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/•f .��° `'� <br /> w.o. Fo�r + <br /> CITY OF EVERETT-W.4TEP: DEPARTMENT <br /> APFLICATION FOR WATF,R <br /> r111 blanks m�st be [illed in or crossed out <br /> Evcrett,.__.............../_/..��✓�-.�txc_...2.................__..._19G.Y.." <br /> TO THE SUPERINTENDENCIOY OF EVERE'�TDEPARTMENT: <br /> I hcreby apply tor the use of wa�er in accordance wilh lhe rules and regu- <br /> :ations of thc Walcr Deparlment, for purposes and fixtures stated bcic�v. <br /> During thc timc lhat any of lhc tvatcr mains may be taken up Lp rcason <br /> of any improvemenls authorized bY the Cily of Everrtt, m or at any strcet or <br /> allcy in wlvch thcy may havc becn laid, lhe City will not be required to [urnish <br /> waler durir.S the progress of such improvements to an}• conswner �chose sup- <br /> ply may thus be cu! off, or bc liable for any damages for it� failure su to tio. <br /> Application No_�'��-/����•y� '/ • <br /> -i'1 --,J�!i�,..f�r.c:�e,..� <br /> Block........./../.......................�Lot............;/ ...................... Add...�. <br /> No......_...7•�,�.>.�� i" C:i:F.:C.4t:q�t-.,^.-..........................Slrcet <br /> . ................... . <br /> ....................................................................................................................................... <br /> The work M be executed by._......................_............................................Plumber <br /> Sta�lc��sizc o[ tap. <br /> ,1!� Tap lo be inserted in thc maia "�,/��cc���� <br /> ._! .....Natcr doset C� i` � k�" <br /> �.....Bath i ' �` b <br /> .... .....Urinal � � ��� / ,f N� <br /> _ <br /> .... <br /> ...._......Plain faucet insidc �'. �Y V� �lj <br /> �N� �yr�'>° <br /> ................Side walk washcr �� <br /> ............_..Hose bib oulside �� FVeT�:�t <br /> ................Hose bib for bwlding Purposes Clry. :.� <br /> ...............Husc bib insidc Wh��R[�GPti.. ' <br /> .......... <br /> . ...IIib for stablc containinG��-����������������stall.......... ...... <br /> ,.. ../..�.__..Dlumbcr of pereons in family <br /> ...p.�......Numbcr of rooms in building <br /> The Premises are lo Ue used as a.........................._.....................,.....'.................___. <br /> The owner of the premises is..........__........... � - <br /> ................................................. ....._.... <br /> Thc agent is..........._..._.....................__.....................................__..... <br /> _..........._............. <br /> This applic�tion, althou 6�h-s'rgned, shall not bc binding upor. thc City, until <br /> accepted by the Superint nde Y the . r D j,P�rlment. <br /> Siened.�1�.\.... .� . . .yt�?1i/C�..�............................Applicanl <br /> .. . ..................... <br /> Accepted...........................................1^. .... Y............................._............ <br /> SuPcrintendent. <br /> —c._. <br />