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Y�d' 'f - 3-2b J' E-,���.�.ti,_Q.. :,.. , . '. I�t;. <br /> .W.D.Form�-160u—EBCo.-6-26-E1 •• . <br /> City of Everett�-Water Department <br /> APPLICATION FOR W�TER <br /> All blanks muat be filled in or crossed out � <br /> : .x t.r <br /> Eccrect„....G.I...l..�........./.�...........1s2.Q.. <br /> TO THT. SUPERINTENDEftT OF TIiE NATER DEPARSMENT: <br /> CITY OF EVERETT: <br /> I he��eby apply for the use of water in accordance with thc rules end regu- <br /> latfana ot the 'Nater Department, for purposes and fixtprea atnted below. <br /> � During the time thet sny of the water malne may be taken up by teeaon <br /> of any improvemente evthorizel by the City of Everett, in or of any etreet or <br /> � alley in which they mxy have been Inid, the City will not Ee required to furnieh <br /> I � wster during the progresa af auch improvements to any coneumer whose eupply <br /> mny thua be cut off, or b(e)li�ejbl for�py demagce for iW fnilure eo to do. <br /> Application No........._�,5....Q...�._�.�.-�.......... <br /> p O <br /> Block.......�..[.. .................. Lot...................._...... Add........................................... <br /> `, . <br /> iNo..................._...�..d.�..�...... .. ._........_.............Street <br /> { ................................................................................................... ..... .................................. <br /> IThe work to be esecuted by._.............__......_..... ...........................Plumber <br /> � 9 te eize of tep. �'�'�.-e,��, , <br /> ! <br /> ��..�.�....Tn� to be inserted in the mnin. � ' - � '�� <br /> � ..._-�.-.......Water closet / i�t�� '. .:�_ . <br /> � <br /> �� <br /> --...�.,::.._�ath " <br /> .•v <br /> ..�-_,.._.tiRnal (.__-,`�. ,'—' .. . .. <br /> � ; <br /> ._��-.Plein faucet insidc �.� [,,--.ti': � .. <br /> ................Side wslk washcr �"' hi/�fi � 70 ' ��, <br /> : ��'. <br /> ..._�:.....Hose bib outside CrT? f�F :',:�iF�i �. ��' <br /> ... � . <br /> ................Hose bib for building purposes �� :%„ /� <br /> ........... . ... <br /> .....—:.-.....Hose bib inside <br /> ......-.�...Bib for etable contnining....................stall.................. � <br /> ..............Number uf peraons in fam(ly <br /> ................Number of rooms in build' , <br /> The Premieee ate to be us aa a...�{4,J��.. .W....S,,,:/�..�-�i—t� <br /> �. awner of the premisea ' ..�./l,r�.u... .._._ � - <br /> , ........_l.lt. <br /> .. .. <br /> s6entis........................................................ .P................................ <br /> . ....�............... <br /> � ati�n, elthou�ign d, a 11 not be binding upon the City, uotil <br /> G�`f,crintend o he nter De artment <br /> .. ....�....�. .... ....:........ ..................................Applicant <br /> T. <br /> . � , J <br /> �_��...._�9��- BY...... ..�'..���a:_.�� , <br /> �,�..1.:�........ <br /> . 9a�r5nkmdent <br />