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i.,=c� 9-v-�� i-�r , `c_._,�.;c�l �-�-�f-�-lr _ p�� <br />, ,� ' . � <br />W. D. Fortn 1-1G00—EP.Co.-42f 4{ <br />City of Everett�Water Department <br />APPLICAI�'ION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett� ........................................ .. .. . �. � ...........1'J2_ � <br />TO THII SUPERINTENDENT OF TIIE NATER D� RTDiENT: <br />CI'LY OF EVERETT: <br />I hereby npplp for the use of water in accordance with the ru?es and regu- <br />latione of the Water Department, for purposes nnd fix`.ures stm.ed below. <br />During the time thnt any of the water mains may be tnk�n uP bY ree.son <br />of any imProvements nuthorized by the City of Ecerett, in or nf nny street or <br />slley in which they nisy ha��e been laid, thc City will not be reqaired to furnish <br />water during the progress of such improvements to any co:tsun'cr wliose supply <br />muy thus be cut off, or be liable for uny damages Sots inilure sa to da. <br />Applicntion No...........�.-0-�.-3........ — foi' <br />- .L/..�/'7 <br />Block ...................:.................�..{ <br />Lot ..................!�.. ..... Add...........�.�-.......r...___._.... <br />d L�S.J�-a_�......_�...Street <br />xa...........:'�.-`�:::: �. °� :.......... . ................................... <br />. , _ ................. <br />i .....Plumber <br />. _........_ _ .............._................ <br />The work to be executed by..........._........ <br />Sta � /size of tap. �"... �.,�- <br />a'-t" Tap to be inserted in the mnin. ;. lJJ� . <br />.'`,_ ,� W Y�..� •,- <br />....�.......Water closet � -���..., �;".w. <br />� <br />....... �:� . n.� <br />. ; l-.`, n 1Q� , ,.��..;:, <br />.._�..........ne�n .< G � :, • . <br />...............Urinal 1' �;, �1` a: \'; .. �. <br />' �:� � �F 4�i <br />................Plain fnucet inside \j <br />� �.,... . <br />................Side w¢lk washer . ...... <br />., ... •" <br />.............._Hase bib outside "' ` ' �' <br />................Fiose bib for building purposes <br />................Hase bib inside ' <br />..........Bib for stnble containing .................._stall.................... <br />Number of persons in family � <br />.... �....... <br />Number of rooms in building ` <br />The pxemises are to be used as a...._..... -.........._ .... .............. . <br />........... .......... . . <br />The owner of the premises is...........�....� .:........................... ..... .. �(N` <br />The agent is ............. ..........................�......�1 <br />. . ...................................... <br />This applicatian, elthough signed, shnll not be binding upon the City, until <br />u_^_epted by the Superintendent of the Watcr Depar�ent. <br />