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La�–�C� b-.27 ��/1 _ �' <br />'rL..�-�1 q"'/'1�i-/( . <br />W. D. Fomi 1--1600—E.P.Co.-6-.G•2t <br />City of Everett--Water Depai�tmPnt <br />APPI.ICATION FOR WATER � <br />All blanks must be filled in or crosaed out <br />Everett�. .. �' ...�.�...........192� <br />............. . . <br />TO T:TE SUPERINTLNllENCITY OF EVCI2LTT: PAItTMENT: <br />I herch,y npply fur the use of wnter in accordnnce }vith the rules nnd regu- <br />Intions of thu Water Depnrtment, for purpaves nnd fix!ures stnted Uclo�v. <br />During Lhe time Chat nny of the K�atcr mains may be tnken up Uy rcuson <br />of nny impro�'ements authorised by thc City of Ecerett, in or of any street ar <br />elley in which they mny hnve been lnid, the City Nill not be required to furnish <br />water during the progresa of yuch improvements to nny consumer whose supplY <br />may thus be cuL otf, otr/i�e li¢ble Lfp �r^.t�y damn6es tor its f¢ilure so to do. <br />Application �Njo...../.Y...�.�.._U...4��•.�����... � % 7 % /t �� ', J! <br />/ � .............._.... Add..\..��1.-�a.�... ...V....":��-'��. <br />Hlock....................-1..�............ T.ot-.........�....:.. I <br />_ � _ r, Anl _. . <br />...................................................... <br />........................................./.... . .......................................... <br />The �vork to be esecuted by..........�...�...� �'°������-��-�P�umber <br />o .iGf/• �' <br />Stnte size of tnp. �j'— �` �`f'l�� �3.�Q Z. <br />..._��'.7.�Top to be inserted in the mnin. �� �, .��. <br />r : .�.'� .� ' [. I i <br />....._..�.....Water closeL . ,' � •.��-�... . . . <br />�...,' .� i(�^�;.. <br />......_L......Bnch '.�` i:�)r � .: <br />i ., . <br />...... �..Urinal . . - -' . � ; .. . . <br />�.. ;.; c..,..•�i �.., <br />_.._�... Plnin fnucet insidc - %� <br />� �� .............. � <br />._ .............Sidc wnik wnshcr ,' <br />......./.......Hose bib outside � <br />..........�..Hose bib for building purposes <br />.,..,_-.-.......Hose bib inside <br />�...Bib for stnble containing ....................stall.................... <br />.......... . <br />_.....,.../ ..Numbcr of persons in fnmily <br />.....Y.......Number of ronms in Uuilding <br />/ <br />The premises are ta be used as n....... ___..... ._. �........- .........../..-.................. <br />The o�vner of the premises is.... .. ..GF- . ��:�,.-4•U"`- <br />Cheu6ent is ............................ .. ................................................................................. <br />fhis apVlication, although signed, slinll not be 6inding upon Lhe City, until <br />;pted Uy the Superintendent of the Nnte � epnrlment� <br />