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.,,_L.. , . r � <br />---- -... � , . , , _ . __�� _ <br />tC. L.I'orm J. IGon—gP.Co.—u.2G-Y� <br />City of Everett�Water De�artment <br />1�PPLICA'I'ION FOR W.A.TER <br />All blun]:s n;ust be filled in or croeeed out <br />Evcrc;t ...............................-[i-.til � �.....192...� <br />. ................................. <br />1'0 TII� SUP�RINTCNDEN'I` OP TFfr^. N.KfERIDEPARI'ilIEV'C: <br />CITY OF h:1'L�;PTTi <br />i];ereup :!npll' for lhe uac of tvster in acrr.;d:mcc �ci(h tlie rules and l'egu- <br />laticns uf thr �1'ater Uepartment, for purpn;es and fis w�es sLited beL,m�, <br />Puring thc time thnt any oL tF.e water m1i:�s mny bc taken up by rcasun <br />uC any improvements a horiud Uy the City of G:remt[, in or of :my atreeC or <br />sslley in mhich chey m- haee bren laid, the City ���ill not be required to fm•nish <br />water durin�; the prog s of sncli imp�rocements tn nny covsumer whose suPP�Y <br />inay ihus be cut off, or e 1iaLle yst r eny d�mn�es fur it= fnilm•c so to do. <br />Arnli:ontion No....... �...`.�'._�.../ ............. 7 � 9% <br />Blocl � �. �� �. � �........ Add.. .._. . - <br />._ .... L,�t ._.. <br />`=i� ` <br />h o .. .. _ ... ......... ...... <br />. <br />����� � ..-.Strect ' i � <br />_ _ . . .. .......... .................. _ _............. . <br />. _........ . <br />'1'hr, work to be ese�_•�-° �y. <br />./ _ .. ........... <br />..... _ . ..Plmnbcr <br />�t�teye,ize of tnp. ... ...�. . o .. .��,..��n.. ��o yyy""" <br />� . J�w , <br />.��y.......Tap to bc inserted in thc n:ain, /'� ��" � " O <br />_�_-..i....__.\Vntcr closet � _ - � <br />. _ �.........P.ath . _ � . . �•, . �.. �,, �i <br />._...._........Urinnl - � .. � � �� � ..�� <br />................Ylain faucet inside � h' � � j., � <br />� ���,;�: N . <br />..._...........Si2� a��all< <raslier �..,�.... , , � <br />................I�7osc Lib outsidc � ' J � � � � • �� � <br />..._...........Iiose bib for building purpo,es . Q i•J <br />..............I�Insc bib i�side L{_i . <br />........._.....Bib for stnLle containing ................... stall.................... <br />-.�_���......A*umber uf persons in family <br />�-........Number at rooms in building � <br />:.e premises are to be used as u..__..__._ _��'���� . <br />_. .. .. .. .......... <br />.. ......... <br />•� od�ner of U�e premises is. _...�c5?7'✓�./ , t <br />_ __ <br />_. _.. _ _. ........... . .c�,�t� <br />, ....._. _. <br />n8ent is....._....._ ................................._................_.... , <br />- ....... _..... . <br />�:; npplication, nithon ^h si S �.._..._. ..._ ............. <br />•:i by the Supr.rintendcnt o�f �he �Vntcr�D PartmenL °�on the City, until <br />� I <br />Si;;ned.........._ �C.:........./.. <br />� ..... ......... .. ��`.-L,.... � . <br />w . w` ...Ap Iican <br />a«��P<<�a . _ _.-/- -,2'l�.—.....i�z. ... r . '� _.._...�-� <br />r <br />, <br />/ j � ............. .................... <br />� - . A/,.y,:� 5uperintenden! <br />