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� IC i'�_',t-, <br />e-...Sx�-�il-4-"-"i t•`�" . �i,.,,`-�'r'�-: � <br />N'. D. Fnrm 4-1600--E,FICo.-6-26�2C <br />Cify of Everett'--Water Department <br />APPLICA'��ION FOR w�TER <br />All blanke must be filled in or crossed out <br />�- /z <br />192_G: <br />��"7 • ........... <br />Everett.......... (�./ ....... ....................�........... <br />TO TII� SUPERINTENDENCITY OF EVERETT DEYART\SF.NT: <br />I hereby aPP�S for the use of water in nccord�nce with the rules nnd regu- <br />lations of the Water Department, for Purposes nnd fixtures stated b��bn'•reason <br />During the time that any oF the •.�ater mnins mny be takert up Y <br />alley n�wh eh they may have beenYla de h�e C ty w�:ll not �beQrequiredytu turnish <br />water during the progreas of such improvements to m�Y consumer wliose supplS <br />may thus be cut off, !or/ be liabv-lg, for any damages for its feilure so to do. <br />Application No...b����!..d ............. �:.. S % �� I�,�_,� •� <br />. Add.....____........i..._._......... <br />Block............................ ..... Lot......................... .. � <br />No.. ...� � ..-(�� � ...... ...... . Street <br />..... . <br />��� � �� ...... <br />.... .......... ... <br />............................................................................................ .. <br />.... ... ...... . b <br />The work to be executed b % _ ......... .... __ ._.................... <br />..........Plum er <br />. Tep to be insected in t// /' ^ � �^ <br />y.... .. <br />eize of ta <br />��. _. he main. �� �._o\:','�. �;1 �;; 1 <br />; .- �,`'','r , ..S . <br />/.:.......Nater doset "� , ' 3 ��;94i ''�.-' <br />..... I � � .. _ <br />....I..........IIath �, �� �r c�,4p _ �.: �.F�. Df�" <br />-- Urinel �� �� <br />..........._... <�� ...,.. .....r . :.. ............ _... ... .. <br />. . . , .. <br />_,,,,_�....c lain faucet inside �- � <br />�� <br />..._.._.,—:..Side welk wesher <br />.....1........Hose bib outside <br />..,,.,..—�...Hose bib for building purposes <br />..,,, �IIoee bib inaide <br />._....-..-Sb for stable containing ........ ......stall.................... <br />..,._„-'.-/"Number oi peraons in family <br />_.....T...Number ot roome in building <br />/ <br />The Premiees are to be used as a .............y..�... .. ... .. .................. ..... ............ <br />The owner of tUe Premieea is...... ....- (/� .:. ...... ... .. ........... .. ................ <br />TheaBent is ...............................�........................................................................ <br />This apPlication, elthouGh si d, shy11 not be bin ing npon the City, until <br />acceP�d by the Supetintenden th j�y' ater Dep en <br />...—_a l� ���/_ �. �.r Annlir:.n4 <br />