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�c�-�✓ 6-1a-3o -lr �.�.t-c�_ �-n /7-0o-- /� /C ��, <br /> VV.D.Form J-1600—E.P.Co.—G-26-2J <br /> City of Everettr-Water Department <br /> APPLICATION FOR tiVATER <br /> All blunks must be filled in or cras=ed out <br /> Everett.....................��`3 ...192.J�...f� <br /> � TO THE SUPERINTF.NDENT OF TI3E NATER DEPARTDIENT: <br /> CITY OF EVER�TT: <br /> I I�ereUy npply for the vse of wutar in nccord:mce milh thc rules and regu- <br /> lations of the ��'nter Depnrtment, for purpo=es nnd fixlures etnted beluw. <br /> During the time thnt any of the water mains mny be taken up by renson <br /> of any improvements authorized by thr. City of E�•erett, in or of nny ebreet or <br /> alley in which they may have been lnid, the City will not be required to £urnish <br /> water dm•ing the Progress of such improvements to any consumm• whose suPP�Y <br /> may thus be cut off, or be liuble for uny damages for its fnilure so to do. <br /> Applicntion No........ �"� <br /> -�,...0...�l............ �,,,,� <br /> Block........................................ Lot..........!�./.................... Add......._...__.......................... <br /> No......-�T�/�-.(J..�...... .. _ .eA�".�iEt+E:eStreet <br /> ' �r , .. <br /> c> �a ��..._4...... r' ....................... <br /> �... .. ...:.... ........._...................... <br /> .._............._...................... . <br /> The work to be esecuted bY......._._...__..._........___...................................Plumber <br /> —�/O � <br /> State eize of tap. � <br /> ✓..�/`.f.......Tap to be inserted in the main. %+�I t�1�9 npplia�,tion I Oj',S'8B <br /> ................�Vnter closet to pny for tI�c� lnntullution <br /> BQth , of u m�le�*sd cennoetion and <br /> .......Urinat �, /_ I turthor ta�reo to pe.y a <br /> .. .... minimum •;3 J3.66 per �onth <br /> .............._Plnin faucet insidc,%, <br /> on tliis ::iotorol oont�aotion <br /> ................Side RRII{ «�nsher�= (iB a�rned upon by the ��ty <br /> ................Hose bib outside Counc,'.i Of �'sl6tt•� <br /> ' �� ................Hose bib for building purposes <br /> ................}Iose bili insidc <br /> ................Bib for atuble containing....................stall.................... <br /> ................NumUer of persons in family <br /> ................Number of rooms in buil�ing <br /> The premises are to be used as n....... . ..���.:..v..'......................... . <br /> The owncr of the preeiises is..n�u::.>._�.�G.�.�i.-!1��. <br /> �........ <br /> Thengent is......................................................................�---............................................ <br /> This applicntion, although signed, ahnll not be binding upon the CifY, until <br /> ' �-ted Ly the Superintend�e�nt o�f the Wuter Department. <br /> a'igned_�...��L- �i'���ffG�Y.. ............................. ..Applican / <br /> �pte�l....�--'.l..C�..........1�d By......� .. ._ _ .+Q/... .. . <br /> S j 3ent <br /> �-"� <br /> • � s <br />