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,.--.�. - . _ .. <br />��..,-�9; c�_,� � � ��- �.� � <br />. . . � l u <br />�r, n. ro�2 �—irra—e.r.co.—c-zs-x� <br />City of Everett--�Water Department <br />APPLICATION FOR WATER <br />All blanks m�sl Uc filled in or crossed out <br />" — ........192.. ... <br />�verett,........ G�II�...... ......�_J .............. <br />TO THE SUP�RI.ITEND�NT OF TIIF. R'.ATER'DEPARTDIENT: <br />CITY OF �VERETT: <br />I hm•eLy app:p ior the use of �eater in cccordnnce ��•ith the rcles and regu- <br />lations of thc Nnter Department, for pm�poses nnd fixturca stated Uclow. <br />During th�e time that any of thc wnler mnins mny be taL•en up Ly resso�� <br />of nny impruvem�nts authorized by the City ot �verett, in or of nny street „r <br />ulley in �vhich they may have been Inid, the City will mt be re�uired to furnish <br />water during thc progress of such imnrovements to any mnsumer wimse supply <br />mnY thus be cut off, o�r/ be lviyl�)e for :my dama�ges for its ti:ilure so lo do. <br />Applicntion No....p..�6.tf� ................... <br />Block../..�.......G............................ Lot..........................._.......... Ad���..__. <br />No......�;.1.�..0.�..J�.... ..�.�.21� .....Street <br />... ........... <br />__ .__..----._ ......................._.._................_._..._.._._.......................... ..................................... <br />The work to be executed by..___.._..._. ^`",i � �' <br />I, <br />.. . J ..... ... \ ..j ....... ..r..,1.. ....PlumUer <br />State sizc of tap. ���-":.��. (y I�: ; j <br />_��-.....Tap to be iuserted in the main. �'r��� (�1 199���-� '�_; <br />..._�........_Nnter clo,et CITY OF EiCy1ET 'i%liD�ii 1"_;`�?� <br />�........Bath cY.........,....� . <br />...... <br />� ......�..... <br />_ / .........J,J , - <br />� , ..... <br />................Urin nl <br />: 1�..._z.... Plnin faucet inside `� � <br />........�.....Side wall: wasUer <br />...../..........FIose bib outsidc <br />......—......Iiose bib for building purpases <br />.........—...Hose bib in;ide <br />..._ -...Eib for ,t�blc containing....._ .............stu1L................... <br />..... -.-...ATumber of persons in family <br />. <br />i <br />..�.......Number oY rooms in building � <br />The P�'emises nrc to bc used ns a..........._..... ..�.�...�..r....... . <br />y7............................ �. <br />The otvner of tlie prer.»ses is�...�iC.,...... ..a .,�.1,tn . ..... .............._ <br />Theagent is ..........:......................................................................................................... <br />"his npplication, although signed, ,hnll not be binding upon the City, until <br />- ��! by the Superinten�cut of the Nnter Deaartment. _ <br />....._+.� _.:�L'..•'...192ri. <br />