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��'• q Poin i <br />CITY OF EVEkETT-WqTER <br />DEPARTMENT <br />A►PI'LIC - <br />ATION FOR �ATER <br />All blank:; must be filled in or crossed out <br />Everett .........................�y�gu j..................._..__.....19�r.'.,f.� <br />TO TIIE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY GF EVERETT; <br />]ations o[eby app]y for partment forter in accordance with the rules and regu- <br />the Watcr De <br />During the time that any of thc pa�p0ses and fixtures stated below, <br />of any improvements authorized by the Ci� mains ma h� <br />alley in which they may have been laid, the Y taken �n by reason <br />water duting the Y of Everet[, in or of any street or <br />Ply maY thus be prOsress of such im rove ���y Wl�l not be required to furnish <br />ut off, or p ments to any consumer whose ;Up. <br />be ]iable tor any damages tor its tai]ure so to do. <br />Application Nq/�/ Y`j <br />... _� ..................... <br />Bl o ck......�02.,�... <br />...............�,ot........�— <br />� ..........% ................ Add........................................... <br />No .....................'..�....,�.., t� " <br />........ �r-6's .x.�_. <br />.............................. ........... S t ree t <br />. ......................................_. <br />�- ............. <br />The work �����" <br />to be executed by .............................. <br />State sizc of tap, <br />-�/jy..Tap to Ue inserted in the <br />-��-�- Water closet <br />�--��3�Bath <br />................ Urinal <br />'--�����-�...-Plain faucet inside <br />��--�-���-.-.Side walk washcr <br />�����������..--.Hose bib outside <br />main. <br />___......._ ................... _...Plum ber <br />��,�,�,�..�L� <br />������ ✓ <br />M / <br />������������....Hose bib for building purposes <br />.... ..........Hose bib i�ia <br />"""���----Bib tor stable <br />frjf.A� e:I'�✓`�S��.Y <br />yo,�,. � 96 <br />b'aT� �r.;;, g ,,, <br />C.>:�_-:`n` � � • <br />. � <br />con t a i n i n g .................... s t a I 1........ `.......... <br />���--/- _�...NumLcr of persons in family <br />-�-�+��-�...Numbcr of rooms in building <br />The premises arc to be used as a.......... <br />Thc o�vner of the premises is .................................... <br />................................... <br />_ <br />TSeasent is ......................_......._.............................. <br />accepted bpp��cation, although signed, shal] not be <br />Y the Superint�ent of t�c q�atcr Deo <br />s <br />....._........_....__..1�....... B..:.....u....L.. <br />Accepled.___..._.._ . <br />y.................. <br />........ _. _. <br />...................... <br />upon the City, unti7 <br />