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' _ �; � }�:. <br /> .i.0. Po�m 4 <br /> CITY OF EVERETT-WATER DEPAitTMENT <br /> �PLICATION FOR WATER <br /> All bianks must be filled in or c:•ossed out <br /> i , � <br /> Everett..................................._�a...'...i�".....�...................1�J_..1�..':..v <br /> TO THE SUPERINTENDENT OF THE WATE({ DEPARTMENT: <br /> CITY OF EVEREiT: <br /> 7 hereby apply tor thc use of water in axordance with the rul�s and regu- <br /> � ]alions oi the Water Department, for purnoses and fixtures stated below. <br /> Durir.g the timc that any of thc watcr mains m�y be taken up Uy reason <br /> ot any imorovements mithorized by thc C!Iy of Everett, in or of any street or <br /> alley in�vl:tch they r:�:y have been l:,id, :f:e City n�ill not be requirrd to turnish <br /> �vater during the progress of suc}t i.mprcvements to any consumr: whose sup- <br /> ply may thus !�e cut oft, or bc liable for any damages for its failure so to o. <br /> � '� <br /> �� > i � <br /> Appliaation No..../..�:Z..�..�..........._ (/,;L�!=-C-� <br /> sluck..................../................._Lot.....5'...�-.-.............�. 'daC�LF:I.::>:•�-� �C/GL-L <br /> tro.......................1 �_.s-�..... .J:):.l.G�-q.t.t5:C.:C..-ac-...v.....street <br /> ...................................................�.......................................................................... <br /> Tiic work to Ue executed by......_............_........ . .....................Plumbcr <br /> .................. <br /> 3tatc aize of tap. .� <br /> .__......_...Tap to be inserted in the main. � <br /> .'_. ._...Walcr doset ;���� Ll�-��� =�l=--ei <br /> l <br /> ._..�..Bath � <br /> ................Urina 1 <br /> ................Plain faucet insidc <br /> ................Side walk washcr <br /> S �' �.� <br /> ................Iiose bib outsidc ..Ji�� ): , <br /> Hosc bib for buildinE Purposes /' � �� S� <br /> .............._Hosc biU inside � / <br /> ................Bib for stablc containing.._.............._stall._..........`�./ � <br /> .............._Number of persons in tamily <br /> ....�......Number of rooms in building <br /> The Premises are to bc used as a.......__...._.........................._.........__.... ....__._...... <br /> Yhc owner of the Premises is........._.............................__._._...._............._.._......_..... <br /> TSeasent is..........................._...................._.............._......................_.......................... <br /> Tnis application, althog�h signed, shall not he�fiding upon the City, unti] <br /> aceepted by the rquperintrfident oE th/}/�ater e artment. <br /> .Si�nedl..�:..�".��_..ij,.('r�C�l� ��lX-rSc.�_�`�" <br /> ..................................................................A pp]ican t <br /> _ / <br /> Accep-�ecL..__.___. ......�...._......__....lB....... By._................. .._.__..............................._..... <br /> SuPerintendent. <br />