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W. D. Fe�m 4 <br />CITY OF EVEP.ETT-WATER UEPART�hFNT <br />APPLICATION FOR �JATER <br />All blanks must Uc fi]]ed in or crossed out <br />. ; <br />Evcrett�.........._............_�5....� . .19�'_.`./ <br />�. .1�.._._ ..............._.__. ... <br />TO TI�SE SUPERINTF.NDENCITY OF EVERETTDEPARTn4ENT: <br />I hcreby app1Y for the usc of water in zcca:dance witli the rul^s and regu- <br />lalions of thc Water DeparGnent, for Purposcs and fixtures statcr belo�reason <br />During the time that any ot the water mams may be taken up by <br />of any improvr.menls authorized by thc Cily of Evcrett, m or of anY strect or <br />allcy in �vhich they may haae bcen laid, lhe City wi11 not be required to Surnish <br />�eatcr during lhc P���ress of such improvements to any consumer whose sup- <br />ply may thu.=, be cut off, or be liable_f�r any damages for its failure so to do. <br />/ �� , � � � � �' <br />Application No � . ._.._ �- �` ��� c -t %� ' <br />// � �. <br />Block_...........��C,%._5...�_ Lot /O_.. ..L/�lx,cl3dc i�.[F' ���'.,_lC <br />No_...._.._..........��/.�. / C /�"1�-.<:u.<..fj-.:L.:f.`ic._...........Strcet <br />. (l.... ___.._...G— . <br />� G <br />_ __..._._.._......_ .............._._...._........................................-__................ <br />Thc work to Ue executed by .._......... __ .._. <br />..__.__ ___..Plumbcr <br />Stale sizc of tap. <br />J '. <br />. �.......... <br />Tap to 6e inserted in the main. <br />_,... ._. 'Aatcr doset , <br />..... � - ;�j- <br />: - �� -, , _�:�. <br />.....�-......Bath � . <br />................Urin al <br />................Plain fauce! insidc � <br />.__...........Side walk waslicr _ ` , . <br />.._......_..S?os^ bi6 ou'��dc � �� 1�� - , <br />................Hose bib Cor building purposes ' .^� y r i <br />......_...._.Siosc bib �nside � „ '��. <br />...._......._.BiU for stable containing ...................stall.._..._....._�..... ���f� . <br />V` <br />............._.Number of persons iu family <br />.__,'lj. ..Numhcr of rooms in 6uilding " -� <br />......_...__._...........__...__.. _.. <br />The premises are to bc used as a......_._._...._...._..._. <br />_ .......... .........._..._............ .. <br />'Che o�mer of thc yremises is...._.___......... _..... _._ .. . .. <br />'CSc agrnt is... ... . . .._...... .__...._ .... .._ . <br />... .. . _ . ... ............ <br />�P�i;s �ipplic;iLion, althnu�h siFned, shall not be binding upon the City, unlil <br />uccented hl' tlie �5uperin,1tende/n'l af the �'ater Dep tm� t. <br />Sf�tned.....�7.. �..:lw� .�..........��7�i��.._�._...APPlicant <br />/ <br />._l!?._.. By . .__.. ....... <br />:'1cn�p �c:',.... . . .. ... .. ...._.... <br />_...SuPci �rl� nd,�nt. <br />