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�..�-z, h -� �-� -�i; . �„ . ��& 3 _�- s - � r..-,: I <br />W. D. Fartn /— IG00—F..P.Co.-4:6.21 <br />�.;. , of Everett�Water Depai�tment <br />APPI,ICATION FOR WATER <br />. A11 UlnnkS �aust be fllled in or crossed out <br />I:vcrelt ................................ /....._........_....7927-�- <br />�/ .... �� � <br />� <br />PO TIiB SUPERINTF.NDEN'f OF TIiE W��TER DEPAItT.IiF.NT: <br />CITY OF EVERETT: <br />I Lereby �pply for the use of �valer in accordmice ��•ith thc rvles and rrgu- <br />la�,ions of the R'nter Depnrtmenl, for pmposcs nnd fiziurcs st::ird bctaw. <br />Uuring the time thnt nny of Lhc �catcr mnins mny be lnken up bp renson <br />of i ny impro��ements nuthorized by thc City of Ecerctt, in or of uny street or <br />nCr} in wiiich lhep may hnve bcen laid, the City will not be repuired to furnish <br />wr.te� during the progress of such improvemrnts to nny consumer whnse supply <br />m iy t4us be cut off, or 6e IiaUlc for any damnges for itc fnilure su to do. <br />Ap.ilicntion No.......$„�0�.7............ — % �02 y � <br />Block........._ ............._....... ... Lot................._.......... . Add... ....... ��' <br />� ._.....___ .............. <br />7.. _...�......��- ..-�....scm�c f- law� h o r a, <br />Na.........� o y <br />_. _. .._ ._ _......_......... _._......... .._........ . <br />_._ ...........�.....�..". ._.... __...................... <br />The wor1� to be executed by........_..._.. �r�y ...PlumUs <br />.. ... ............` _(., .... <br />t s�ze of taP. d O <br />�'�" Ta�� to Ue inserted in the main, fy'� � <br />......—....�['nt��r closet /1��/ / � � 1 "� <br />......—.:..Bnth , I ll' <br />...—.:.-._Urinnl <br />..._��.Plnin tiucet insiJc <br />--.-.�...Sidc wnl'c �cashcr <br />................Hoee bib outsidc •� <br />.-..... ..Iiose bib fur building purposes � <br />......... .Aose bib insidc � �l� 1 � <br />... . .....IIiU for stnblc contaiaing ..................::atall.................... � <br />..-.—.......A'utnber of peraons in family �., <br />.....—::....Number o[ rooma in building � �� <br />The premises are to be used as n...._..__ ...... <br />—y,/�....... .............. � <br />_ _.__ ___ ............. <br />Thc owner of thc premises is....ef.<VZ�...�J,.,/.,.... .tJ'.tn_.�.,(�1��, <br />Thc agent is ................................. ' <br />......._......._ ..........................._ _.................................... <br />This applicatian, nithough signed, shnll not be bindiu� upon the City, until <br />uccepted by the S�uperintendc t of �Vater Depnrlmen:�. r <br />Signrd .............l�,.,..�..�,w�/I.?'LO��Nl.Vi�.l}9......Applicant <br />Accepted......................................102...... By............................................................. <br />........ <br />Superintendent <br />