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i <br /> 7_ �-t.. - n, ,i,._-���._.� u- v..- ,�o „I'r�i <br /> `C.«�� . <br /> P'.Ir.i'nm�1-160P—E.P.Coi-6-26-R1 • • <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All blanl:s must Lc filted in or crossed out <br /> ' Everetl........................ �/°��...................19�.. <br /> ................... <br /> TO TIiE SUI'ERINTBNDL�iT OF TIiP \�'ATli2 UEPARTDSENT: <br /> CITY OF F.VL•'&liTT: <br /> I hereb� nPpIS for the u:��c oC o'ater in necnrdcnce a�ith the rvles and regu- <br /> Intions of the R'ntcr Deparlment, tor pm�poecs And fixtures stated bclov. <br /> Um�ing tlie time thnt nny ot the watcr mains mny 6e taken up liy renson <br /> of nny improcements authori..ed by the City of F.crrMt, in or ef nny street or <br /> alley� in «�hich they may hace been lnid, lhe City will not be required to furnieh <br /> wnter during the progress of nuch improvemenLs to nny cnnsumer P'IIOSC 6llPP�Y <br /> may tUux Le cut off, or Lc l/�i¢Ulc for nnY dameg�s for its faiture ao to do. <br /> App!ication To......._�2....C.�..............._.. <br /> � . . _._...... _.._..._....._.__.... <br /> aio�k................_q�...__�..... �rn...._q_� .l_��.........._...... aaa. <br /> Na._...�..�-..�...._..lC��d-�-�-�tiJ_..�.........._..$tmet <br /> r <br /> ___ _ ..... ............................._..__._....._...___.............._._. _.._. ......__................... -- <br /> Thc work lo be executed 6Y............--.- .. ..-.... .. .- - .�... ...-.--.... .-...Plumber <br /> Sta ie si2e of tnp. e^ � � 'i� ,... <br /> Xt`e��g.c , <br /> �._.........Tap to be inscrted in the main. � <br /> ................Water doset -,L, �. " �l'- �-�-a-,�-t'Q"Q 7iir� <br /> ................13nth <br /> .....Urinal � 0 <br /> .......... ,� 5� <br /> ................Piniu f¢ucet insidc /�X/���-/�� <br /> ................Side walk ��uahcr ' V . -... .-. --.. <br /> .....Hose bib outside � � � � <br /> i ....._... � y I � i <br /> ................Iiose biL for bvilding Purposes � . � ; , ., ��-„� <br /> ...Iloee bib inEide '���.��' ., i���G �1� <br /> .,, _ . .......... . . . <br /> � ,._' ' ...y.='. ' ' :",L.. •.:" ...... ..B�b for sLnUle cantaining...... ...... ..stull � � ...:..�; .:':,-�. .� �. . '7 <br /> ..:� � . A� . ' .... ......... ... ... ... . <br /> � � ���. ..............Numbcr of persona in familg ................. <br /> ��1'f`r '� � . .......Number of romne in buildinq /J <br /> ����, ..... . .j� ,� � � � <br /> ` �; Tlie premises arc to be veed as a..� _._ _. .. .. ._..... .�t.v-'""'S_.. <br /> rr / ,,/ <br /> •-� �+� � � 1'he on•ner of the premiees is._U�.y . - � - �- -- � � - ��� ���• �� <br /> � [S.�F�ii .+ . ... ... . .... ................ <br /> f"s .ir , .. . The agent is....... .. ....... ...... .... ... ............ <br /> � K�',Nt� '= � . Thia npplication. elthou�h signed, nhnll not be binding vpon the City, until <br /> ; ��y �i t� - accepted by Lhe F.upertntend�nt of t \' M Depnrtment. <br /> n�s'�h::_ 1,,. /fi <br /> . . . . � �. � S;,med.........C./..%'✓..._ ..'�.. /�'�..��"• ... ..Appli � <br /> Accepted....__..(�'.2„�.`�........192�G BS'.._. .. ... ... / . .. .................... t <br /> "'�' . perintendent <br /> e <br />