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. ..-� <br />N'. ➢. Fum�7-1600—E.P.Co.-6-26�5� <br />. City of Everett�Water llepai�tinent <br />APFLICATION FOR WATER <br />All Ulnnks must be filled in nr cross� out <br />( • . <br />Evcrett....................................'.. ._�....:.: ....................:192 _.::. <br />TO TIiG SUP�RINTENUENCITY OF �Vr 2�TT;DEPART,,iEN'P: <br />I hereby aPP�Y for the use of �valer in accordince with the rules nnd xegu- <br />lations of the Wnter Depnrtment, for Purposes and fixtures stated below. <br />During the timc ihat any of the water mains may be tnken up by renson <br />of any imProvements authorized by the City of Gvcrett, in or of nny street or <br />alley in wh�ch ihey may have been ]a�d, the Ciry will n�t bc xequired to furnish <br />wuter during the Pi'�Sress of such imt�rovements to nny consumer vrliose supply <br />may thus Le cut off, or be linble for any damages for its failure so to do. <br />Application No......._1..�.._1...� ............. <br />Block........................................ ioc.................... <br />, <br />_ � ( <br />:� : . . <br />. .......::........._...:...:......::................ <br />No ................... , <br />The work to be executed by..-...._ ............. <br />Stnte size uf tnp. <br />................T::p to be inserted in the mnin. <br />................�9ater closet <br />Add........... . ....... _.. ..._..... ..... <br />eeY( `- `/ '_' � � <br />1� <br />_. __..........._......._..__....Plumber <br />................ B s t h <br />................li rinal <br />................Plnin fuucet inside <br />................Side waik «�asher <br />................Hose bib outside <br />.............._?Iosc bib for building purpases <br />................iIuse bib inside <br />................Bib for stable contnining....................stall.................... <br />................Kumber o1 persons in fnmily <br />................Numbez of rooms in Uuilding <br />The Premises are to be used ns n ...................................... ......................................... <br />'fhe owner of the Pzemises is ...................................................................................... <br />. . . ............................ <br />ThcnBent is....._ ................................................................................ <br />nccept d by the Supernt nd ntsof the,Water�Depatmeng upon the City, utRiL <br />1 <br />Accepted ......................................192...............BY......�.... .....:� �: .� ...........ApPlicant <br />Signed ............................... .. . �}����.. .. __ . <br />l /� <br />� � ...�.Ql.�:�_!.:� .....:.......... <br />Superintendent <br />