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,�����3, �.,��-..,. `«._� ....�,._.:, ,. <br />, <br />• W. D. Fonn �-1600—F.P.Co: 6•28•7� � � � <br />' Gity of Everett�Water Department <br />APPLICATION FOR WATER <br />Alf blanks must be filled in or crossed out <br />iyJ <br />Everett .................�/., ./...C'G/G� ..�......................192�� <br />TO THE SUPERINTEND�NT OF TH� WATER IYEPAI2ThIENT: <br />CITY OF EVERETT: <br />I hereby npply for the use of water in nccordnnce with the tvles nnd regu- <br />lations of the Water Department, for purposes nnd fixtures stated below. <br />Puring the time that any of the wnter muins may be taken up by reason <br />oi any improvements authorized by the City of Everett, in or of any street or <br />alley in which they may hsve been laid, thc City will not be required to furnish <br />���uter during the progress of such imProvements to any consumer whose aupply <br />may thus Uc cut off, or �be liable f�oJr +ny damages for its f¢ilure so to da. <br />Applieation No......../......�O�l ..... - �2� e.� e! _ <br />/ <br />Block..................................1,�Lot...../..................... ..�......... Add...................._..................... <br />No.......��-��.�.��.. ...�.�.�r.il r:rL<<L�.....Strnet <br />............................. ............................ . ................................._::. .._.. . ............................ <br />The work to be executed by._��Lc../J...-�:G . :......... . . ....Plumber <br />0 <br />Stat aize of tap, �/�,�' v ��".� ^�^ <br />6'� ' 7 <br />���..Tnp to 6e inaerted in the main ��� ���� I.j � <br />......�.......Water closet ;� �,��Y j ' ,QJ, <br />...../..........antn CITV OF E4ERE1��f�iER UEP'? <br />..._-........Urinal <br />OY....................._ ...... <br />-.._�......Plain faucet inside ,......_.-.__ <br />_.... .......Side walk washcr � <br />.......(.......FIase bib outside � � <br />.......-.....Iiose bib for building purposes <br />....�.-.:.......Hose bib inside <br />....... ...Bib for stable containing ....................atall.................... <br />.-. -"- .....A'umber of persons in fnmily <br />....... <br />....�.....Number of rooms in building <br />The premises are to be used as a.... .��v <br />... <br />The owner of tlie premises is ... .... " �' C��� <br />......-- -... <br />•....� .... .. .... ....... _ � � .........,............. <br />Theng=nt is ....................................................................... <br />........................../.............. <br />This afplicntioa, although signed, �hnll not be binding upon the City, utttil <br />-nted by the Supeii tendent o he � Ater Depertment. <br />Signed..�� :............................. ...........A 'can <br />.. .... .... .. .. <br />. .. ..... ..... � <br />... <br />,..�ted.......5.-..i..�.�....'.....192�.� By.._ ......... .... .. ... <br />� . <br />Superi te - <br />