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U.��:= a t -z7 -it� . . t;,�-,�h,_-ri . - �, :_.- ,. , ,. ,.. <br />\V. U. I�orm i—lfi(i0—E.P.Co.—;�.p6-24 <br />(�ity of Everett}--Water Departlnent -z • <br />APP�.ICATION FOR W��'�R <br />AR t:�nks must Ue fiiled in or crossed out <br />� .............192�- <br />:. <br />. <br />-�i'1.1...��....?..3...—..... <br />.:_ ... ....................... <br />TO TIiP•. SUPEItINTPNDliNCITY OP E� 1 ETT D�YA.ICTIILN'C: <br />I]icreby npply fur the c,e of �vstcr in acr.ordanee �vith the rules nnd reBu- <br />lations of thc �Vater Lepirtment, for pwP��es and fisiures stnted betow. <br />During the time that im of t'r.c water mains mnY Uc taken up Lp rc�son <br />of nnv imFruvemm�ts authorized by tlie Citp oi liverett, in or of any s!rcet or <br />aAey in ���l�irh they mny hnce 6�en lnid, the City �.vill not be required to furnish <br />wnter du!'jng the progress ot such imnrocements to nny consumer whose suPP�Y <br />muy thus be cut off, or I1 e linble for any damaSes for its failure so to do. <br />Application No.....�"'.�� — / / 2 � <br />r <br />. . ................... <br />� .. Add....._.. <br />�-/ / ' _............_______. <br />Block................../...1�".�. i/�J......... I,�......._. ......_...... .... .... . <br />�231...C/J.0 ...�!'Gc.,�..Street <br />No. ....... O \ <br />...__._....... _......_ ................................................_......................................_................. <br />The a'ork to bc executr.d Uy.._ . <br />. G.�+.___ ..._.. <br />_. . .._.__..._....._ _ ....... ......Plumber <br />$� :i1ZC Of iajl. / � � <br />_,�„t.,`y.._Tap to Ue inserted in the �nain. <br />. .....�Paler closet <br />.._....�.�...Eath � . <br />........—...Urirml � <br />......_�....Plain fuuce6 inside <br />........... ..Sidc wall: «veLcr <br />........�......IIo;e bib outsidc - <br />.........—_IIoee bib for building purposes <br />.._..-_.�..Iiose biU inside <br />.....: :_.—Bib for stable cont:�in:ng ...................stall............._..... <br />— <br />................A`mnUcr of persons in family <br />_...�.....NumUer of rooms in Uuilding <br />Thc Premises arc to be used ns a ...�.. /v..� .... . .�`' �Q..j.�._ ,.,.�....�....�...�.....p................. <br />Tlie owner of the prcr-iises is.VCi. =�.•.....I�—(�P��/�--.......... <br />�i r <br />Thengent is ...................................................................................................................... <br />This applic:�timi, nithough signed, shnll not be binding upon the City, until <br />nccepted by the SuPerinten�ent of�t ��. c p rtmont. <br />Signed. L...........�C/��...':-... ._ ��!1...._.._ ...................Appticant <br />� • <br />Accepted..................._..._...........192...... BY..............._..................... ............................ <br />5uperintendent <br />1 <br />� <br />