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ri. . ..� i—. . � . . �v�..�..(�/ JI _ F• - � v— • - • � <br />�� <br />W. D. Form {-1600—&P.Co.-6•:6-2t <br />City of Everett�Water Department <br />:��APPLICATION FOR WATER <br />�_ � All blfmks must bc filled in or crossed out <br />E�crett............ U....s.:..�C> ................ <br />............. ...192.?.� <br />TO THE SUPERINTENDENT F E�`EI:GTT;D�f�ARTDIENT: <br />I hm�eby npply for the use of wnler in nccord�uce with the rules nnd regu- <br />lations of the Water Department, for Purpases nnd fixtares stnted brlow. <br />During thc time that any of thc water mnins mnS be taken up by renson <br />of uny im�rovements authorized by the City ot Ececett, m or of any atreet or <br />alley in which thep mny have bcen lnid, Lhc City will not be required to furnish <br />mny lh sr�be cut off, oryr be 1ia61e for�any dn nxBes�far�ts fn lure so tosdo,ur�'Y <br />Applicntion No....4...a-...�,3....� ................ <br />Block .................. � I.ot............�........_:........_..... Add............_..:.:......._.._........_. <br />-'�....-.`~7 ...... . ...... <br />No...../�%'G I......�..9..�n...t<�-v�=s-^,-.........._.........Street <br />'� <br />�. �..:�,1._�.....—...1... ` ..... ............. <br />... .. <br />.... �.,.. ... <br />Thc work to be e!cecuted by...... _/.._ ... � ........ ..................PluroUer <br />_ . ... a o <br />Stnte size of tap. / ��� �5—� <br />( ��z- — <br />,.��Z.......Top to be inscrted in ftfe nia'vfi. <br />...%..........�Vater closet <br />�........Bnth <br />_�c-- Urinel <br />,Z...........Flain fnucet inside <br />.....`..:.......Side wnik washer <br />..�............Hose bib outsidc /� <br />�.........._Hose bib for building purposes y <br />.._ / <br />_..L:.......Hose bib insidc � <br />... �:.....Bib for stable contnining ....................atall.................... <br />...L....'......Number of persons in family <br />.... ..... NumLer ot rooms in building <br />. .... <br />The premises are to be uaed na n ........... ... ......... ..._. ................... <br />J� <br />.. <br />The owner of the premises is...�(jl./.���� �� . .... .......... ....... <br />"Phc ngent ie .. ............................................................................................................... <br />This aPP��entio , althouqh signed, shall not be binding upon the City, until <br />rc:•epted by the Superintenden� of the Wnter Depnrtment. <br />