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W <br />.. f.�.,y_��..{y <br />i <br />W. D. Foi a ��, r C <br />�-., <br />CITY OF EVERETT-WA�ER DEPARTMENT <br />�4PPLICATIUN FOR V�r�TER <br />All blanl;s must be filled in or crossed out <br />Everett� ...........................�._�_�._`..........._........_....19 C.� <br />TO TIiE SUPERINTENDENT OF THE WATER DEPAhTMENT: <br />CITY OF EVERETT: <br />I hereby apply tor the use of water in accordance with the rules and regu- <br />12iions ot the Water DePartment, for purposes and fixturrs stated below. <br />During tlie time that any of the water mains may be taken up by rwson <br />of any impruvements authorized by the City of Everett, in or nf any street or <br />nlley in which they may have been laid, the City will not 6e required to furnish <br />water during the progress of sucli improvements ro any consumer whose sup- <br />ply may thus be cut off, or be liablc for any damages for its failure so to do. <br />ApplicatienPro...._(,..�..r...�. v % �Yl:-,�-::c_���.ro `c <br />.......... <br />........... <br />Block._....._ .............................. Lot......_...� .�'-1.._..._... Add��2-c:�./-r'> f�a�..� <br />��f7.......................... <br />No....._...._ ....................i....�.Q..�....../.'..CCcF�cc{[ c�.....��'.�.Street <br />The worL•to be executed by... <br />Stat � izc of tap. <br />��.-..._.Tap to be inserted in the main. <br />..........Water closel <br />�`Y....u�cn <br />... ............Urinal <br />G�/r=C� Lt�«���i:.t,,_ <br />��� <br />i{ . ,��/-, �;+�-�,»:- <br />................Plain faucet insidc <br />✓��« <br />................Side walk washer ,-- <br />. �.g ' � (� .ti c <br />._............Hose bib outsidc „ '.� ��r�,�� <br />...._..........Aose bib tor buildin � � � �7�`� �� <br />g purposes <br />................Hose bib inside u�� '.:�'�.. , � � wc <br />................Bib for slable containing................__stall.................... �� C �",,3 � `i� <br />r ., - <br />........._.....Number of persons in family � ' � � � <br />�..-......Nutnlcr of rooms in building 9'vi`, I:;, �.;..� �� <br />e premises arc to 6e used as a ..................__........__......_...........................__...... <br />The owner of the Premises is....._......_...._ .............................................. .... <br />. . .......... _.. <br />.�he agent is ................................__...................................................................._..._..... <br />1'his . pplicalion, altliou�h signed, shall not 6e binding upon the City, unti] <br />Si ned__.. 'nt of the Vvater Department. • <br />s � 7` ,�� . / �- (� <br />�rcepfed <br />y tl:e au erinte�..'.........'e<-c�,R.+ ................��..�..�...........Applicant <br />r/ <br />Accepted..._.........._........__...._....__ 1P....... By ...................._.............................................. <br />Superintendent. <br />