />. . ....�... .. APPlicnnt <br />................................ � ........ <br />...... <br />�Sed .......................... ........i'J2...... <br />.. .. . ............. <br />. . ........... . <br />f :,Z�•3o ....... ....... <br />/yy� � � tendent <br />