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�-=-� � �-3 � ,-i�. - - �--� - � -� �= �_�� <br />1Y. D. kbmi 4-1600—EP.Co.—&E6S� . . <br />City of Everett�Water Department <br />APPLICATION FOR WATER <br />Ali blanks muat be filled in or crosaed uut <br />� Everett� ...................."_�.-••=•.6 .. ....192..�`.. <br />............................ .. <br />TO TAE SUPERINTENDENT OF THE WpTER DEPART➢SENT: <br />CITY OF EVERETT: <br />I hereby aPP�Y for the uee of water in nccordunce with the zulea xnd regu- <br />lations of the Water Department, for purposes end fixtures eWted below. <br />During the time that any of the tvnter r.iaina may be isken up Ly reason <br />of eny improvements authorized by the City of Evcrett, in or of eny atreet or <br />alley in which they mny have been laid, the Ci!y will not be reqvired to furnish <br />waWr during the progresa of euch improvements to eny caneumer whoae supply <br />may thua be cut off, or be liable for uny dmneges for its feilure eo to do. <br />Applicetion No......� i35 6 v — <br />...... ........... —�1�� <br />Block...................................._.. Lot................ .. . Add......... _ .. . ' <br />.. .. <br />. <br />. _ .....__....._. ...... <br />No..... ............_.�.z ..t �_.._....................$trcet <br />....... ... ..._....; <br />.. <br />.. ............... . .. .. ...... <br />The work to be executed by....... /' ._.. <br />f'�L� - , . _._......r..— ..............Plumber <br />Stat�/size of tep, �,�i•,Sot� �-¢J,�,.,�u,r.%. a. <br />,?�..........Tap to be inaerted in the mnin. ""� �i'� : ';, ! � fr ,� (� % l� <br />q <br />................Weter closet ��+ rI (3 " � ; ���n�f'a�' <br />................Bath l:l'� i I.r ['�:.,: .,. <br />_,_ � l7,ii:7 ;:';,- . <br />................Urinal � : ................. " _ � � <br />.......... . . . <br />��• .............Plain faucet inaide "� �'�� � <br />����� ..........Side walk a�asher <br />�����...........Hoae bib outside <br />����������......Hoee bib for building purposes <br />� ...............Hose bib fliside <br />................Bib for atable containing...................atall............... <br />..... <br />•����...........A`umber of peraons in femily <br />-�••���.........Numbcr of roome in buildiug <br />The premiaea are to be ueed es a ........................... <br />..................................................... <br />The owner of the premi Is........... <br />��/...-...-..�.. +.-..—. ...�........ ................................... <br />The agent ie.......'.'. ..... .. e._Cie(/u-:2r.Ltt-�t,c_...... <br />....`:.-C_....... <br />'I^�le epplicatlon, althou h ai ���������������� <br />��:ce�:�ed by the Supedntendent of theeWater�Departm�qg uPOn the City, �}�� <br />Signed!�y�n..,.,. �"`{ . ..GQ ��,/�1�"�� <br />........... ... ......... . . .. . . <br />. . .. ...... APPlicant <br />. .... .. ............ 1 <br />:1 . J...�.�....:..�el. '�t"r.......�...19 ... By. <br />• . .. ......... . . . . <br />� . . .. . ............... <br />uperintendeat <br />