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�,o� N. 3�_� �S ,�._ . , j -. -� . - . . /� <br />R'. D. Fmm l-1600—E.P.Co.—L-°G-2C <br />City of Everett�Water Department <br />��P�LICATION FOR WATER <br />All blanks m�st be filled in or crossed out <br />�verett .......................�/ �G ...192'i....� <br />............................. . <br />'CO 'PfIL SUP�RINT�NDENT OP TA� NAT�R DGPAI2TBiLNT: <br />CITY OR EV�RCTT: <br />I hereby apply for ti�e use of watm• in accordzmce �cith the ivles and regu- <br />latimis of thc W:.ter Department, for purposes and fistures �tnted Ue1ow. <br />During the time that any of thc wltcr mains may Uc taken up Uy :enson <br />oC any improvements nuthori2ed by the City rf Pverett, in or of any street or <br />:Jlc}� in tvhich ihcy may hnvc Uccn laid, thr City wil! not Uc required to furnish <br />��'�iter durin� the �rogrees of such improvei.�ents to any cons�imer w]mse supP�Y <br />m:�y tliu, Le cut otf, or Ue ]'• ble for any damnges for its fuilure so to do. <br />Annlicntiun xo...._�.� %3�J / <br />O <br />.. <br />I31ocL-.. .. .. .... �.. % � . i f . . , <br />I/, . . nt .../� ....... ._.... A d �„ • t " <br />_--�1a_��'"/!�_��% _ ;_' <br />No. ...... G'?'y�%'Z'"`�L .............Street <br />_ ........ . ... .... .. ../ Z � <br />... . _..... <br />Tlie work to be executed Uy.. �,-�� �, ,._. .PlumUer <br />Sta/te size of tap. / �� -� 5 °` <br />..-Lf:s.-TaP to be inserted in the main. <br />......... ...��'atcr closet <br />........ ....Bnth <br />........�..... Urinal <br />._..._�-....Plnin faucet insidc ���" � <br />�- % Sidc wallc wnsher /y-' <br />....---I.......iIose bib outside �/ ' <br />.........-_iIose bib for building purposes <br />.--......—..I�Iose bib inside <br />..........—IIib for stnble containing.........._........stall...._ .............. <br />������....�_Number of persons in fami]y <br />�����-�..-..Yumber of rooms in building <br />The premi=es nrc to be used ns a..._. ..�,o?��� %%� ,_,._.. <br />G.__........_...._. <br />The owner of the prcr.iises is....._ �..l�!�?Z.... �j��/�—� <br />. ............. ___ ..__� . . . <br />Tkzngent is....._ ..................... .......................................................... <br />...... ................ <br />'!'his nPplicntion, althuugh siqned, shall ot Ue Uinding upon the City, until <br />necented by the Superintendent 9� thc N• Dep7a�r-tment. <br />Signed..C......JiYY..L�'.'.`.... .....Gi'u!�l n....r.___• <br />i..._ ................_(/..._.......192...... By <br />- j� `/O � �b — <br />