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fy'- I i 3. � : � <br /> . �-.�-8 6 - v- �� <br /> N'.U.Form 1-1600—EP.Co.-6.p6-YI <br /> . City of.Everett�--VJ�ter Department <br /> ,: , :v� - <br /> APPLI�ATION FOR WATER <br /> AII blanka �it De filled in or cruaeed out <br /> Everclt,....S...l..�.....................192.�.� <br /> TO TIiE SUPERINTENUGNT I . NATF.R DEPARTDIENT: <br /> �EVEItETT; <br /> I hereby apply for n �ee of woter i�, nc:orJnnca with thc rulea nnd reQu- <br /> Iptfone of thc Wnter Dep rtment, for purpon.�. nnd tizrurns etated bclow. <br /> Puring the tlme thot any ot the wotcr maine mny 6e taken up by reaeon <br /> of nny Improvements aulharized by the City o[ F.vcrett, in ur ot any etrcet or <br /> alley In which they mny huve 6een Inid, lhc City w111 not be rcquired to furnleh <br /> wuter during the progreee a� such Improvemente to any connumcr whoan eupply <br /> muy thue be cut utf, ro/r ba linble tar nny dumagee far its fnllurc eo to do. <br /> Apptlentton No....d..ie�...3._�.................. I <br /> Block....................�.�_..�-�........ Lot............�.................. Add..........._....:.:...1.��._._._.... <br /> No.JJr�.b'....�..�'�Jd.....................................9treet <br /> ....._..._....._.._..........................__................................_...........................__............. ._............ <br /> Thc wark tu be exccuted 6y..__. ....... . .., . .�.a... ..._.plumber <br /> ........ ...... <br /> Stete elze of tnp. � ���^ <br /> .-.�.7r......Tap to bn inserted in the mnin. <br /> ....�..........Naler cloaet <br /> ....L..........➢oth <br /> ....�.:........Urin el <br /> .�f'...........Plnin fnucet lnalde <br /> _�-:.........Slde walk wasiicr <br /> .f..........._Fioee bi6 autelde � <br /> .......`.........Hose bib tor 6ullding purposet � <br /> .�.-.........Hoee 616 Inaide <br /> .....`-.......Hib for etnble contalning....................etsll.................... <br /> _��'�^........Numbcr o[ pereann In fnmlly <br /> ../...........Number of roome In building <br /> Tha premleee nre to be ueeJ es e. ... (�. .l� .' ............. .. ........... <br /> '� n nwner ot the premlaee te....��......�kC_.�,�,t,n�yq.�` <br /> ,_ent ie...................................................................................................................... <br /> � "� .ipplicntlon, althouqh eigned, shall not be binding upon the City, untll <br /> . „c U:e Superinhtend�enjt of tho oter Department. <br /> 5igned.�...Q�L/�.... . ............................... . . APPI(centl <br /> � <br /> , �f(J�..-.�.��...::c....� 2_.... Dy...... .' . . .�F!.� .. ................._ I <br /> `� .�:. .intendent <br /> � �, <br />