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. , ' F<<-�e i-z� � - r�1' <br /> W.D.Form 4—�GOJ—E.RCo.-6-26-24 � <br /> City of Everett��Tater Department <br /> APPLICATION �OR WA.TER@ <br /> All blanlcs must fie filled in or crossed out <br /> �_ <br /> Everett,..........._ � � ....7...l.................192.�. <br /> �-. ......:� <br /> PO THE SUPE_:INTEA*DEYT OF <br /> 'ATER PARTDfEN1'; <br /> CITY OR EVE.tETT: <br /> I L•ereby aPP1y for the use of w�ter in accordance qith the rules and regu- <br /> lations of the �qater Department, for purposes and fix�vPes stnted bclo}��, <br /> During tl�e time that any of the watcr mnins may Le taken uP by rcason <br /> of any improvementa authorized by the City of Everett, in nr of nny street or <br /> nllcy in which they may hnve bcen laid, thc City will not bc required to furnish <br /> " water during the pro�ress of such improvemenls to nny consnmer whose supPly <br /> m�Y L6us be cut off, or be linble for ;m9 damages for its fnilure sn to do. <br /> APP>ication No....:�S.._. <br /> �r � � ..................� -591 <br /> Block....._7.�1.�.�.............._ Lot......._�...... .._......�.... Add._........ <br /> No.�lL?�IAz� � � .........._........._. <br /> / _... <br /> ............ ....F.-'-�{-...�.........CC..G!.l.:Street <br /> . . .. <br /> ............................................................................................................. <br /> The �vm•k ta be ^.xecuted by............__.. <br /> _....._....... . <br /> S3ty t size of tap. �(7-"U-O-�---����-�.-....Plumber <br /> P��`�...Tup to be iuserteJ in the main, i / �a . <br /> •--•��....3Vater doset ! , � <br /> .......-......Bath � "� �� IJ�i) <br /> ,�� � � �,,.. <br /> ..._._-:.....Urinal ���/ r- ��;._��:�z �:,, . <br /> ���-�-....-.Plnin faucet ins�de �� � <br /> . ........._ ....... <br /> — � ._ <br /> ................Side walk wnsher . . ..... <br /> .......-.:...Hase bib outaidc <br /> -����_�..�..FIose Lib for buildin <br /> g Purposes <br /> -�������� ..Hose bib insidc <br /> -����� `...Dib for atnble contninin <br /> -- g...................stall.................... <br /> ������-�—.._Number of persons in fnmi]y <br /> �� --��.....Number of rooms in building <br /> -�"ie premises are to be uaed as a........... ... <br /> ,�:. . ................ <br /> � ��: o�•mer of the premises is....�. .�. .�'.._ � <br /> y� " � J ....... ................ <br /> 1...J..�. t,C/ ' <br /> , n � .......-�C��-i............... <br /> gent is....................................... <br /> ........................................... <br /> � �: applicntion, ulthough signed, ch:�!1 no*, ............... <br /> ..................... <br /> . by the Superinte�e t of lhe Wateh D Na rmentg vPon the City, until <br /> Si�ned.:>._.........�/...I��. ✓G��� <br /> , .�.............. <br /> rlceepted.............. . Y� r.... .APPlicant <br /> �-..�'�.f....192..� By... .. ... <br /> ; ... <br /> 4._/. ........................ <br /> Petintendent <br /> �--7 <br />