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, <br /> ✓:,.,1�->;-�� � .�-,-.�,u�-�j �-�-- 3 0-7�S'I��;.>} <br /> N.U.F'orm i-1500—E.P.Co.—G-2G-24 <br /> City of Everett�Water Department <br /> APPLI�ATION FOR WATER <br /> . All blunks mcst bc filled in or crossrd out <br /> Everett,..........._�/�.C7�R.�. ....................._.........192_.... <br /> TO TII� SUPfiRINT�NDGN7' OF TI{Ps N9TER DE:'AICTniENT: <br /> CITY OP �V�1:ETT: � <br /> I hm�eUy npP�Y for the use ui water in accordance with tlie rnles zmd regu- <br /> 1¢tions ot thc Water Department, for purposes imd fixtures stated bclo�v. <br /> lluring the time that any of the �anter m:�ins maY t�e taken up Ly reason , <br /> of nny imProcements anthorized Uy the City of �vcrett, in or oT uny strect or <br /> �lley in which they mny have been laid, the City will not be mcluired to furnish , <br /> wnter durin�; the progress uf such improeementa to any consumer wliose suPP�Y <br /> muy thus he cut nff, or bc�liiaUle for :my dnntnges for i[s failure so to do. <br /> Applicntion No....��...1..�................... � . <br /> Block......�_3.�.........:..p... Lot..._ ....5_.-...�'._�...... Add... ...;:..�:....'_...�....�..'... ..... <br /> xo.../.L�.L.`/��.z......0. .......... ................ .:...............scre�c <br /> _..._..........._...._..................._....._.................... <br /> _.............. .., . ....._.........._....... <br /> The work to be executed by............. .. <br /> .._ _....................`_G_._._...__.PlumUer <br /> v���y� -w. �• a �7� f <br /> State sizc of tap. '�`¢I � l o� <br /> ._�L......TaP to be inserted in the main. � � � ' <br /> ...�...........�V¢tcr claset ` <br /> ....�..........Bath , . � <br /> � . <br /> .............._Urmal -�, <br /> __Z.........Plnin fnucet insidc � � '' <br /> L ....Sidc walk «�nsher ( � <br /> .._.�._....._I�osc bib ouLside /J <br /> ........`........Hosu bib for building purposes � <br /> .._�:.....Hose bi6 inside ��� <br /> � <br /> ................Bib for stnUlc containing....................stall........:........... <br /> ._..`/.,--:......A'umber ot persons in family <br /> .l...t .....Numbcr of raoms in building - / <br /> � premises nre to be used us n ��S✓d� �1..?..�5�. ��--�.. - _ � � -„ ;; y ��g•. - , � i <br /> ,.vncr of the p��r7emises �s.... .. .. ... .. .... ....... ,,., .. � oi�i t�5 � � � <br /> ' _. .... .. . .. -.a., <br /> -ent r�i......�Y.r... .....�G:I� .. .... ;� � �. �W� <br /> i <br /> oplicntion, nithougli si�ied, �hnll not be bindi upon the City, until . _ � � h�� �.;� 7. - <br /> � the Superintendcnt of the �Vntcr Depnrtme . ;�� . ' ,.��� � k" , ;� �� <br /> SiSned,rl...........��...:..�...�fi.GC...... .�.. . _.. ../�t............Applicant -. <br /> I <br /> r , <br /> �:i.d...r'�..s...�D..:..Z.�.e..�.102...... By . ..:.. . - . . ��... ............_............. <br /> - — S�,:perintendent <br />