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.4:�r!''/��q��'�� /� ENT-r% :5'3d�:'q�'I.I <br />lV. D. Norm 4—IG00—GP.Co.—G-2G�:C � <br />City �f Everett�Wnter Department <br />APPi.ICATIOI�T FOR WATER <br />All Llanks must Uc filled in or cro sed out <br />�����ct ............................. �3.. �............................isz�. <br />PO TH� SUP�RINTL•'NDENT OR TIiE R'ATER DEPART.1[E\T: <br />CITY OF �VERGTT: <br />I I;ereby aPP�y for the use of water in accordance �vith the rules nnd regu- <br />Intions of the Water Depar.ment, for purposes amd fixtures staled bcicw. <br />During thc time that any of the �vatcr mnins mny 6c tnken v, by rensm� <br />of nny ir.iprocements auq�orized by the CiLy of �verett, in or of nny etreet or <br />nlley iu which they m�y have Leen lnid, thc City will not bc required to furnisl� <br />�c:�ter dm'infi the progress of sUch improvements to any consumer tvhose sU]iply <br />may thus be cut off, ofr 6e liaLlefor :my damngec for its fnilure su to do. <br />Applicution No.....d....��...i.�.Z....�. .................. <br />Block ................ty..................... Lot.......�'.... . . _. Add._ ..._..........__......._.__.... <br />. .... .. .... <br />. <br />xo......._..._....__.3.7.3 /...?�i.(. .. _ ..... . ............Street <br />The work to be exccuted bY.__............__._..........._ .............__...................Plumber <br />Stat size of tnp. <br />�.... .:...Tnp to bc inserted in thc main, <br />..�..._Z�':dcr cloaet . ' ; . <br />......�........L'ucli " � � . . <br />.....%�......Urinal .. <br />._..5:......Plain faucet inside �� <br />.......�.....Sidc n•alk n�aslicr ". ,. <br />/' <br />......:�.....Iiose bib ouLsidc " _ _� � . <br />�; <br />•, . / , <br />_.....�I......Hase bib for Uuilding purposes ... .' /�/G G <br />_ �1.._Hnse Ui5 inside � � � <br />� <br />...._.x.....Bib for stable containing.........._--......stnll ................... <br />.......X...._Numbcr of persons in family <br />......5 ....Number of rooms in building y� / <br />The Premises nre to Ue used as a.._..... d`?��,GL..l�...(�_ .............. <br />The o«mer of the Premises is....... _. _ _ .. . .. .. ......................... <br />Thengent is .......................�...��.'.....�C.,eL................................................... <br />'^his npplicntion, nithough signed, shall not Ue binding uPon the City, until <br />�•d bv the Superintende,a� of the \Vuter,�6epaT3�nent. �_ _ <br />--. ���L._;��--' <br />