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.�y....-�-� 0-�.7 .<.� 1\ ���..1.�� 'J.?c,. , <br />N'. D. Form b-IG00-EP.Co.--6-28-YI ' <br />City of Everett�Water L epartment <br />API'LICATION FOR WATER <br />All blenks muat be filled in or crossed out <br />Everett,_ ............................ ..... . .... ... ..�. 5.....192_�. <br />� TO TIiE SUPERINTENDENT OF THE NATER EYAP.T ENT: <br />CITY OF EVER�TT: <br />I hereLy apply for the use of wuter in accordance uith the rules nnd regu- <br />lations of the Wat�r Department, for Purposes end fixtures stated below. <br />During the time thet nny of the w�ter maina mny be taken up by rexson <br />of any improvemente avthorized by the City of Everett, m or of any eLreut or <br />alley in �4hich they may have been Isid, the City will not be rcyuired to furnieh <br />water duting the progrese o[ auch imptovements to any conaumer whoae eupply <br />may thus be cut off, or be lqiable f nny dnmuges for ita failure so to do. <br />APPlication No.....I..,.,...�..P..._�...�......... - % a �7 , <br />Block.......�......�. .'�'....'.�¢.._"`.... Lot...........`..� ..% ...�....�..�......�... Add............ ..:......:_.......... <br />No.........o�.-f.-tt............ �.�Q..[.`.^�SA<<+.�lS,.9treet <br />�3�� � <br />................................ ....................................................................p...... ................................... <br />The work to be executed by .................. . `�' .Plmnbet <br />. .. _. �. .. .... ci• ..�........... <br />S if� oY tap. V• <br />.���..�.Tap to be innerted in the mnin. �1 � o� <br />° �` <br />.._.._� .....Nater closeE 1� <br />................ B e t h <br />. ..............Urinal <br />................Plain faucet inside -'� � '- <br />_ ..............Side wslk washcr <br />'i;! <br />................Hase bib outside '" � . - . . <br />/ <br />................Hoae Lib for building purposes � <br />...............Hose bib inaide � <br />................Bib for atsble contsining....................eta i.................... <br />................Numbcr of persona in family <br />i <br />T+�...........Number of rooma in Luilding <br />he prnmisr.e are to be used as a ................. �+�?� _�� ..... <br />.... .. . . . ... p <br />� �'he owner of �he Premises is.........T.n ...�...-....�..,.. �,�...`"IlY.—_.. �:�:..d.. .. . <br />� .• �;ent is ............................. . ` ... . <br />. . ...................................................................^:... ... ....... <br />� ��alication, elthough signed, 3hall not be binding upon the ..ity, until <br />� the Superintenj�p� f th ater Department. <br />:5igned.....Q.�.//...�.. .�-. .. .. .......................lAPD1i nt <br />_ ;�.�j <br />���yyy ��� . � <br />Accepted......./...:..�,.�...<�.........192.�.� By........u._R!i.....�../.�::..7.:.w.» .............. <br />� /Sereri�Ceudent <br />