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W.D.Form t ��t'C-F�1-.� i iC t.'�,. .._ `�� '.
<br /> CITY OF EVERETT-WATER DEPARTMENT F�;,„�� :�T
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<br /> APPLICATION FO� WATER � �
<br /> All blanks must be filled in or crossed out � �' �j
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<br /> Everett,.......... � � � ::..:,,�:,,:�;� ..
<br /> ... . ��Y �.........19Y,?.C/ �.
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<br /> TO THE SUPERINTENDENT OF THE WATER DEPARTMENT:
<br /> CITY OF EVERETT:
<br /> I hereUy apply tor the use of water in accardance with the rules and regu-
<br /> lalions ot the Water Department, for purposrs and fixtures staled bclotv.
<br /> During the Lime that any of thc water mains may be taken up by rcason
<br /> of any improvements authorized by the City ot Everett, in or of any strcet ot
<br /> alley in k•hich they may havc bcen laid,thc City will not be required to furnish
<br /> �vater during the progress ot;uch improvements to any wnsumcr whose sup-
<br /> ply may thus be cut off, or be ]iable for any d�mages for ils failure so to do.
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<br /> APPlit�tion No. .�✓.�T �."~ '`�' �s.. :.
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<br /> Block.. ...................................Lot............. .. ......... .... Add..... .........
<br /> xo......................L.S.. ./...� .��C„c�Qa. . .................
<br /> . .. t..L'-�t.../..........Strect ���a ��v= `��'' °� �'��
<br /> ..... ..............................................
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<br /> ........................................................._........ � ,
<br /> ........................ 4 � �:��
<br /> The work lo be executed b .-`�� '' ' �
<br /> y.. ......................... ........................... .... Plumber �; •• � �,
<br /> Sta�e sizc of tap. - ,
<br /> a=,�' .-'�
<br /> /....._.....Tap to be inserted in the main. ��.� � �s '� ��4
<br /> ........Water doset Y � '�
<br /> .. �.
<br /> ................Bath .r . ;..
<br /> ...............Urinal .. '.
<br /> ������.........Plain faucet insidc � .
<br /> -�•����......Side walk washer / /,� ';,5 � �
<br /> ................Hose bib outsidc �`fu�f� C��� `� .�`�?�yi�s �::
<br /> Hose bib tor buildin � '//�o��Ci�Z✓ / .�� ., - �� •
<br /> ................ B Purposes
<br /> •�•-�..........Hose bib insidc �
<br /> ................Bib for stable containin�....................stall...................
<br /> ���-�-.........Number of persons in family •
<br /> ����............Nmnbcr of rooms in baitding .-).)> �t� ,
<br /> Thc pret^.is�s are to bc used as a..................................................
<br /> ..............................
<br /> e ownar ot tl�e premises is.................__...
<br /> ........................... ...........................
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<br /> Thc agent is..................................................
<br /> accepted bYps gn u�perintend..:�Q�``�,�r ...¢rtmen�. p ... . Ap �ltcan
<br /> This a lication,althou�h si ned, .,hat1 not be indin u on the C�ty unti] `� ,� � r � �� - .�"I
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<br /> Accepted.....................................19....... Sy............� . . ,.� , ,
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<br /> Superintendent. �
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<br /> :�"�Sa :5�.u,Arc�'S1MHn< ,e�,S � 1`h9F e . .
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