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; <br /> �����-3d�o -!r �_� : . -�. . <br /> Po'.ll.I�orm 4�-IuOu—E.P.Co.-6-26-YC <br /> Cit,y of Evei�ett�Watei� Department <br /> APPLICATION FOR WAT�I� <br /> All binnks must Ue filled in or crossed/out <br /> Everett.................................��-��J����.1--......---...............Y92.�." <br /> TO TA� SUP�RINTGND�NT OF TI3P R'ATPR DPPART➢iCNT: <br /> CITY OI�' �V�RETT: <br /> I Umroby aptily fur the use af �rater in accord:mce with the ivles nnd xegu- <br /> latiuns of thc Water Department, for purP��es and fix!.m�es stated Uelow. <br /> Pming lhe time that any of the �cater mains may be taken uP by rcason <br /> of nny improvements authorized by the City of �vcrett, in or of any strect or <br /> alley in which ihey may hnve been laid, ':h^ City �vill not bc required to furnish <br /> wnter during thc progress nf auch improvementa to nny �onsumer whuse suPP�Y <br /> mny thus be cut off, or be liable for :my damr,gas £or its fnilure so to do. <br /> r1 , � <br /> Applicution No....... .(.7..`V....l...0............. �3 � ..:.._� � � ; <br /> ' / � <br /> Block.....�.../............. _..._ Lot_.....r.��.....__............. Add.._�.`f:.. '...._!I:it_�,-4. <br /> No......�...�..�-.4..... ..... ......... .......... . ......... .........Strect <br /> ....................._.................__............................_.........../.'..............._..._.......................... <br /> - Thc work to be executed by._--.._.�R'"�������---�--�-�- --__��..Plumber <br /> ^tatc eize of tnp. <br /> .��2.'.!.._Tnp to be inserted in the main. <br /> .......�_.....Wnter closet �j <br /> ...._L.....--Bnch �LI <br /> ................Urinul ,1� � . <br /> ��.....Plain fnucet inside <br /> ................Side walk wnshcr <br /> .�..�.....Hose UiL outside I � � <br /> _.....��..Hose bib for building Purposes i <br /> ', <br /> ...._." .—`.Aosc Uib inside ' � <br /> .`�..Bib for staUle containing....................stall.................... <br /> .... . ...Number of persons in fnmilY <br /> ...l�'.......Number of rooms in building(�/ . <br /> The premises arc to be used as a....._°................_...._......._._........._..... P............. <br /> 1'he o�mer uf the premises is.. ..... _ .. . _. _.. ._...... .�-�-t�. <br /> Theagent is...................................................................................................................... <br /> ^'�.iis application, nithou6h signed, shnll not Uc Uinding upon thc City, until <br /> � � �d by the Superintendent of the :\'ater Depnrtment. <br /> Signed............ ............ ......................._...................................... ....App]icnnt <br /> � � <br /> ��-��-��-�� �;_�„�� ......... <br /> - pe� Cnt <br />