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/'� <br />� , _ - � " � ��' <br />w. a vo,� a <br />CITY OF EVERETT-WATER DEPARTMENT <br />�1P�LICATIOI� ��OR WATER <br />rlll blanks must be filled in or crossed out <br />Everr_tt,..._._........_.__ ..._.J ..'._.��....�_.__.____._.. 19_ ".:.. <br />7'O '1'll}: SL'i't:RIS7'E\'DENT OF THE �VATER DEPARTMEN�P: <br />CITY OF EVERETT: <br />I hereby apply tor the use ot water in accordance with the rules �nd rehu- <br />lations of the \Vater Department, for purposes and tistures slated bdu�c. <br />During thc time that any of thc watcr mains m�y be taken up Uy reason <br />of any improvcinents authorized by thc City of Everett, in or of any street or <br />allcy in which titey may have bcen ]aid, Lhe City will not bc required to furnish <br />water during the progress oi such inprovements to any consumer whase sup- <br />ply may thus be cut otf, m• be liable. for any damages fm� its fai]ure <_o to do. <br />ApplicationNo.�t�'-I�� -.i%�C-� <br />Blxk... 'f/.%, �.S.l........ Lot� %��`���/�{ .�}��q�n� . . .._..._. _... <br />No._�.Y ��".f:..�Ty� .. '�i:�'"-+,��" .._...Slrecl <br />q \ _ <br />�� -:?..� �� d.1.1............!L...✓......_... `. <br />....... ................................ �...................... ............................. <br />The work to be execu!ed bY .....................- -..... -.---------.... .-.... Plumber <br />State sizc of tap. <br />� i, <br />,.�____....Tap to br inscrled m lhc m. m. <br />.._._........Walcr ulus„t <br />................ D a t h <br />. _........_...Urina I <br />.._.._........Plain L�ucM '.auidv <br />._.__........Side walk washcr <br />.............Iiose bi6 outsidc <br />i; . f l/%" � '�- <br />� �- � _, <br />._- .Hosc bib for building purposes ^ I <br />.. . . :ase bib insidc ' � � � <br />...._._ .Bib for slablc containing....... .__ sL:^ ._ .. .. ( ,;�. <br />. ......__..Number of persons in family <br />_ ..___.._A`umbcr of rooms in Uuildin� <br />1'l�c premises are to bc used as a...__. _. ... .. . ... .._.. <br />The owner of thc premiscs is............__._.. .__... _ . .. ._. __... _.. _.. _ . . <br />TSeagent is....._ ...................._.............._......_...........................__..._..........._....____... <br />'1'his application, although signed, shatl mt be binding upon the City, until <br />;�ccented by the Supey intendent o/f�the R'ater Department. <br />-..! "ji. I \1�1Cl, <br />Sirmad �. �t�. . _.,.�_.:��t-��. ......_......._.Applicanl <br />A�'ri•pir,; . . . L'?. Rp. . . .. . ... _......__.. ._. <br />SuDcrintcn�irn;. <br />