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i <br /> � <br /> , ,����-.-� - <br /> w.o.ro.m a �S�J' —� � <br /> CITY OF EVERETT-WATER DEPARTMENT • <br /> y S`r'. <br /> ' . . . .- - -.'.;j �. �I <br /> APPLICATION FOR WATER � ;��;, � <br /> All blanks must b�filled in or crossed out % � � � � _"+�5;, � <br /> /; � i _ ��; . . •�;at <br /> Everett,..._._.1....-i_'-:::-.:...:.�.�.................._............19.�.._. <br /> TO TSiE SL�PERINTENDENT OF,-THE WATEA DEPARTMENT: <br /> CITri�OF EVERETT: <br /> I hereby apply for t6c use of water in acwrdance wilh the rules and regu• ' <br /> lations ot the Water Department. for purposes and fixtures stated Uelow. <br /> During lhc timc that any of�lhc waier mams may bc taken up by reason <br /> of any improvements authotized by thc City ut Everett, in or ot any strret or <br /> alley in which they may have bcen laid,the City will not bc required to furtush <br /> water durin6 lhe Progrr.;s of such impcovemenls lo any consumer whose sup• � � � � . � i ,._7"s-� I <br /> ply may thus be cut oCf, or bc liaSle for any damages tor its failure so to do. . �. � , y�_�-� i <br /> APPlication No....�...(.G....� a �. . .�-_1��'� , <br /> Slock........................................15ot........................................ Add........................................... <br /> '� h 7 <br /> xo.........�.=.. _........._/i.....;!.._t.�..-1..........................._.................strect <br /> ` q ' .Y �.. ; <br /> ............�.............�...,...-....,..................:......-........................................................... <br /> The work la be executed by............:..........................................................Plumber <br /> Statc size of tap. <br /> . � ,� <br /> .���.......Tap to be inscrted in thc maia � ..,'; ���--- , ' <br /> ................Nater closet <br /> .......... .IIath �" . <br /> r� <br /> .. ...........Urinal S �•. �nf.'� '1'� v.��. <br /> .............Plain faucet insidc " � � <br /> 1 /" ' � � <br /> ................Side walk was6er ' . <br /> .............._Aose bib oulside �`� �: ; ��.. <br /> ................Hose bib for building purposes ' . <br /> ................Aosc bib inside �'�„',�'��( ' �.`. <br /> V " ' . <br /> � • <br /> ................IIib for staUle conlaining....................sta1L................... . . . ... <br /> ................Numbcr o[ persons in family �� ��D � <br /> ...............Number of rooms in building _„_ y f3 9 <br /> The Ptemises are lo be used as a.............�-::'-._�.-..:...`.'..!5....:�..,::�.!!�.��.`......_.... <br /> The owncr ot lhe Premises is....................................................._..........................._._ � , <br /> Thca�ent :s...................................................................................................................... <br /> This application,a t ugh signed, s)iall not be binding upon thc Cily, unti] <br /> accepted by lhe Su e m n . t a r Deparlment. . <br /> � ....... . �.. .... ..... ..................._......................Applicant � <br /> Accepled................. ........................1E....... BY................................................................. . <br /> SuperintendenL 1 ' <br /> � <br />