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. . (r��t_e/. "1-� 2- �- y-� <br />1S. D. Furm b—IG00—tLP.Co.-6-26�2t <br />City of Everett�Water Department <br />APPLICAT�JN FOR �TATER <br />All binnks must bo fitled in or aossed out � <br />�1 Q� <br />Everett ........�..........�� ...........(�1.....�._`Z:......102�-. <br />PO TIIE SUPERINTENDrY9` OF 71IL' � ATF.R D�hiENT: <br />CITY UF EVPRETT: <br />I Lereby npply for the use o[ �vater in nccord�nce with tlm rules nnd regv- <br />Intions oF the Water Depnrfinent, for purpo�es nnd fix:ures stated below. <br />Puring the Lime thnt any of the water mnins mny be tnken up by rensan <br />of nny impro��ements authorized by tlie Ci[y ot Ecerntt, in or of any street or <br />ullcy in which thcy mny hnve been lnid, the City will not be required to furnish <br />a•atcr riuring the progress of such improvements to eny consumer whose supply <br />m:�y tUus 6e cut otf, arLbe liablu/,for any damnges for its fnilure so to do. <br />Applicntion No..._p...5_�..I'............_ � 60 0 <br />Dlock....................................... Lot............ . Add......................................... <br />No..._. _�y ��.3...... ��.�. St�t <br />__.. ........ .._..... ....._....__......_._ ......................./.....�......_.................. ........ ............................ <br />The �vork to be executed by...._...___.LC�L. ..... .............`;..........Plum6er <br />� i <br />State size of tap. <br />.._��Z.Tap to be ine^rted in the mnin. - '.� ��� ��, <br />. �� . ; . � � '} I <br />..._�.........Water closnt � ( . '• .:; !.5 I �� � � <br />....I...........Bech .111� ",. i�Lf �. <br />.._�......Urinal �_ � CF ('.'S'tj7T �.,,- ,. <br />..._2r.....Plain faucet ins�de � �� ...-...._..1�.,. � ,. <br />/ .. .. .. _. . .. ..... <br />........—....Side wnik washer � <br />.......L.......Hosc bib autside <br />........-.....Hose bib for building purposes <br />.....:..�....Hase bib inside <br />....... ......Bib for etable containing....................stall.................... . <br />....... ......Numbcr ot peraons in family <br />.....�1.......Number of rooms in building <br />The Premiaes are to be used as a ..... ...... .. . ............./.J../.f... . .. <br />�� / �... ... <br />Th.e owner of the premiees i@,�(if/ ...... .. ....... ...�.� _,(�,f'�,._.�__.,..�.. <br />Thengent is ................................................................................................... <br />................... <br />7'hia eppticntion, el[hough signed, shall not be bindin upon the City, nnGl <br />.,_ �_;,:>�1�.r '�y the Supedntendey f j�h e W De en� <br />� . ,��..- �� Signed_v_" .....l.J.'....li�L.[/"—"� ...... /�................. .........Ap 'cant <br />. . . . .. ... _ %..�...�1......._ �.92Lr.. B . .. .. . .t� ........................... <br />-- . y ylr?r�.. Superintendent � <br />