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����~M�"S� . a („�a,l� 11-/7-7�� i�)'M� <br />W. U. Form 4—IGOU—E.P.Co.-6-26-2J <br />City of Everett�-�-`Uater Department <br />APPLICATION FOR WATER <br />AII binnks mus' '.e filled in ur crossed ovt <br />. ��6 <br />' Everett. .........................................................................192�-. , <br />TO THE SUPERINTEA'llENT OF THF. WATER DEPARTESEN'C: <br />� " ' " C1TB OF EVEI2ETT: <br />I liereby�apply fnr the use of water in accordance with the rules nnd regu- <br />Intions of the Water Departmnnt, for pm�puses nnd fix!ures s'ated bclow. <br />During the time thnt nny of the watcr mnirs mny be txken up by rnnson <br />oC nny improv�menta authorized by the City o[ :.'verett, in or, of any street or <br />clley in which they may hxce been laid, the City will not oe required to furnish <br />�rater during t6e progress of such improvements to any consumer whose suPP�Y <br />may tl�us bc cut off, or be linblc for any damages for its failure so to do. <br />Applicntion No......._g�_�..?........._ � . . . <br />� <br />Block ..................='.............._. Lot.��%.7..:....3.. • .. Add.....'..:.'.�.L..'..:.,....:.:':.5� .� . <br />jj . — ... ........ . . .. <br />t. , <br />No........7.�l�..l� ............�....t._.�yJ'.,,�.t/�_J r 3tmet �..:.,�: <br />_ ......................_-..._....._�=�........Y.................... �... �... �....................... ................................... <br />7�hc work to be executed by.._..__...._.._... .__.._. __._.........�._........__.....Plumber <br />St'a/te aize of tep. <br />_1.,�'......Tep to be inserted in the mnin. ��• e <br />.... ......._Nnter �oloset y / S� ' <br />` � <br />................Dnth .. <br />................Urinal <br />................Plein fauret insidc � <br />................Side welk a•asher <br />.............._Hose bib oulside ' <br />................Fiose bib for building purposcs <br />................Iiose bib insidc <br />............... Bib for stable contnining.........:..........stell....�)...._. . <br />.............. <br />..Number of persons in family � <br />..�........Number ot rooms in building ` <br />Thc P�emises are to be used as e........fLC/_Sl....-� :..�.�...:..:�P <br />L , ,/�... ... ................ . <br />She owner of the prer.�iaes is..........�....N..._...1.� •• � � ' <br />'�'i�i�.,A,'... T <br />Thengent is ...................................................................................................................... <br />This npplicntion, elthough =igned, shnll not be binding upon the City, until <br />nceepted by�the Superintendent ot the \'Vnicr Department. <br />Sa:ued..�y.J�t!J.....!(�..�.�.......����"`�������� . ..............Applicnn <br />.. <br />_ � •:.�i- Z6 �Gfi/ . <br />.t .. . ...................182...... BY�-� .......................... <br />� , � perintendent <br />