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. .r.. . -- � � <br /> � <br /> t�,.�cti� v,.y,Se—!( rL,✓ .L_1.!' i i. l_.' . . ,_ Jo lr._ <br /> N'.�.Form�--IGnn -F..il('o.-626.21 <br /> City of Everett�--�Water Department <br /> APPLICATION FOR WATER <br /> All blanl:s must Ue filled in or crosacd out <br /> F.cerett�........__ ' ... ... <br /> ..............__.... 1 <br /> ......_............. ....�[.... . .. <br /> TO 7IdG �UI'LRINTENDENT OF THP, 1i'ATIiR llEPARTDSEKT: <br /> CITY OP EVF.RETT: <br /> I hereby nPP�Y for the use uf waler in aecordnnce with !he tvlcs and rrqu- <br /> letione of the Water Department, for purpc=es nnL fixtares atated bclaa�. • <br /> Dm�ing the time Lhet unY of ihe w•aLer mains mey be taken up Ly rea=m� <br /> ot any improvementfi anthurized by the City a[ Ii��rrett, in or ot eny street or <br /> ailey in which �hcy mny haee Leen la�d, the City a•itl nut be required to furniah <br /> u�ater during the prn�resF nt such improvements to anp cc�nsumer whose supply <br /> may thux be cut utf, or Le liable for any damegre for its feiluie ao to do. <br /> Applicatinn No._. _..�..�..�.�........... <br /> Blnck... . .......__.. ._..__. Lot _._ .......___... Add.. ..... .. .. <br /> No...._�.. ___. .. .. _.._ ._........ . _. .........Street <br /> __ �,.�-� �.��..�.� _ _ _� �. <br /> '1'hc ��mk to be executed y _...... . . _ . . . . . ._PlumLcr � <br /> State sizc ot tap. <br /> �..-��..._Tep to be inserled in tfie main. � . <br /> ...............�i'eter claset �� ��/ , <br /> „ 1. I <br /> __........._Ge�h lN <br /> __ ....._Urinal , I G <br /> . ...... Plain faucct inside �/� 5 Y � � "� .. <br /> .._.. . .. ' , � . <br /> � p. i-�" �/' ' <br /> ..._.....__.Side a�alk w�asher n�.i.� . <br /> .. ............Iioxe bib oulaide ! <br /> ................Hose Uib fo: buildin6 Purposrs <br /> . ..............Hose Uib ineidc <br /> ..._...........Bib for stable conluining........_ __....stnll...._. .... <br /> ................Numbcr uf persons in femily <br /> ................Number of rooms in building <br /> The premisea are to be ueed as e...__._. ____. _... _ . . <br /> ...__.. ... . ._.._. _.._. <br /> The cwr.cr of the preciiaes ix............ ... ._ _. .. <br /> ..___. _._.._....__. . <br /> Thcagent is..._.........__.........._ _..............._..............._...__......................._................. <br /> 1'his application, althou�h eignrd, ^hell not be binding upon Lhe City, until <br /> uccepted Ly the Suprr' endent u[ the Wnler Deparim t. <br /> S�gned ��.. .��... .. . ..... ........Applicsnt <br /> -� '� , <br /> � pted � �i/� ... .. BY� <br /> ' �^e /...,... ._ .lfl . ..........f_. . ............... <br /> � //'al> �ircl�,��,R� ,^. : <br />