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� • � , -�<�r -�-zz i�-�i71 <br /> W.D.Furm 4-1(UO—E.P.Co.-62G.21 <br /> City of Everett--rWater Department <br /> APPLYCATION FOR WAT�R <br /> All binnks must be fiRed in or crossed out <br /> . , �� <br /> Everett,......_....... .f...� . .......�..� ...1'J2...�i.? <br /> • . ................. <br /> TO TIiE SUPERINT�NDENT O � «'.qTEP. EPAftTid�NT: <br /> C1TY OF�VERETT: <br /> I hereL� npply for the use of w:.ter in accord�r.ce with the rules nnd regu- <br /> lations o[ the Water Department, for pwposes imd fix,ures sWted bclo��:•. <br /> During the time that atty of the wnter mains tn:iy Ue taken vP by reason <br /> of nny improenments nuthm•ized by Lhe City� of �vcrett, in ur of nny atreet or <br /> alley in wliich thep mn.y have been ]aid, th! City wi11 not be required to furnish <br /> water dm�ing the progress of such improvements to ar.y consumer whose supply <br /> may thus be cut off,�or be liable for any damages for its L�ilure so to do. <br /> Applicntion No....r��1.../� 65 <br /> ............. 4 0 <br /> Block...... ..... <br /> y .a.�................ �c..5.-...... y� .......... aaa._._...._ _........_. ....... <br /> A'o.�c: r ��C ....... <br /> ���� "��� '�...Street <br /> ....... ..........��:.. .'... . <br /> .........................................--..................... <br /> ......................................._............................. ..... <br /> . .. ... <br /> The work to be executed by........_._...... � <br /> . ... .�C�po ............Plumber <br /> St t'/size of tap, p , <br /> .�7..._Tap to be inserted in the main. ' /'i=i1 .,,�;� <br /> .......�.....Nnter closet ��'.' .. _ �y,� . ..�...' . <br /> _. . // <br /> .._.... ...L�nth � .. . <br /> ......_—...Urinal <br /> .......�.......Pluin faucet inaide <br /> �-��...-.:-...Side rvalk �vnsher <br /> ����-�.........Hosc bib outside <br /> ...._�..._Hose Uib :'�.:� huilJing purPoses <br /> ���...--::.:..Hose bi6 inside <br /> .......-.-...Bib &r stuble r.ontainin�....................stall.................... <br /> —.-.::Numbcr of persons in fnmi]y <br /> �����-..........Number of rooms in building <br /> The premises are tu be used as a..... ........ ..... <br /> .__. .............. <br /> The owner of tUe ����`��"" <br /> _..... <br /> prer.iises is......_ �........ � � ��; <br /> .,_;:�iLc. ....e�.�... <br /> ..................... <br /> - •' ngent is......._............ <br /> ................................................................ <br /> . ............................... <br /> � � anP�Scation, although signed, ^,I:all not be hin�ng uiion the City, until <br /> . :,y the Super:ntend af tbe Wnter Depnrtment. <br /> m / 7 <br /> 8igned................. ..L....U.J...�...1�(! . _ <br /> --t.-:�_!.r:..... � Applicnnt <br /> � <br /> . .... ........ <br /> ........ ........,..'�..�..192 <br /> - G BY.... �.. <br /> ....................... <br /> �oerintendent <br /> -."1 <br />