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c...�e x-z�•-z�-rtJ. �,,�,'L��z� 'I � "l- 7.`- (,'n <br />� � � - - <br />W. ll. Porm 4-1600—E,F.Ce.-6-R6.31 <br />City of Everett--�Water Department <br />APPLICATION FOR �TATER <br />All blanks mcst be filled in or crossed out <br />�T % .. <br />E�•erett. ....................�.....-'.��._t...... ��...................1P2. �. <br />TO THE SUPERINTENDF.nT OF THE �t'ATER DF.PARTMENT: <br />CITY OF EVEIiBTT: <br />I hereby apP�S for the usu of waler in nccordnnce with the rvles nnd regu- <br />lationa of the Watet Depattment, for pm�poses nnd fixtures stated below. <br />During the Lime that any of the wnter meins may be taken up by re¢son <br />of any imyuovementa nuthorized by the City of E�•erett, in or of eny etmet or <br />elley in which they mny have been laid, the City will nut be required to furnish <br />wnter during the progress of such impmvements to any consumcr whose supply <br />mny t}�us be cut off, oyr be liable for .iny dmm�ges for its failure so to do. <br />Application No.....0..�%..Q .................. J � <br />Block..................._��............... Lot..... . Add..�..:.::........ <br />� �. ..3 ..................... <br />. <br />No.....a � ��. ..�-�.. .__ ... i_.... s�t <br />.............................. ....................... .................... . ..... ........ .................. ........ <br />Thc work to be executed by .................... . .......Plumber <br />i �i:.. _a.�._......._...... <br />State size of tap. �y � J` <br />..�........Tep to bc inserted in the mein. <br />....(..........R'nter closet <br />...�..........Bath <br />...._�...Utinai <br />._�.........Plain faucet inside <br />.......—.....Sidc welk ��•ashet ��-� <br />.--.1..........Hose bib outside <br />........—....Hose bib for building purpoces <br />......-......Hosc 3ib inside <br />.......'.....Bib fot stable containing ....................etall.................... <br />��-..-.-......Number of peraons in fnmily <br />.....�.......Number of rooma in building . <br />The premisea arc to be vaed as ¢....... _.. � ............................................. <br />The owner of the prer.iises is .. .......... .......... ...._..._ .. . . , <br />. <br />. .... ...... .... ... .... ............. ... <br />The ngent is .............. . . . .....�� . ..... ...... <br />............................................... <br />"'tiie application, although aigned, shnll not be binding upon the Ciry, until <br />' by the Superintendcnt of thc Natcr Dep¢rtment. <br />� Signed. .. . �%..U.,��Y��'..�'(�L/��--...../ ....�.. . A Lcant <br />� ........:....�. / ...�, pp' <br />� ;1........... �/..-.,�. y`'� ..19?� BY..... .. .. . . ��.,!?!� ....................... <br />/ / v ���er.intendent � <br />` <br />