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_ ! ���� <br />.;�..r''� <br />� � �, aa !( n°---'�`"'—�—�-�_�D r.3�.,- <br />W. P. Form <-lu 0-E.P.Co.-6-26-26 � •, % Z �) <br />City of Everett�Water Departmem <br />APPLICATION FOR WATER <br />'�� Ali blunks muet be filled in or crassed out <br />� �• � � <br />Everett.................................................._�.................192.. J� <br />TO TFiE SUPERINTENDENT OF THE �i'ATER DEPARTDfENT: �;� <br />CITY OF EVERETT: <br />I herehy uPP�Y fur the use of water in iiccordunce with thc rule� regu- <br />Iations of the Weter Department, for purposes nr,d fixtures stated b low. <br />During the iime thet any of the water mains mny be tnken ur by reason <br />of any imProvements autho_ized by the City of Everett, in or of a»y street or <br />alley in which they may have been laid, the City will not be required to furnish <br />wnter during the progress of such improvements to nn� consumer whose supply <br />muy thus be cut off, or b�iable for any damsges for its fuilure so to do. <br />Application No ............... .a-'_�..:...... � <br />Block........................................ L t............_ . Add........................._..............-- <br />xo.�..�.._�..��..���...�� �� � .10� 3a <br />...................................................................._.............................�o � .....'.... <br />.. .. <br />........ . . ...... . . <br />5• <br />The work ta be executed bY ................�}..S�O........... ..................�t......Plumber <br />Stnte size of tnp. R 3$ S' � <br />................Tap to be inserted in the main. <br />V-?-��. 1 <br />.....Nater closet b �' � <br />........... c� �va__a.w-.�`�� <br />................Bach y�„ 4. �.w�r�,�.� � �� � <br />................Urinal �+'�'w�� 4 Yr�lt�y� <br />................Plain faucet inside � o � �' _y_, <br />................Side wnik washer , Jl.o <br />................Hose bib outside _ '�"`�' " � ' <br />�................Iiose bib for 6uilding purposes <br />...............Hose bib insidc � � � . /� <br />.Bib for stable contuinin stall._� �( ���b`—���' <br />............... G'.................... �;F........��lG-l�'�� '' �� "" <br />................IQumber of persons in fnmily � r�+--r--q.(., <br />................Number of rooms in building • B <br />The premises are to be vsed as u ..........................�................... .... ... ... <br />.... <br />.... <br />..�. <br />The owner of the premises is.....��--'�-ir..5 . . .. . ............. -p <br />Thengent is .....................:................................................................................... <br />� Ttiis �epplicution, elthough signe�, sh¢ll not be binding upon the Ctty, until <br />nccepte:l by the Superintendlnt of the Nater Depnrtment. <br />Signed..........:.............................................:....................... i ....�PPlicant <br />Accepted.�..��`-... . . .... �. <br />B <br />. .... ........... <br />. �� � uperintendent <br />`. <br />r'• <br />� <br />