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F <br /> -G"�� l�/7-27i6"/ 'c,.-.xx.�c..A _i�-�' �L !?y1-� <br /> �_ _ <br /> ��'.D.Farm 4-1400–ECCo.—G-:G-21 <br /> City ,of Everett�--Water Depai�tment <br /> APPLICATION FOR WATER <br /> All blanks must bc filled in or cros=ed out <br /> Evcrett..............�.�C...�_....�,. .f�....................]92..�. <br /> PO TIIE SUP�RIYTENPEN'P OF TIIF. \\':1TP,R DEPAI.T}���T: <br /> CITY OR �1'�ItPTT: <br /> I UereUy npply for the use ot wi�ter in :;cccrdance �vi;h Um rules nnd regu- <br /> Intions o[ the Water Depnr[ment, for pm�poses �ind tisiures staled bclo�v. <br /> During the lime thnt any o[ LUe �vater mnins mny be t:.ken up by renson <br /> .. of nnp improecments uuthorized Uy the City ot rcerett, in or of nny street or <br /> n�ley in which �hey may hace been Inid, the City will not be required to furnish <br /> wnter dw�ing the progress ot su<h iroprocemrnts ta miy cnnsumer whose supply <br /> m:p thus be cut off, or bc IiaUle for uny dmm�ges for its fnilure so to do. <br /> APplication No.... .�5. ^ �I � <br /> O <br /> ....� ....._./........ � . <br /> Block.....�...Y...S...-................ I�,t....._.._�C:.._.� .�r... Add....::.......'...... �. <br /> / ..._....:_._: ..... <br /> . ............ <br /> No...._.. ,../.. .. J�'_...._.`C/�. .. .G.:�c::...... ............Street � <br /> (�� / <br /> .._._..._..�_.......:.........................................._.... <br /> ..........._............._._..... ................._................. <br /> TLe �rork to be execuled 6y......_ .. .. ............PlumUer <br /> Statc size of tnp. �� . j��u�. �O • <br /> V � � <br /> ..1/2....Tnp to 6e inscrted in thc mnin: � � ;� � <br /> ......./........Nnter closet . ,; . ` : <br /> ....../.........Bath ��.:;�; .. ��.:::':�; � • <br /> -.....Urinal ' ���- . �1�-r . <br /> ......... ............. / <br /> � ..,, <br /> .......Z....Plnin fnucet insidc - � <br /> ........-....Sidc wnlh «�nsLer <br /> .-...../.......Hose bib outside <br /> .........-...Iiose bib for building pm�poses <br /> ................Hose bib inside <br /> ................Bib tor stnblc contnining....................slnll.................... <br /> � A'umber u[ persons in family <br /> ............... <br /> ...1�....Number of rooms in building <br /> T'e premises nre to be used ns n......._.. . .n�. .'A..-..._..._...................................... <br /> owner of the prer.iises is......._._. ....................... <br /> ......._....._....................._._.._... <br /> -cnt is..............................._.......... <br /> .._........................................._........................... <br /> ,ilicnlion, nithough signed, ,hnit not be binding upon the City, utttil <br /> ihe Superinten nt uf� \1'atcr Depnrlment. <br /> / �...... <br /> . Signedli:......... ..._..... :...lLQi......... .. .......... ' plicnnt <br /> Aecepted.�.��.....cf"..y...........192� � _ _. .. . <br /> . . � <br /> / � .. ,.............. <br /> ... . .� uperint�•�,denl <br />