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�_„�n.r�9:.��_ a�- v.'`_ `} •: • ,F.-�an.��� �,1- •v.;. _ � 1 ��.:� o <br /> W.P•Form 1—I600—E.P.Co.—G-26-'L4 <br /> City of Everett��•'_ter Department <br /> APPLICATION FOR WATER <br /> All binnks must be filled in or crossed out <br /> 'YY .............192....-� <br /> Everett........................... .... ............ . .. <br /> TO THE SUPliRINTEND�NCITY OF EV I ETT DEPARThIENT: <br /> I hereby xpp1S' Tor the use of woter in accordnnce �vith the rules nnd regu- <br /> Intions of the Water Department, for Furpo=es nnd fixtures stated below. <br /> During the time thut nny of the �vater muins may be tu6:n uP by renson <br /> of anY imProvements authorized by thc City of Everett, in nr nF any street or <br /> alley in whreh the,r may have Ueen lnid, the City will not be required to furnish <br /> water during the Pragress of such improvements to uny consumer wl�ose supply <br /> may thus bc cut off, or bpe liable�fo(r any damages for its failure so to do. <br /> Application No.........._0�7...../......—'�1�� <br /> � . A d........_.......... ........� <br /> IIloc1k.'....................................... Lot_`..#.o......./...1/�............... � <br /> No..`�.J�'..,......�Y.��.`�-�-���trnet <br /> ..... ............... � <br /> �u�............... q .. �....�............... <br /> �- /�-�--�-��.. <br /> ........... �pA <br /> _.._..... <br /> The wurk to be executed by......_........�.........................-............Plum6er <br /> a5tpte size of tap. � / <br /> �J�Sf........Tap to be inserted in the main. , � � ' <br /> ................�Vnter claset �cL r • <br /> `....�Tinth � ' �� �. <br /> ,. :_ :� ��. ;,: <br /> ---..—:Urmal �:.. �;��- . , { i <br /> �---..... � Ci �> �� r� . <br /> --....�--.Plain faucet inside '�.; �� . '. � ;� .� <br /> �,.� �.. <br /> ........_......Side �vnik wnshcr �����,.� � ... . <br /> � � <br /> .......�-- ..�=iosc bib autside //� . . <br /> �-_Hosc bib for buildin� Purposes �'�.��� <br /> � ..__.,.,' .—.FIose bib inside / <br /> l <br /> .Bib for stuUle contuining....................stall,�,./....... ..... <br /> .��.....Number of persons in £amily � <br /> . <br /> ......�.�........Number of rooms in building� p�, <br /> The Premises are ta be used ns a...._./_`�— � � l l" p <br /> /� �� � D�, ,,� � 1 <br /> The owner of the premises is�..."..:%.•.!^'.�.���_�-�����`�..:�-�������-���--�-����� <br /> 'Th^ ugent is..................................._............._.................................................................. <br /> 1'}.is epplicntion, although signed, shnll uot be binding upon the City, until <br /> : ��cc�d Sy the Superintendcnt of the Nate�r J$ePartment. . <br /> Signed........_�..�....;:/�.�j/ � ..... ..t..........ApPlicant <br /> �� .. .. .. ��✓ �. ....... .. .......... <br /> .,d.......... .....Z.2.192._.. BY... ��upermtendent <br /> . ... ....... . <br /> � G. <br /> c� <br />