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�:-- - - � ._� ,-._ .c-,-.,cc,..�-cQ b �� �-����� � <br />W. U. Farm 1—itnp—g.l'.Cu,-5-2t-27 <br />City of Everett�--Water Department <br />APPLICATION FOR �JATER <br />A]1 binnks nr�st be filled in or crossed out <br />Everett.........�..�.�. ...... .. �.Zl ..................................192..�.� <br />TO THE SUPERINT�NllENT OF THE {t'�DEPARTMENT: <br />CITY OF EVETFETT; <br />I hereby apply for the use of wnter in acmrdnnce with lhe rules nnd regu- <br />lations of the Water Department, for purpuses nnd fixtures staled below. <br />Dm•ing the time that uny of thc wntcr mnins mny be teken up Ly reason <br />of eny improvements authorized by the City of E�•erett, in or of any street or <br />alley in which they may hace been laid, the City will not be required to furnisl� <br />wnter during the progress of euch improvementy to any conxumer whose supP�Y <br />may thus be cut off, or �1 liable for any damages for ite failure eo to da. <br />Application No.....��c,.� � , <br />. ... ................. , <br />Block .............�..�...`.�_c:........ �' Add.........._... ' - <br />Lot........ . - . . .. .................... .. . <br />q.. .... ....... ... ... . . . <br />No......�..��....cJ..I....� . ,Ci..t.�.G�..........3treet <br />The work to be ex.•cuted by... <br />State eize of txp, <br />..._�Y...-...Tap to Ue insert� <br />.......�.......Natcr closet <br />......(......... Bath <br />...._L......Urtnal <br />en <br />................................. <br />� . ....... ....... ................... .............. <br />. _ . ..................Plumber <br />,, �� O�� <br />icic Ia'.:. . � , ~ �_ / <br />....,2........Plnin faucet inside <br />.��......�...c��ie wnik washer <br />..._t....__Hose bib outside <br />� � <br />................Hose bib for building purpnses <br />��... �.-...Hoee bib inside <br />.......�.Sib for ateble contnining ....................atall.................... <br />�Numbcr ot peraons in fnmily <br />Number of rooma in building <br />.......... ... <br />....... ..... <br />T e premises are to be used as a........... � <br />. .................................... <br />The o�aner of the premises is........ � <br />_ <br />. ...................... <br />The egent is.......... . .�r... ....`. <br />. . . _ . .. .. ... ....... .. <br />Thia application, althou h si .............................. <br />y P 8 trned, ahall not be binding upon the City, until <br />!!pted b the Su erintendent of the Nater Department. <br />Si ... ... � - <br />gned._� .... ....� ....._...� � � <br />.. ... .. . .p . .. ApPlicant <br />�...... <br />. Jc.J..���,.2c��192...... By...... C.�/ . <br />��� —�b mtendent ... <br />