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�.r 6-�-so-�r �� 6-3-3�_ ��= Ir <br />w. n. eo.m �—icoo—E.r.co.—s�zs.s� . ' - <br />Ci�y of Everett��v ater Department <br />APPLICATION FOR WATER <br />All binnks must be filled in or croesei: out <br />Everett........................... �� ..............................:..192...��...� <br />TO THE SUPERINTENDENT OF THE WATER DEPART,IiENT: <br />CITY OF EVERETT: <br />I hereby apPlY for the use of water in accordnnce wiffi the rules nnd tegu- <br />lations of the �1'eter Department, for pur�oses and fix:ures stuted below. <br />During the time thet any of thc wnter mains mey be taken up by renson <br />of any iroprovementa authorized by Lhe Cicv of Everett, in or of any strect or <br />elley in which they mny heve been laid, the City will not be required Eo furnish <br />water during the progresa of such improvements to eny coneumer whose .^anply <br />mny thus be cut off, or be liable for nny damegca for its failure ao to do. <br />Applicatim� No....�.2. �'.3 ........... .. 7'i, o e• �!._.. a.i.:A..._.% <br />y,�-/ <br />Block ......................_r......... Lo ..../...:3_.-�.`..�.._......... Add..._........ �. .'. (... ..... <br />.... <br />No......�.�.�.. �� ......... ... .-.^.G�'istiC�3tteet <br />................................................................................................................ ..................................... <br />The work to be executed by.... .. . . . . . .. _. ......_ ................Plumbcr <br />e <br />Stnte eize of tep. � ��'��..� � <br />_1�2..-....Tap to be inserted in tne mnin. <br />.......�...._Nater daset � . . ,- ,' � . � .- <br />.� <br />., �- �.,: ,�..� r.s.Yr( <br />......�.......Bach � � �j� .l <br />........-.....Urinal � .. _.._. . � . <br />. _....._.__ .. <br />........�-....Plain fnucet inside ,� � <br />.......... ..Side walk wesher <br />....... �......Hose bib outside <br />......`......Hose bib for building purposes <br />......."-:....Fiose bib ineida <br />...... .....Bib for ateFle containing ....................atall.................... <br />..... ......Number of persons in family <br />..�.....,.Number of rooma in building <br />The premises arc to be uaed s:t a...........� .......�.......�.—..�................................. <br />The owner of the premises is�.�!�5�.�,.t.TYc�f ........................ <br />Theagent ie .........................................................`.f....................... ............................ <br />This application, a@hovgh aigned, shel( not be binding uFon �he City, nntil <br />.�pted by the Superintendent of the N¢ter Depertment. <br />r'.g. �/ <br />�'' SIH�ed.�'....�./.� .............. _.......................... App'cay� <br />,� s, , ` / . .... .. //� � 7►�'9... �A 1 <br />