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W. o. �,� � <br />�;:�,- <br />CITY OF EVERETT-WATER DEPARTMENi' <br />A.PPLICATION FOR WATER <br />All blanks must 6e tilled in or crossed out <br />Everett..........__ ....................__Y...:.......i .�r_...........19_._�r:.� <br />TO TIdE SUPERINTENDLNT OF THE �VATER DEPARTMENT: <br />C7TY OF EVERETT: <br />I hereby apply for the use of water in accordance with lhe rules and regu- <br />]ations ot the Waler Departmenl, for purposes and fixlures st�ted be]ow. <br />During the timc lhat any o[ the watcr mains may bc When up by rcason <br />ot any improvements authorized by the City of Everett, in or of any street or <br />alley in w�hich ihey may have bcen laid, thc Cily H•ill not be required to furnish <br />water during lhe progress ot such improvements lo any eonsumer whose sup- <br />p]y may thus be cul ott, or bc liaSle for any damages for its t3ilure so to do. <br />AppllcationNo.._..�.Gt�.�../....... [( L� -Cl.,�-c� <br />Biock ......................_............... Lot_..._...._� �_...."�............. Add�:[.c�.r..l._s.::(_ {�� <br />... ....... <br />No........_.._r�...f.�.....:i / �� . �c..: �'--� ....._Strcet <br />.................._. �......_._.........�...............:.... <br />............................................................................................... ....... ............................................... <br />The work to be executed by .............._.._.. <br />Slale sizc of tap. <br />..........._...Tap la be in��tted in thc main. <br />................Watcr closet <br />....�.....Bath <br />................Urinal <br />................Plain faucr.i inside <br />................Side walk washcr <br />................Iiose bib oulside <br />_.. .. . _ _..... _ ..........................Blumber <br />., , <br />' l. . - . : c-i<--f.�"; <br />a;:�.�«-���t'`'"-._.� ,.Ur <br />� <br />G • � 7.� <br />` �� .� � <br />� /4�.��.�.� S <br />� <br />�-. <br />r:�l <br />.............._Hose bib for building purpos^s : � � � � � -, <br />......._....._Iiosc bib inside ' -.' ri. �"� <br />J'- <br />................Dib tor stable containing....................stall..__........_���.�. <br />_. NumUcr of persons in family <br />J /.. .. . <br />[�.�. J:.C..Numbcr of rooms in bui]dinQ <br />The premises are lo be used as a........_._ ................ .. ...._....___........... _...._._..... <br />The owner ot lhe pmmises ia_____..._........_._ ......................_.._ ... ...._...__....__..... <br />TSeagmt is ......... ....... _..............._........................................_..._.._....__..................... <br />This application, a!:l;o4gh =igned. ehall nut be binding upon tlie Ciry, until <br />accepted by the Superin:c:�ii. crU ot qie Wa}tr Department. <br />. � SiSned_C �'� x�..�✓'',J'/':".-` ..Appllcant <br />, ...... .. . �.... ............................................. <br />Acceptr3...._...__..___....._......_.._....IP....... By_ ................................................................. <br />Superinlendent. <br />