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� r <br /> .L.7,..w i .� ;� - .. . . i il ,_ <br /> �-' '�:.i2=CF IGS. r . — lc,��,, _,. <br /> W.D.1'orm.1—I6Vo—F:P.Cu.—u-2G-2A <br /> City of Everett��'ater Department <br /> APPLICATIOrT F'C�R WATER <br /> �lll blanks must be filled in or crossed out <br /> �cerett..............��---...�J.....................192.� <br /> TO TI�� SUPI:RINT�ND�NT OR THP �V9TER DPPART'.1IPNT: <br /> CITY OP EVSRETT: � <br /> � I hereby npp]y for the use of �vater in accordance with Uie �vles nnd regu- <br /> lations of thc Natcr Department, for purposes and Yisturc, statel l�clow. <br /> During the time that any of lhe watcr �miins may be taken up by reason <br /> of nny improvements authorized by the C�ty of �cerett, in or of any street or � <br /> nlley in ivhich ihey may hpce been laid, U�c City �vill not be required to furnieh <br /> w:,ter dur�ng the progress ot such improve�nents to any consumer whose supply <br /> may tlres be cut off, or be liable for any dmnages for its failnre so to do. <br /> ApplicntirnNo..:...�..�.. .`�...._.(.�............. 13�I� ��s�t. <br /> - r <br /> a�o�x......../.............f/_��1r...... ...�.�' .L�.....�...J_. .. naa.. ....1.�................. .__._. <br /> n o......../.�...11._.4... ..�.�.�..('/Y7�_�f�-Ceti-q...Street <br /> ' / <br /> ..____......�.....................................................--.....................a...... ... <br /> ..... . .... <br /> ........................ <br /> The work to be executed by._.._._.....� . ....._._.........__.._...Plumbcr <br /> � <br /> State sizc of tnp. ��' ��_ ��--- __. <br /> ..�/yl ...Tap to be inserted idtile main./ G <br /> ......./.......R'ater e!vsrt <br /> .--...�.......Bath <br /> ....... ......Urin al � <br /> . _.._7......Plain £aucet insiue - <br /> .......... ...Side wulk wnslier � <br /> ..._.�.......Hose bib outside <br /> .......-.....I3ase bib for building purPoses� � <br /> .__.-'._...IIose Uib inside <br /> .._.. .....Bib for stuUlc containing.-_...............stall....._....-- <br /> .._..�...Numbcr of persons in family <br /> ................NumUer of rooms in building <br /> 'Phe Premises are to be used ns n..... ....... .... t�...�� .✓/...__..................._.......�'. .. <br /> The o�vner of the ;.remises is.:. ��....G%j�(iGf/C�y�._e� [:�[-t <br /> Thcagenc is.........._.......................................__.._...--_..........................._........_............ <br /> '1'his applicntion, nithougl� ,i�wd, ,hn11 not be �inding upon dic City, until <br /> accepted Uy ihe Superietendcnt of ��he `,VpLer Departmoat. <br /> 5igned.�� .............. plicant <br /> R3�0.._...�.._. _. _... ��.. ......p�, <br /> ��i '/ - : <br /> a�c�Pt�a_..�!:.�..�P. _......i . y; .� / <br /> �.�i��:..�............--........../ <br /> crintendent <br /> •�.. <br />