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W.D. Fnrm♦ <br /> CITY OF EVERETT-WAT[R DEPARTMENT <br /> � <br /> APPLICATION FOR WATER <br /> All blanks must be filled in or crossed out ' <br /> �"J L'� � <br /> �. . , <br /> �..�r�u,.........._f. .j:.�1.:':_�/ /� <br /> TO TfiE SUPERINTEND�NT OF T1iE NATER D PARTD4ENT: 19 <br /> C1TY OF EVERETT: <br /> I hereby apply tor the use of water in accordance with Lhe rules and regu- <br /> lations of the Nater Department, 7or purposes and fixlures stated below. <br /> During lhe time that any ot the a�ater mains may bc taken up by reason <br /> ot any improvements authorized by the City ot Everclt, in or ot any street or <br /> alley in ivhich they may have been ]aid,lhe City will not be tequired to furnish <br /> �rater uuring lhe progress of such iraprovements to any consumer whose sup- <br /> Ply may thus be cut of[, or be ]iable for any damages tor its tailure so to do. � <br /> �/ -_ ..,a�p' 'y <br /> APPlicationN:o.._��.�.._T. ' . I Y,. 1 I � <br /> / <br /> ... . _............ <br /> IIlock................_................... ot._........ � � ' <br /> No... . .`.X��n�-'� �-.� �-�. . .... . ........... . Add.. _ .._......_. .......... ' ' � Ii y%i..{.: <br /> . � I ��'� <br /> ....� � <br /> ��� �� .Slrccl � <br /> �i <br /> . ... ... ............. ...... I .. . _ <br /> �� � <br /> . _............................................................................ ''`'' �.�,. r y <br /> Thc work to be executed by......._...................... � �' ;.''i <br /> . . .._......_.........................Plumbet �. .,.? I <br /> Slate sizc of Wp, , � . � - � , <br /> � �/ ; , �� <br /> -....._..Tap to be inserted in lhe maln. � , . � II�� <br /> ... ..........lV„er doset /�) � �� - M <br /> ........ .....Dath ��.�� ���. . a I - . .4"' �I j <br /> � <br /> 'r , � <br /> .,..:L �-.,��{ �_�. <br /> ................Urinal �� :", ,: -=.•+'e�:trP' <br /> ................Plain faucet inside /� _ o� � � . . � <br /> ................Side walk washer �Li�.-f,.�{yp� <br /> ��-............Hose bib outsidc U�? � <br /> �-.-��......_Hose 6ib fo� building purposes ,�/�:o ��,;f <br /> ................Hosc bib inside r . <br /> ................Hib fa•stable containing....................sta11.................... I . <br /> �...._-_.......Numbcr of persons in fami]y j � <br /> ���...........Numbcr of rooms in building � <br /> The premises are to be used as a . J,�.�,_��.t� � ��Nf�U � <br /> �: <br /> .r:1.i'.'.C�................... <br /> The o�met of lhe premises is........�....J..d.:�:?.... r.•.t?:�....................................... <br /> �' <br /> The agent is._........._.................._.. <br /> . .......................................... <br /> � ..................................... <br /> This application, al0mugh signed, shal] not be binding upon the Cit , until <br /> accc c <br /> g ndent of the Water Department. <br /> P y t�e Superinte <br /> , <br /> -� / �,/ ', , p ., /'�,J <br /> Si ned...../:.L�..,C.:....`�t� � e<`r,c._,_.I�. �-'•" ,., <br /> // .....__.�_... .r_"-,r Du� (� <br /> ................................. p ]ican -o <br /> Accepled.................................V 18....... By.................................................................... <br /> Superintendent. <br /> \ <br />