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2„�-I b_„_nc_x <br />�_Q s _z- i -� v �,,-� <br />W. D. Form 1-1600—E.F.Co: 6�PG-2� � � <br />City of E���er�,tt�Water Department <br />APPLICAi'ION FOR WATER <br />pll bin:�ks must be filled in or crossed out <br />Everclt�L../.� .......i�._� .......................192�.. <br />TO TIIE SUPERINTENDENCITY OF EV�RGTT DEPeIP.T➢[ENT: <br />I hereby npply for the use of �vater in nccardr.nce with the rules nnd regu- <br />lations of the .'.'ater Depnrtment, for purpo�es nnd fixtures stated below. <br />During the Lime thnt nny ot the water mnins mny Le lnken up Ly renson <br />of any iniprovements authorized by thc CiLy of Everett, in ur of nny strect or <br />nlley in which they may hn��e been lnid, the City will not bc required to f�rnish <br />�vnter during lhe Progress ot surh im7irocements to any consumer whnse supplY <br />may thus Le cut off, or 1� � �1�� r.�ny damngc�� fnilure so tu du• <br />� �-�. .� 'YR-..� <br />" `"�.' �. <br />Applicntion No .............. a5.lo.................. �_ <br />Block .....................G................... Lot...................... . . A .......................... <br />_....___.... <br />No............�.�..A. . .. ... Strcet <br />........... ... .... <br />........._... ......... _. .... ... _......... . _..... <br />_ ...... ......................_............................ ... _ �o--K�'cc Lo-�. <br />The work lo bc executed by ...............Q I�Q�,�,Q��......_...._...._Pllmoer- <br />Stnte size of tnp. <br />�_��,..._Tnp to be inscrted in tlie mnin. <br />�............�vfle�r �iog�e <br />..Z.......nRcn <br />................Uri nni <br />_..��...Plnin fnucet inside <br />^ �ide µ�alk �vnsher <br />� <br />U�! <br />� ✓ <br />,� 1'',. <br />..._✓.... � — -�. , <br />. . i.. . �. - ', �• <br />.............._Hose bib outsidc ' • . 1•'..�� 14 I : ', , <br />i�,: �� 1_1..a r I i <br />Hose bib for building purpuses � �� i <br />..�,,.--... %� iti1i1Y " 1 i�;o*,��,, . <br />....._—..—...Hose bib instde i - � <br />— tI1���sl��l.G.�Cft1 i � � : - <br />,......Bib for stable contninin� ..............:..... <br />`/'� Numbcr of persons in fnmily - � � <br />,...'D.�....Idumber of rooms in building <br />The , remises ure to be used ns n.... .... --��---'•� <br />... .. ....._...... ......_ ............. <br />The o�mcr oi the premises is....... .....�......'.�-E��.4�.+�........-....- ............... <br />Thengent is .................... � .. ..... ....p....................................................... <br />This appl:cntion, nit h's�gned, shnll not be binding upon the City, ntil <br />. .. . <br />'•:ed by the Superi dent of the Wate e nrtment. <br />�� .. .. ...... � ..........APPlicn <br />Signed............... ................. ............. .. ............................... <br />, -� ......192...... BY ................ ... . . .. . ........................... <br />� � � -; � � � �"'_"'�� � � Superintendent <br />� <br />