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.��u' 9-�i-.79-!1 �r.�.t--/ S,;. <br /> W.U.1'orm 4-IL40-E.i'.Co.-y.26-21 <br /> City bf Everett�Watei� Dep�rtment <br /> APPLICATION FOR WATER <br /> All binnks muet bc filled in or crossed ovt <br /> � �verett....................._..�r..... _C.Z...�:. .............13Y/.... <br /> TO Tli� SUPERINT�NllEfiT OI' THP �VATF:R DCPARTBSENT: � <br /> ci� or �vr:xrrr: <br /> I he,eby apply tor the use uf water in oreordance�rith Lhe rules nnd regu• <br /> Intione at thc \Patcr Department, for pmposex nnd fix;ures stated bclow. <br /> During the lime thnt nny nt the u�ater malns may be taken up bY reanon <br /> of anp imp rocements nuthurized by the City at P•.cerelt, in or of xny atreet or <br /> nlley in which they may hnee Ueen lnid, LLe City will not be required to furnis6 <br /> a•nter duting thc progreas ot Fuch improvemcnts tn nny cunavmer whose supply <br /> may thus Uc cut oif, or be linble for any damuges for ita iailure so to do. <br /> Applicntion No...... -7�,yZtn- <br /> ..,..��.......... <br /> Block..................7....�.'.��-'�-�. Lot....�'..'...�/.�Q Add.__.........._.......................... <br /> No..._......p�t-/..Q...�.. �....��o-L�-''�'Y........9treet <br /> ..........._....... ...................... . <br /> ......................................................... <br /> ................................. <br /> The work to be executed by...................����� Plumber <br /> Stata etze of tap. <br /> :�...I/ �,,,�/�/ 7�'1 � . <br /> .........Tep to be inserted in the mnin. <br /> ................Nnter closet VJ " <br /> ................B a t h � <br /> ................Uri n a 1 <br /> ................Plnin fnucet inelde � _,.. <br /> ......._.......Side n�olk weshet � � ��i�) <br /> 1 �' �� ................Hase bi6 outside � . � <br /> .............._Iiose bib for buildiag purpoees ��' � <br /> ................Hose bib ineido <br /> ......... .....Bib far stable contatning....................etall.................... <br /> ................rumber of peraona in femiiy <br /> -�........._...Number of moma In building <br /> T -, premiecs are to be ueed ns e....._..__..._.... <br /> _...........__......................................... <br /> 'Phe owner of the ptemisea ia................................._..... � <br /> .............................................. <br /> TLe ngent is......................._ . <br /> .............................................................. ...... <br /> . ............. . <br /> Thie epplicetion, nithouqh signed, ohall not be binding upon thc City, nnUl <br /> c'cepted bq the Superintendent of tha \VnLer Dep.�rtment. <br /> Signed�.��D,GJ..� Lf?r;��-i. . <br /> � � ��........A� 'cant <br /> Gt3- . �� <br /> Accepted.�/'�_.......��.' 192...... '8 , . <br /> y................ .. <br /> ' � ..... ... .... <br /> . <br /> Superintendent <br /> � d <br />