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<br /> \V.D.Po t m 4 �/�' •"Y `l� y
<br /> CITY OF EVERETT-WATER DEPARTMENT
<br /> APP`LICATION FOR WATER
<br /> .111 blanks must Eu filled in or crossed aut
<br /> Evcrett,.........__.... .__._..........J._'.....4._........__._...._..19.��
<br /> 'PO 17i1 Slii'lR1NTENPSNT OF' THFt WATER DEPARTniENT:
<br /> CiTY OF �VERETT:
<br /> I hcreby apply for thc usc of tvaler in accordancc with the rules and regu-
<br /> latiens uC lhe Watcr Department, for purposes and fixlures stated below.
<br /> During the lime that any of the water mains may be taken up UY rcason
<br /> of any improvements authorized by thc City of Everett, in er of any strcet or
<br /> allcy in which thcy may have Ucen laid, the City will nut bc required to furnish
<br /> �vater during thc progress of such improvements to any consumer whose su�-
<br /> ply may thus be cut off, or be liaUlc for any damages for ils failure so to do.
<br /> Application No..i..M-......:I.�.3 � .i� � .�-4J �r< �,/<_.;.
<br /> i� -'� ' : r �-�:� � � .Lot....... � . ...... ... eYdd�i pE- .7�-t' '..!�
<br /> . s� • �`� Hlod:. ................. ............. . .
<br /> �� ' , �..'.1�,� . � � .�,� �....Strect
<br /> .I � ����u� . . . � � � No.... ................._:. .�.:.....�....7 ���4.-.=-�........,..� ✓%
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<br /> .I�: -.�;;�.�i ._�.., �
<br /> � � . � . Thc work to be executed by..... . . ._ ..._. .
<br /> . ......_. _ _.... .. .Plu.nbcr
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<br /> �i ,f i F � ,�� . � Stalc sizc oC tap.
<br /> i ' +� � ....Tap to be inscrled in qie main.
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<br /> . , � . / ....Watcr closct
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<br /> ; .� : ;.. � � - � .... BAttl
<br /> ti � �.
<br /> �. aw t �.. .. • � :� ' � . � . .............Urinal
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<br /> �• . ....� �,y�� : �.., . .
<br /> � . ��, Q ' - - ................Plain fauccl insidc
<br /> . ��._,��y.� „ �. , � ................Sidc tvalk washcr
<br /> �- 7 r.�Y � �� �� • �� . .............Hose bib outsidc i .. '- .o
<br /> ': �� f � ,'� �
<br /> ...Hosc bib for building purposes . , �
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<br /> a.:... 74 Y� : . . , ..............Siose bi� inside I �. 1� C � �,.� �--.
<br /> ' - � , r,ti�, <^ _. : - � ' :i'�/}
<br /> , , y. .S, . . . :. ................Bib for stable containing.. . ........stall. . ............ . .
<br /> �
<br /> Fi�;� ,s, : � � � � ' /......Numbcr of persons in family
<br /> �%i� �� � -� � "� � '� .. _.Numbcr of rooms in building
<br /> '1`. .,, . . � ....lt:
<br /> . . . � �;� , "- :. . The �ramises are to Uc used a:� a......... .. ......... . ... . . ._ ._.. . ._...
<br /> � � � ��� � � Thc owncr of lhe premises is.... . ..
<br /> .�
<br /> ...... ...... ._.. .... ..... ....__._..
<br /> ��r
<br /> -, 1�� ,;1:-��'� � ' � .:,., , i - . Thc agent is........... .. ..... ..... ..... .. . ..... .............. . .. ... ... ...._._. ......
<br /> ,r .�
<br /> � This npplication, alqio��h signed, shali n t bc binding upon thc City, imtil
<br /> accepted by lhe Superintendenl of lhe 4�'.atc^ epar�rent.
<br /> i�
<br /> �� � '... !�>` --._
<br /> SiFned.....1.:.�,:a-e...,...)......._5........._ �...................:\............Applicanl
<br /> Accepted.._.....__._..........._...............1�....... By....i...................._................................._.....
<br /> Superinlendent.
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