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.�-- _, �— /', � 11 ii+�'„_ . . . <br /> {C U.Purm 4—.1u0U—IiP.Q:._�^_F.1 <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All Ulanlcs must Ue fitled in or cros<ed out <br /> Everett.................... ...._�'..�..............__...1!12_� <br /> 1'O 1'IIC SUPI�:I:I.\"1'I:NI�G::�iT OP TIIP \VATI�,Y. D:�I'ARTilIliK'f: <br /> CITY OF E�'EItETT: <br /> I ]iereLy� apply tor the use oi �ea[er in uccord:mee tciLli tlte rule:; and regu- ' <br /> lations of the R'atcr DepartmenC, for purPo�es :md fistures stated hclo�v. <br /> During tlie time thnt nny af the �vater mains may Lc tal:en up Ly reasan <br /> ot nny improvements aulhorized Uy� the Citp of EvurMt, in or of nuy screeL or <br /> alley in �rhich they mny l�m•e been laid, thc City �vill not be required to furnisli <br /> �cnter dm�ing the Pi'�Si'ess of such improvements to any consumer whose supply <br /> m:�y thus be cut off, or be t�blGc far aCny datnnges for its fnilure so to do. <br /> Applicatiun Nu.......��........0..��{..... - '�2 $`f <br /> Block.................�...::...�:........_.. Lot........_'.�...............__..... Add.... ___. . . .... . ......__..__. <br /> 10..__ ._p��.�_�1�........_- �_'S.__........................8trcet <br /> __. ... .__..._........................................................................... ....__. .. __ _ _ __ <br /> 'fhe �vorl: to be executed bY........ ..___ _..i<'..._..GG. . .. ___.._._. __..PlumLcr <br /> Statc size of tap. �i � <br /> ..�Z.....Tap to Ue inscrted in tlic mnin. '�-�-�: ��i _... � <br /> � � - /_(z�.� � �,� '� � <br /> .....�.......R'ulcr closet �' <br /> ,� <br /> l o'� s � <br /> U-' 4':'7 ....i <br /> ._...{.......Bath • ._L 1 �� ���� ^. <br /> ........�....Urinal �'�ti" �F FVfiAET,' wAiFii i!_: �.�. <br /> .....,(........Plnin f:mcet inside �.�. , �/ <br /> . ..�� . .. _ ._.._ . . <br /> ................Sidc «�alk «�ashcr .; <br /> .....�.—......Hose bib outside � <br /> .....':.......Flosc bib for building PnrPoses <br /> ......--......IIase bib inside <br /> .........�...BiU for stable contnining...................stall.................... <br /> ... � A'umber uf persans in family <br /> � A'mnbcr of rooms in Uuil�in� <br /> .......�. � <br /> "he premises nre to be used ns u....>.,... �L-L%...__.... <br /> ,�.....,_ . ......_..............._......... <br /> .. owner of the premises is..... . ';:�::.:s�.:.�.`...;, � <br /> , ...._.......__.....__._.........._......... <br /> aee.i is...................................................._..__......_......._......_................................. <br /> a;�iication, nithough signed, ahnll not be binding upon the City, until <br /> '•y tnc Superintende� of thc \Yntcr Depnrtment. <br /> — // <br /> Signed. ...�vi.._�.�...-.��...�....�. _ ............. Applicunt <br />� J..... <br /> - .............. <br /> :• !_.X... .:..._.192 Y. BY... .. ..... .lG.- .. '..,.... ..... <br /> .................. <br /> i �-----;—nuperintendent <br />� <br />