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��. �,-,�-�d�.�,. �,."t.�.�Q �-�o_x� r,�-1 <br />� r- <br />�5'. n.I'urm C-1'ull!1—F1P.Co.-6-26�2J <br />Citp of Everett�Water Department <br />APPLICATION FOR WATER <br />Nl binnks must be Filled in or crossed out <br />1'verett ...........................� � � .....1'J�.�. <br />1'0 TIIE SUP�RINTENDENT OF TSiE NATF.R DEPARTnSF.NT: <br />CITY OF EV�I2ETT: <br />I hereby npply for the use ot water in accm•dance �vith lhe rules nnd regu- <br />Intiuns of the Wnter Depnrtment, for pmposes and fistures stnted bclo�c. <br />lluring the time thnt nny of the water mnins mny be lnken up by renson <br />oF ony imtirovemeuts authurizcd by lhe City of Evcre!t, in or of any ntrect or <br />❑IIeS in which Ihey may hnvc been laid, thc City will not bc required to furnish <br />�e:der during lhe progress of such iml�rovements to eny consumer who�e supply <br />m:�y thns Uc cu+� ofi, or be liublc for nny damnges for its f��ilure so to do. <br />Applicutian rio..........��._g.�............ <br />Block............�....._.._....._. . Lot......._�.�.�..r........._... Add ..................................:...... <br />. � <br />No...../�.00_..%..._ _ ............. .. .......................Street . . <br />.._.._._......_ ........................................................ ... _........ . . . . . <br />The �vork to be executed by..._.......... _.. �. ..Plumber <br />.... .... .... <br />��. ........._.... . .._...... <br />Sta a(ze of tap. i, � <br />r <br />.. ..'..<.I......Tnp to be inserted in the mnin. �o� �.. "�� <br />:_.. .....Nnter closet �'�%-�� � <br />.—:.:.......Dach <br />�`1 <br />.—.--...Urinal f- '. .. ., � <br />_ L ,�....Plnin fxucet inside — � ' ' � .. �� ' - '� � <br />,.- ., <br />....Side u�nik �vasher �� I � ^� <br />.�_. . �n ����U 1�,�nZ <br />. ...........Hose bib outside � f� ��•� 1,5T ��;�.��\ <br />....Hose bib for building purposes C'`,� �_�� 5:��•;` <br />.r ` ......... � <br />... _...' .—:.iIose bib ineide ...... • I � <br />�-- ., ••` 1i . <br />...............Hib for s' .' ie contnining.................G.at61�.............1.... <br />..... .....A'umber of peraons in fnmily <br />.7..........Number oi rooma in building�,� � �� /�,, � � <br />The premises are to be used as n......./..`.-,�/-�.`.c-d�-%�-1:......... .. . . <br />The awner of the preroises is.....�....�1..�...�� .... . <br />'I'he agent is .....................................................................................................�................ <br />���'l:i• applicatio although signed, 3ha11 not be binding upon the City,�tntll <br />_ t��' by the Su�inte�dqnt gf t�Wy�ey Department. � <br />, � � ; : c; zd..._�%--...-/L1.......19�0... Ry..... <br />