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__ • �t„��,<r �• t i--rm n. u � <br />c...- =ri �-9H-7G. <br />W. O. Form 4� IR00—E.P.Co.-6-26�2� <br />City of Everett�Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in � crossed out � <br />�� / <br />Scerett....... ... Gt...._.....�..L .........................192..W <br />TO TIIC SUPERINTENDENCITF t EVEI ETT;PEPARTDiE\'l': <br />I¢tionslofetheYWnter Depertment�tor�pu�Pn`eseand�fxture.hst t d'Gelow ��E3 <br />During the time tliat anp uf thc «•ater mains may be taken up bY rcae•on <br />of nny imProvemenls nuthorized by the City oC Ecerett, in or of nny street or <br />ulley in w•hich they mny have becn laid, the City will not be rcquired Lo furn�sh <br />App,icntioneN j.r�,(`.p..� s�h�t,roremenF to uny co'/ilure so to do. ����'Y <br />wntcr durin�, g sumcr whase su <br />may thus Le �ut off, or e mble for uny dama es for �ts fn <br />� i <br />..... Lot..... 1 ..... Add ... � ....:. '::�_..! „ <br />Block... .. .t.�.. . .�J .._ .�/ 1 � . .. . <br />No......J�6l....�'�f-.�t' _Street ' ' � .. <br />�.... <br />.. . .... ....................._.. ................_.................. <br />.................._..................._..._.............. � <br />The work to be ececuted by_..... .... _ __......._0....-..P1umUcr <br />State aize of taF• _-'�— O'_—_ <br />..�2.......Tap to be inscrted in the mnin. �-- j `�`. � � <br />....L..........Nater closet ��,+' �� "E-�,'_'; � <br />r ; <br />....I...........Bach �� ���� :' : i.�,'.� <br />' .....-.�.....Urinal Ci7Y OF EYi li� '' , ' ' �-' �T <br />....�:.....Flein fnucet inside 4' :.................. ........................... <br />........ .....Sidc �nik washcr <br />......�....._.Hose bib outsidc <br />........ ...Hose bib for huilding purl�oses <br />...... .....Hose bib insidc <br />.......�......Bib fot stsble containing ................... etxlL....__........... <br />.,...._�.._A'cmbcr of persons in fnmily � <br />'-- - ... b.�,..r.. _ _......... <br />The premises are to bc used as o... -����������������,�� <br />'i�'�n onnervof the preri sean19 uildin����-�� ��� �� <br />� � �, . • . ......................................_....................................................... <br />. gent is ..................... <br />�� ��.ppliceHan, elthough siFned, ahnll not be binding upon the City, until <br />� ::.) the Superintendent of the Wntcr epartment. <br />}}}��� � <br />. � Signed...,(......../.�./��....... ... ....... .. . ............ pPlicent <br />,. . . /-.�/...�............192�i.. By..... ::..�1 � .. ......... ........... <br />� , �,, e� .......... ..... . . r . .. erinten t <br />