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i <br />'�;r: '� -. . .. _ ,_ <br />� � � �� <br />'y'. } r ,��%�, _ � <br />�. �� '. <br />�P; i:•�' 7 - � - . . <br />����� <br />� f <br />," �' . �'a'`yL,r.-���~ � <br />�ic��. <br />� r <br />P �i <br />i � <br />�, <br />. � �_ �' _' <br />�`� ��' . .'- <br />��v_,�'i <br />W. D. Form 6 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />EvcrMt................. " ^�o..i,',4._.�....................................19�_y. <br />✓ <br />TO THE SUPERINTENDENCITY OF E ERETTDEPARTh4ENT: <br />I hereby applY for the use of water in accordance wilh the rules and regu- <br />lalions ot lhe Waler Department, for purposes and fixtures staled Uclow. <br />During lhe timc thal any of thc water mains may be taken up by reason <br />o[ any improvcments authorized by lhe City of Everett, m or of any strcet or <br />alley in wh�ch they may havc bcen laid, thc City will not bc required to furnish <br />water durins the Progress of such improvements to any consumer whose sup- <br />ply may thus bc cut off, or be liable for any damages [or its failure so to do. <br />Application No.l..C:�'a-'�.�.......... <br />Lot.i�- <br />Block.......... �--- ...............,../... . ......�... ..... Add.� . . ...... ...... <br />� ... . ...... <br />No..._�y: ^7l. _.CLI-�-ac�.o2t- ............... . . .... ... 54cet <br />The work to Ue executed by ...... . .... ..... .. .... . .. ... ........Plumber <br />S�lc sizc of tap. <br />./��......Tap to be inscrled in lhe main. � <br />... .........Nater closet ���%„ ,.�� <br />�� � <br />...�.........Bath <br />............ ...Urinal �?� <br />...Plain faucet insidr ,� �� <br />� / <br />........... ..Sidc walk washcr �F � � ; >L,�,Y �/J <br />, �. �. 7 <br />.....Hose bib outsidc �{' ,t/ <br />.......... .' ' . * � /y . <br />Hose bib for building pw�pose�� � pt �,� "���X �<� <br />....... ........ <br />' /� <br />............3iosc bib insidc �`�<<,, �"/ �(J <br />................IIib for slablc containing....................slalny,......;:......... � <br />NumUcr of persons in family �� , <br />..../.. . .. . <br />. ..1G. ...NumUcr at rooms in building <br />The premises arc Lo bc used as a ......... .. ........ .... .... ....... .... ...... <br />Thc oancr of the Premises is_ ................_ ._.._......._........._............_._..._ ......_...... <br />Tyeagent is ......................_._........__...._....._....._.........._..._...__...._..................__..... <br />This application, although signed, �hall not bc biuding upon thc City, until <br />accepicd by the Superyin;tendent o[ the �i'aler DeparU—ne�nt. <br />si�nea/.�.�...ZC�-.c e.C'�-?--.��_7�:�..y/�.-.-1�,.`Aarlicant <br />AccePted ............................................1 ^ ....... IIy.................................................................... <br />Superintendent. <br />- �- .c � ' �� �c'a �' - - - � . �- <br />,����_y:r� .. <br />��.r�i� , �-. �.. <br />' • , ':l."t�+. � <br />�'", 5'� ` _- 4 . .�'_ <br />i <br />' ' 'y <br />,�= <br />. . ..T iar�,r.:` 1 <br />