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c..�-- � i- w (C <br />W. D. Form 1-1600—E.P.Co.-6-26-21 ' <br />City of Everett�Water Dep�.rtrnent <br />APPLICATION FOR WATER <br />All binnks must be filled in or crassed out <br />�vcrett .................�-G ............ ..192� <br />... .......... �............. <br />TO THE SUPERINTENDENT OF THF. NATER DEPARTriENT: <br />CITY OF EVEI2CTT; <br />I hereby npply fot the use of �enter in nccordnnce «•ith the rules nnd regu- <br />lations of the Water DeFartment, for �urposes nnd fis'ures ALRLCd UCION. <br />04 any�imp�rovements nuthorized by�the City of�Everett ii orkof a,yLxt ecE or <br />nlley in which they may have hecn ]aid, the City will not be required to furnish <br />wnter during the progress of such improvements to any consumer whose supply <br />mny thus be cut ott, ur e liaLlc for �my dmm�ges for its fnilure so to do. <br />Applicatian No..... �.3 � - 73 9 0- <br />........................ � <br />. <br />� '- i <br />Rlock.........4.i...c .............. Lot.....i...%.._._...................... Add...`::.�_ti.�{1....�.'::-c ( .� <br />. . ..._ .............. <br />No.....r2...:2.�.�.... _ ... ...GS,-...�tti!c�t_............Stmet <br />..._ ........... .............. <br />. .............................................................. <br />. ................. ...�............................. <br />The work to be executed by....... '. ....Gvy/��Tr�_Plumber <br />p .. <br />S?ta/tc size of tap. j�'� /p �= <br />�/. .`,�.....Tap to be inserted in the mum. <br />......�......Water claset � <br />...�........Beth <br />.......::......Urinal ,.. -,. <br />� /' <br />�.._'z.:....Plain faucet inside ' ,� � <br />........�....Side wnik �vnsher , '� <br />����./..........Hosc bib outside <br />��....."-:.-.Hoae bib for building purposes <br />,. .........—..Hose bib inaide <br />......_—..-�...Bib for ataLlc contnining ....................stall.................... <br />•���. .. ...A'umber of persons in fnmily <br />•����--.....Number of rooms in building <br />The premiaes nre to be used ns n....._:.. � <br />�� <br />�j...._._.._ .........:... _......_........... <br />Tlie owner of thc premises is.. �.. ...., pZ��__� <br />.. ..... .. .. ...--�............ <br />The agent is ................. <br />..................................................................................................... <br />�his appliwtion, although signed, 3hn11 not be binding upon the City, until <br />`ed by the Superintend� of�c Wnter Depnttment. <br />p ted.....�'}�.'..1... _-....... �� <br />