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�,.-� �-,a-ss-y:, EN=� ��-2�-�-�-i <br />W. D. Farm �—Iu00—E.P.Co.—b-26•R{ <br />C;ity of Everett�Water Department <br />APFLICATION FOR WATER <br />All binuks must be filled in or crossed out <br />Everett,...........�' .......�.�.�:7 ............................1�J2.�'. <br />TO THE SUPERINTENDI:NT OF THE W.4TER DEPART➢fEidT: <br />CITY OF EVERLTT: <br />I hereby ep�dy for the use of w¢ter in nccordanee with the rules nnd regu- <br />latione of the Wnter Depi�rtment, for pm�puses und fixtures stnted Uclow. <br />During the time that any of the watet'mains may be taken up by renson <br />of any imProvements authoriaed by the City of Everett, in or of any street or <br />alley in which they mny have been laid, the City will not be required to furnish <br />wuter during the progress of euch improvements to eny consumer whase suppty <br />muy thus be cut off, ot be liable for any dumages for ite fnilure ao to do. <br />Applicatian No ..................:.�....;?............/ <br />Block ....................C`....---....... Lot..L.!f.':.I_�.................... Add.�..�!-^-.�P�......�.�` a <br />No.........d. ��.... .�... ... ....�Q.R..R..�c-�. �.,.........3treet � ✓�T <br />................ ........ �......�......._......................................................................................................... <br />Thc work to be executed tiy .................... .._ _........ .. ....._..............._Plumber <br />Sta6e eize of tap. ii�� ,.�%� <br />i �..�2.=.....Tan to be inserted in the mnin�+ C � � <br />c/ � �0 <br />.....I.........Wa�er closeb . -�`" � <br />� ���� �� 15 , <br />' �. Bath � �-� yy -�'1 <br />.. ._._ ��,•" - - � <br />..-.-..:::::.:�...Urinel ��i • <br />.....`.':.....Plai� ,::ucet inside � <br />......`.`:.-.Side '��nik washer <br />....�.._Hose bib outside <br />......`.-.. .I-Tose bib for Luilding purpo:•�es <br />....`.:.--..-.Hose bib inside <br />--`_ <br />................Bib for ateblc containing............ ..stall.................... i � } <br />.`..........Number of persons in family "' �' <br />...�.......Number of rooma in building , <br />/ <br />The preuiises are to be used as a........�i..4�`—� � ._t1 ................. <br />1'�:e �wner of the pter.iises is ...................................................................................... <br />Thcagent is ...................................................................................................................... <br />This upplicntinn, although signed, shall not be 6inding upon the Citp, til <br />..c���ted by the Superintendent of the �\'ater Depxrtment. <br />nc <br />� S�ed ...............................................................................................Ap !icant <br />;�ecepted._�..�-1....:.�7cs.'.¢192...... By.....! ...:....�.�.���...�.!!!�._-C%.Z'.�_....... <br />- � / Syperintendent <br />C..U.�-.�iy�-�� �`'� <br />