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Js 3a � � <br />�.w-� h- - l _ >. .:�y s.. ,,, �3 _ �r <br />, - ;= <br />w. u. eo��� a—��no—s.r.co, s.2a-za . ' <br />City of Everett�Water Depai�tment <br />APPLICATIGN �OR WATER <br />All binnlcs must Ue filled in or crossed out <br />� Evcrett�......._.._:�.C�/./ .......:........�:-.�.�.................19?�� <br />TO TIiG SUP�RIVTliND�N'C OF THE ��'ATI: �� GPARTilSLN'P: <br />CITY OR �VERGTT: <br />I hereby np�ly for the use of �vuter in acccrdencn with Lhe rules nnd regu- <br />Intions of thc 1Va!er llepartment, for pw�puses and fis'uces stated below. <br />During Lhe time thnt uny of thc �v.iter mnins mny bc t�ikin up by renson <br />of nny improvements authoriud Uy Lhe Citg of �aerett, in or of nny strcet or <br />alley in which they may have 6ecn ]nid, the City wil! �wt be required to furnish <br />a'nter Jm�ing the progress of such improvements to nny cansumer whose supply <br />may thus be cut uff, or be li,ab/le for :my damnges Sor its tailnre so to do. <br />Applicatiun No...�.�....U..7`..{.`........._... ���.J�J�,, <br />Blodc........................................ Lot..._.��................................ Add........_ _...._...._._...___ _... <br />No.... __.__ ...........�p ....-�t_ ..../,G����:�...................Street <br />.�'v�- 3 SY� � � <br />..___ . ....................................................................___._.............................................................. <br />TLe wark to he exccuted h3' ................_...��L-�_...:L..._........G._._...PlumUer <br />Stxta size of tnp. � �� � �U <br />z �� <br />......__..._.'Pnp to 6e inscrted in tl�e mnir.. <br />.............._wate� ��o5�s <br />................ B u c h <br />................Urinnl <br />,�' .'` `_>;� "Z- <br />................Plnin fnucet inside � <br />..._...........Sidc tcnik tvnsher .. <br />__...........ITose biU ouU:idc . ' <br />..___.........Iiose Uib for building purpases <br />................IIase Uib inside <br />................Bib for stn6le contnining....................stnll.................... <br />................humUer of persons in fumily <br />................NumLer of rooms in Uuilding <br />The Pi'�",»ises are to be u,ed as n........ .,.._ . <br />Thc owner of the preinises is.....�..L.�.�..�� _....__......�.....�. <br />Thcagent is .................................................................................. ................................. <br />This npplicntion, nithou�h sigr.ed shull i e bindSng�� the City, until <br />_.:� �ted Uy the Superintendent of thc �� er Dc nrt�neny/ <br />epted..J�.�..-?..3.'.�Q192...... By <br />