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- . • � . - `=-'-`�1 9`�-o"�y� <br /> 1Y.D.F'arm 4—ISn0—E.CCo.—G:6-24 � <br /> Ci4y of Everett--�Water Department <br /> APPLICATION FOR WATER <br /> All Llanks must Le filled in or crossed out <br /> P:vcrett.............. .. . . . ..............��._.._...._...19`L.��'.. <br /> TO THE 5UPERINTENDLN'C OF TIIP �VAT it PCPARTi�Ili?�T: <br /> CITl OF �VLRETT: <br /> I hereby nPP�3' for the use of u�ater in accord:mce�vith the rules und regu- <br /> lations of the R�atcr Department, for purposes and fis(ures stated bclow, <br /> Dw�mg tlic time that auy of thc wafcr mnins mny Ue tuken up bY reason <br /> of any i.rprocements authorized by the City of �verett, in or of cny street o•� <br /> alley in which tFey may hnce been iaid, the City �vill not be iequired fo tarni:L <br /> water during the progreso of uuch improvements to any consumer �vhose sunr�y <br /> m:,y thus be cut off, or Ue ]iadle for nny dmnu�es for its failure sa to do. <br /> 7�_i � 3 � <br /> Applicntior, No........_5... . .. .............. 7 5 <br /> Block...._...._...............`-__..... L t...__.._..._...._..._.._...._... Add.........__..........._ _._.. __. <br /> No....._�...I_..-3.�....../�.�L(�L�r.....Street <br /> ........_.................._.._......................................._.........._.........__..._._........_..........._................... <br /> The �vor]c to be executed by........... ..__._...._.._........ /.. _............._.....Plum6er <br /> State izc of tnp. ��-�.y� -�y� / �� �a �/5/ - <br /> ._�_Tap to 6e inscrted in the main. S / 4l �J, <br /> /C� y�� <br /> __.._........�Vnt��r closet /`S e I �f�� O f G <br /> i d <br /> ................B a t h <br /> ................Urinal � <br /> ............. _Plnin fnucet inside . <br /> .............._Side walk tt�ashcr ... -'' .���G <br /> ................Iiose bib outside . .. . � <br /> / <br /> ...............Hos� bib for building purposes <br /> ................IIose Uib inside <br /> ................Bib for stablc containing....................stall.................... <br /> ................Number of persons in family <br /> ................NumLer of rooms in building <br /> Tl�e prmuises are to bo used ns n .. <br /> ..........._ ...._ <br /> 1'he o�mer of the nremises is .i �-�,��yf <br /> Theagent is....._.............................._........_...__..._........_...._........................_.._........... <br /> This application, although signed, ;Uall not be binding upon thc City, imtil <br /> accepted by lhe Superintendenll of the �qater Dey,rtment. <br /> r <br /> °igned......,.�`_�_�.,.,.����j � - / A icnnt <br /> . . ...��h�����........ ..._.. <br /> Accepted�..�..-,.ZLJ..........192�f IIy . � . <br /> / � . ._.. .. ................� <br /> � intendent <br />