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- � . ._ _�1Y.-� . . <br /> �...�_y� n '1- +:6 tr� . . , �-,-.�.e�i-t—� ��_ ✓?--i �/�7', <br /> \V.D.Form d=16V0—E.P.Co.-6-25-24 � <br /> City of Everett�Water Department <br /> APFLICATION FOR WATER <br /> A]1 binnks must be fitled in or crossed uut <br /> Everett.................................. . . .......`........�:.v...192....� <br /> TO TI3E SUPERINTENDPNT OF 1'HE NATER DEP RT➢fENT: <br /> CITY OI' EVER�TT: <br /> I hereby npply for the use ot watei• in nccordance with the rules and regu- <br /> lations af the Water Depnrtment, for purposes and fistures stnted 6clow. <br /> During the time that any of the wa!er mnins mny be tnken up by reason <br /> of any impruvmnents authorized by Lhe fity of �verett, in or of any sCreet or <br /> alley in which they may hnve been laid, the City will not be required to furnish <br /> a•uter durin� the progress of such imP�'ovements to any consumer whose supplY <br /> may thus�be cut rff, or�e Linb'le]for� damuges for its fnilure so to do. , <br /> Application No..............('....1..�.........-1 �s� �� � �c_���� <br /> Block.........,�......... Lot.....!-�...... ................ Add./.....`..'...`.�.`��1... ........ <br /> �/ //� � ...�.... <br /> No..1.J�.�...�?'�.-t�!�,..........Street <br /> ...................................................................._......._.. .......................................:......................... <br /> The work to be exacuted by....__.......... _..__....�..................................Plumber <br /> at,� size of tnp. <br /> �A_�CTnp to be iuserted in the mnin. ('i j1 <br /> ................�t'ater closer, � � � �y <br /> � <br /> ................B n t h <br /> .,.........�..Urinal <br /> ................Plain fnucet inside � <br /> .._............Side walk washer � '. � <br /> c.�, <br /> ................Hose bib outside . �� <br /> ................Hose bib for building purpases � '�. <br /> .............._Hase bib insidc � � <br /> .....�- ..�'Bib for stable cuntaining..............:.:...stull....................Y{\. <br /> �Number of persuns in family . � '�;� ��� <br /> ..:� .�......��umber of rooms in building Y' `� <br /> 5`he premises nre to be used as u.._ .. . . ........ _ ......................... �-��`� <br /> `� /� '/_ /� .._......./..�...,.. <br /> , - a owner of the premises Ss�`.:�4,:�._...W..3f.2cS?-.+.y�...................._..t�.,i.L. , <br /> � agent is...................................................................................................................... <br /> This npPlication, although eigned, shall not be binding upon thc City, until <br /> uccepted by the Superintendent of the,�R/'ater Dennrtment. <br /> SiSned..........................�y.li✓..,.a�L�l/ .�. .....APplicnnt � <br /> Accepted........��.�.i.^.�7.i.........192...�'Z By�... . - . .... <br /> .................................. <br /> � ' Superintendent <br /> ---1 <br />