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W. D. Form♦ i500 3-1-17 C.P. <br /> CITY OF EVERETT�=Water Department <br /> Application for W�ter <br /> All blanks mus[be filled in or crossed out <br /> Everett�---'---'---"--'------`��.�'--"---791�_ ,. <br /> TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, <br /> CI1'Y OF EYERETT: -� � <br /> I hereby apply fnr tl:� use of water in acmrdance with the rules�nd regula- � <br /> tione of Th^Water Departm���.,bc pucposes�and fixb.ires stated below. <br /> During the time that any ot the water mains may be taken up by reason of . <br /> any improvements authorized bv the City of Everett,in or of any atrcet or ailey in <br /> which they may have been laid,�the Ciry will not be required ro furnish water during <br /> the progress af euch improvements to any consumer whose supply may thus be cut <br /> off, or be liable for any damages for its faiture so to do. <br /> Application No.___�'L. � . , <br /> -'-'�--" c � • n�e—__ <br /> Blo�ck9.-.�---'---'-'- -' LoL----"_"--"'---'Add�+�i..._ <br /> No...7.�A--C.LcQti(_____.�_�,3 6__":{_-_O_O_.Stree[ <br /> . "---'-'----"---- ' ��"-'-"��'_--1'`J�1- -'-'----_ . <br /> � The work to be rxecuted by__LL'-.-___..____. ____________________ plumber • <br /> �� State size ot[ap. <br /> �µ_�___Tap to be inserted in the main. I—/�"2 � r <br /> � _________Waterdoset � . <br /> � <br /> '-----_--Bath <br /> ' "'..___ .Urinal , . <br /> �� .________.Plain hucet inside <br /> �� ________Side u�alk washer �i <br /> � _______.._Hose bib outside ; <br /> � _.._______Hosebibforbuildingpurposes � <br /> ._._._____Huse bib inside <br /> _________Bib far stable containing___.___.__scall______.. <br /> _________Numbr.r of persons in family <br /> __________Number of rooms in buildin� <br /> The premises are to be used as a______________________________________ ______ <br /> The owner of[he premisra is _________________. _.______________________.___ <br /> TheaHent is.._______.___.'________'____ '_____'.'___'_'_'__-.__"__'_"_' <br /> This application, al[hough signed,shalt no[be binding upon the City, until ao <br /> cepted by The Superintendent of the Wacer Department ' . . <br /> � <br /> Signed_�k.�:._,i,Z-CrC.J_"1'f"_.'.__,'" �_"""_"__APPlicant <br /> Accepted____„_'__""_"__191 By__'_____.___"__"__"_'__"_"___" <br /> -- SuDerlmm�deni <br /> F�c��-�;;�l�, � <br />