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• ' b��1600—E.P.Co. 6-26-21 <br />, � City of Everett�Water Department <br />APPLICA�TION FOR WATER <br />911 binnks must be filled in or crossed out <br />�verett ............................. � � �—O .....1� �. <br />............................... <br />TO THE SUPERINT�NllENT OF T}IE NATER DEPART,ISEN1': <br />CITY OF EVERETT: <br />IntionsIofetheyNatcr Depnrtment�fnr purposcs�andnf xturc.hst ted1Lelowd regu- <br />During the time that nny of the water mnins mny be taken up Ly reason <br />of nny iroprovements authorieed by the City ot Everntt, in ar of sny strect or <br />ulley in whieh ihey mny have bcen Inid, the ..ity will not be rnquired to furnish <br />wnter during the progress of such improvements to any consumer whose supP�Y <br />mny tUus be cut off, or be li�ble for nny dmm�ges for its fnilure au to do. <br />APPlicntion No......_..^��..�.. �..�...�........... <br />Block..................�.................. Lot.......�._3........................ Add.......................... <br />��,,,,��""����................. <br />No......_...__ o3(�.Q_.�2...._.�-�,-!,-� ...:..................Street <br />� <br />.............------_ . <br />Thc work to be executed Uy....._ ............... _..._... .._........_..Plumber <br />_ _. _ ............... _. <br />St te aize of tap. <br />/f � Tap to be inscrted in the mnin. w�..�.._�� � <br />................Nater closet � � � ��.._� <br />...............Bach �i.�. q�a--Qtr. <br />a <br />................Utinnl 3��" e�C�+_ <br />% � / / <br />................Plnin fnucet in<icle �. 2 2– � � .30 _ <br />� ...............Side tvnik �cnslicr <br />................Hose bib outside <br />................Hose bi6 for buildinq purposes <br />.............._Hose bib inside <br />................Bib for stublc containing....................stnll.................... <br />•���............ATumbcr of peraons in fnmily <br />-�� .............Number oY roonis in building <br />The premises are to be uaed ¢s a....... ... <br />_ _ _._... .. .. . .... <br />..................... <br />_ . . ............. <br />The owner of the premises is ......................... <br />.. _....._... _ ..:..................... <br />............ <br />T e agent is ......................................................................... <br />........................ <br />..................... <br />This npplicntion, nithough signed, shalt not be binding upon the City, until <br />nccepted by the Superintendent of the Nnler Department. <br />Signed....................................................... ` - <br />...........................................A pplicnn: <br />Aecepted.'ti ..................................192...... By............... <br />Superintendent <br />