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�u�.�6�" �`"r ��' <br /> , . _ �_,�_;-� _�� <br /> . <br /> W.D.Form�—IGUP—EP.Co.—. ..21 • <br /> City of Everett�--Water Department <br /> APPI.ICATION FOR WATER <br /> All binnks muat bc filled in or ezossed out <br /> Evcrett....................� . ......y�'1.................192 .Jc... <br /> TO TI�E SUPERINTENDENT OF TIIE WATF,R D'�MENT: <br /> CITY OF EVERETT: <br /> I hereby npply for the usc of�vater in accordunce with the rules nnd regu- <br /> letions of the Water Dephnrtment, fnr purposes nnd fix'ures stnted below. <br /> of nnynimprovements author ed bytthe City ofaEvcrett n orkof ny�at eeC or <br /> alley in which they mny have been lnid, the City will not be required to furnish <br /> water during the progrese of avch improvements to eny consumer whose aupply <br /> may thus �e cut off, or rybe linble tor :my damnges for its fni]ure eo to do. <br /> APPlication No......G7.. ,�,`„GC..........-,�f �(3,Z <br /> Btock........................................ Lot..................................._.. Add......��-.L�.-JW....... � <br /> � . .......... <br /> No.......���.0./............ CG<�-Cs—�..........9trnet <br /> ........................................................ ..........._............................... <br /> ........ S �,a <br /> The work to be executed by.............�........ ............Plumber <br /> ............ <br /> S� eize of tap. � � <br /> / i <br /> .(.Z:..._Tap to be inserted in the main. i <br /> �.......�5'atcr doset - � <br /> ........ <br /> i <br /> ...............Ba�h �� <br /> .......-'.....Urinal ' �' . <br /> ���...�.-.....Pinin fnucet insidc <br /> -��.....-.....Side wnik washer <br /> ......(........Hose bib outside <br /> .......�....Hose bib for building purposea <br /> .......-.....Hose bib inaide � <br /> ....... ....Bib for atable containing....................etall.................... <br /> ���..`...-....Number of peraons in fnmily <br /> ....�i...�.......Number of rooma in building <br /> " �� nremises nte to be ueed as a......... .�.�.,(/J , <br /> ...................... . <br /> ..__. ..J.. . ........ <br /> " rvner oP the premisea is... .�yy�f�„K � �� " <br /> . . . G^G.C�iyL....... <br /> . . ent is............... <br /> � ....................................................................................................... <br /> :rntion, although aigned, shall not be binding upon I:he City, until <br /> . Superintendent the Water Department. <br /> �ea...................r.......................... .... � <br /> � �'�"�......Applicent <br /> � '��......—.6....10y�. By..f..��� / <br /> / ........ .... ....... ... <br /> L ..... .. ........ <br /> , o� <br /> , < <br />