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`�".trd'''�-il--23•lr'. . . � ii-3'�S.i� <br />« <br />N'. U. Fbrm �—IG00—E.P.Co.-6•Y6-�I � . <br />City of Everett�Water Department <br />APPL,ICATION FOR WATER <br />All binnks must Uo filled in ar croased nut <br />Everett .............................._��./.".............................19�.. <br />TO TfiE SUPERINTENllI�:NT OF 7'HE WATER llEPAR'1'MENT: <br />CITY OF EVER�TT: <br />I herr.by npply fot the use of water in nccordance n•ith the rules nnd regu- <br />lations of the Nater Dep¢rtment, for purposes xnd fixtures stated below. <br />During lhe time that eny of CLe a�ater mnins mny be taken up by reason <br />of any improvements authorized by the City of Everett, in or of eny sheet or <br />alley in which they may have been laid, the Oity wi�l not be required to furnish <br />wnter during the progress of avch improvemente to any consumer whose auPF�Y <br />mny thus be cut off, or be liable for uny damaqes for its fnilnte eo to do. <br />APPlicstion No......8 �%s2.0..........�... � B 6$ <br />BIocL•........:1 .....:....:........._....... Lot...�...cL........._�_`_.: '` . Add................................_._...... <br />�/ �'-y�� ........... <br />No..........1...p . �.�.......�-'�-�-:'�--�a .........................3tree: <br />................................................................................................................ ..................................... <br />The work to be executed by ..........................��...._.......................................Plumber <br />Sta size of tup. � n <br />,� .�.�...�}._�...Tap to be inscrted in the mnin. „' I g� ' <br />,/ <br />......�.........Water closet i� <br />.....�.........Beth . � . <br />� ;� <br />.. ....:lirinal �" Z . ^-� <br />r, '', 7 . � <br />_��.....Plain fnucet inside � /y `d ��q � � � <br />� <br />¢ �:�nv � � " <br />.....:...'......Side walk washer �' ^ z` `•� <br />�-- �m' o� evn�err �,1'� <br />...............Hase bib outside AY... „ "'/�r�1L0iP'7 <br />—' Hose bib fot building purpases �'��""'^� <br />................ /.. <br />' ...y, � <br />....- .—.r...Hose bib inside M ' • ... <br />...�:..--..Bib for etable containing ....................staU.................... <br />.......—.A'umber of peraons in fnmily <br />...../�.....Number of rooms in building , � <br />The premises sre to be uaed as a..... .�. .............................................. <br />I ,.- .� ........_..... <br />The owner of the premises is......�.1�.:....��-�_.. �M„�` <br />. � ... .......... <br />� _The agent is .................................................:............................................. ............ <br />._ - 'ihis eppliceHon, although aigned, shell not be binding upon the City, until <br />- �a��t� i by the Saped �ndeq�f the ; r Depnrt�nt.�� <br />/ <br />:...� . :�.:��uted_.__.l..l.�..a�..r.....102 r�.. <br />�,. <br />