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�--.�-�;...��.- � i- 5'- z 7 ai� . �,;,k: { WA. . �-� 3- Z'� ►�-� <br />W. D. I'orm 4—iG00—F.,P.Co.—b-:6.Y1 . <br />City. of Everett--�VJater Department <br />APP.LTCATIQN FOR WATER <br />All binnks must be filled in or crossed aut <br />Evcrett,....... - �c,:.� ' <br />� .:'f........� :� ..................1927. <br />TO TIIE SUl'GRINTENDF,NT � NpTF.R DEPARTDIENT: <br />CITY OF EVERETT: <br />I hereby npply for the use of tv:tter in necordanee �ci!h the rulea and regu- <br />lations of thc \Vater Depnrlment, tor purposes nmt fix!ures stated bclow. <br />During the time Umt nny of the w:der mnins mny be tnken u�i by renson <br />of uny improvcinente authorized by the City oL Cccrett, in nr ot nuy street or <br />allry in wUich they may hnee Ueen Inid, the City will tmt 6c requimd to furnisli <br />�enter during the progress of such improvements ta ntrv consumer tvhose Supply <br />may thus bc cut utf, o�r 6c liublc for nnyt� dmm�ges for ils failure so to do. <br />Applicnlri/on No....U.����'._"_7 /..5� � <br />IIlock.....�...Q....�.J ................_ Lot...✓Z..l..-.:�-D . Add.........: .�.�.' <br />y�/- _ ............. . .................. .. <br />No.._/ ..�j ......_l!-...�_!'��f,(/_�1� ....................Strect <br />..._.____ ..................................... .............._........................... ........._.... ........ ..............._........... <br />The n�ork to be executed b � .���,r� <br />y .............1 .C-�f�`51. ......t.._ _.........................PI umbcr <br />�� / G O G <br />Stnte izc of tnp. i ���— <br />.r::��_Tap to Lc inserted in tlte nmia <br />.......�......\5'ater closet <br />......1-......Bnth % <br />................Urinnl "/I� . <br />C//, <br />...._f.'-.....Plain faucet inside -"=' ��� <br />........_^...Side wnik �rasUcr �,.'.., ���' . <br />.......�......Hosc biU outsidc � ` ` - <br />.........'.......ITose bib for buiWinq purpuses �� `��,� �.:�...� <br />.......-.....IIasc bib inside , <br />........-.....Bib for stnblc contnining ....................s:all.................... <br />......-:......A'umUcr of persons in tamily <br />.._�i......_NumUcr of rooms in Uuildin� <br />The premises nrc to be used ns n....l <br />�_...... _ .......,.,; <br />.. ............................ <br />. mvncr of thc pretniscs is._ � • � '- <br />........ � .. ......... .. <br />�-y.rL . ... . <br />....... ........ <br />.,;ent is ............................................................................. ' <br />� ......... . .......................... <br />npplicntion, nithough signed, shnll noL 6e binding upon the City, until <br />t.he Superintenden of the 1} nter Depnrtment. <br />r �? <br />Signedl� :......... ..........._�[.�..........%�-/��GG ..APPlicant <br />. ........... <br />_ J ........... ....... <br />�-./3. —..i�z.... ny........ .. <br />....................... Y <br />- uperintendent <br />