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`L.U.7Cyr - �- i- i-zs- r � ._.-•�...�.--c� . ..- . . , •`- • - , <br /> - • T <br /> •W.D.Fbrh�-1600-E.P.Co.-636-."� � <br /> City of Everett-�Water Department <br /> APPLICATION FOR WATER <br /> All blanks must be fii]ed in �r crossed out <br /> E verett,............... .........._?..�......................192.�'. <br /> TO TIIE SUPERINTENDENT OF THF: WATF.R DPsPART➢f$NT: <br /> CITY OF EVERETT: <br /> I hereb�• apply for the use ot water in nccordance vith the rules nnd regu- <br /> lations of the Water Deportmeat, ior pm�poses a.nd fixtures stnted below. <br /> Dnring the time that any of the water maina may be taken up by rcnson <br /> of nnp improvements authorized by thc City ot Everett, in or of any etreet or <br /> alley in which they mny heve been Inid, the City will not be required to furniah <br /> u•uter during the progress of such impmvementa to any coneumm• whose aupply <br /> mny thus be cut off, or be linble for nny dnmagea for its fnilure so to do. <br /> Application No..........._.`j?�....�.�'...y"_...... — 7Z �6 <br /> Hiock.._�...�.5.................. Lot..... ...L..'?`...�.�..�--... Add.........Li._.ti.�L...:......__....-- <br /> , <br /> No............�• ......................3treet '� <br /> .Q..�.................................. <br /> .. <br /> ................................................ ....................................................................... . <br /> The work to bc executed by.............. � ........Plumbcr <br /> ................_.�........ <br /> Sjate size of tap. <br /> f�.. ...'......Tap to be inscrted in the main. � �� <br /> �. � ,,�i5 .. <br /> ......�.........Wnter closet / <br /> ....�.........Dath �Y <br /> .............:..Urinnl � \ <br /> ._.5..—.....Plnin fnucet inside � f:q � � <br /> `� y � � <br /> ....` ..—.,..Sidr. wnik tvnsher la y.N <br /> ..�....Hose bib oulside ��' �E� �.'� �"n� <br /> g P �9 EVERE7T WA1ER DCP'T <br /> .....--......Hosc bib for bui�din 6 Q� � <br /> ..- <br /> _�:.:..Hose bib inside �V.........................�..:............... <br /> •---.�--..—:....Bib for stable containing....................stall....l............. <br /> .l:.— ..Numbcr of peraons in family � <br /> ........ <br /> -....�..Number of rooms in building �, I ' <br /> "�� premises are to be used as a........./�5....... ......... ..... <br /> • /� � � . . . .............. <br /> ��` � �{Y� � a owner of the premises is..�-o.-..-,c�O--V-uA,�.�'-� � �� <br /> .L�{e cgent ie.............................................................................. <br /> ........................................ <br /> 's applicntion, ¢Ithough signed, shell not be binding upon the City, until <br /> �� �-1 by the Saperint�endent of the ���nlcr Depnrtment. <br /> Signed................�.r..�...�....'�'.. �.:..'."........._��-.G.............Applicant <br /> ?. .................. <br /> . .. ._....._�..�..........192...... By...... . <br /> .. . . . .. ........P <br /> .......................... <br /> :� �•�5Y— ?^a- -- ��� Su erintendent <br />