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���/, �-3-�9—Jf'. _ rr-�-c-C� 3-.2�-� <br /> W.D.Form�-7F00—EP.Co.-6�26-21 � � <br /> City of Everett--�Water Department ' <br /> APPLr�ATION FOR WATER <br /> _ All blanks must be filled in or crassed wt . ' <br /> Everett.............���.....��....192...`l.. <br /> .. <br /> TO THE SUPERINTENDENT OF THE NATGR DEPARThfEA*T: <br /> CITY OF EVEI2ETT: <br /> I hereby apply for the use of water in nccord�roca with the rules and regu- <br /> Intiona of the Water Department, for Fvrposes and f�s;un�s stnted below. <br /> of nny�imp�rovements author ed by�the��Cit} ofaEce ett in orkof xny�bt eetsor <br /> nlley in which they may have bcen Inid, thc City will not be required to furnish <br /> water during the progreas of such imnrovements to any consumcr whose supply <br /> m�y thus uc cut off, orpbe linble for nny dnninges for its fnilure eo to do. <br /> Application No...._q.y.SD ^ 3 3 �7 <br /> .......................... <br /> Block........................................ Lot ..................... ' ' <br /> ................. Add..............'..��.'. .:! .. <br /> /.� 0 7 . <br /> x�........._... ......_.f............ .....��L.s-o.........sa�c <br /> ........../........... <br /> .......................................................... <br /> � . ........ . .. ........ <br /> ...... . ....... <br /> .................. <br /> The work to be executed by........._._� <br /> ..-�.�-- . ........'............Plumber ' <br /> State aize of tap, �L '� //S o 0 <br /> -�..�Z.....Tep to be inscrted in the main.r ' ./ ' � � <br /> ����...�.....Water closet �� � � <br /> � <br /> , . , <br /> ..._...,/.......IInth �� J�' " �-�.- � . . <br /> ;., .� � . � <br /> ........-.....Urinnl .._. ... � . <br /> -..-.2......Pln;n fnucet inside "�- ""'� � <br /> ••-�•��-.-...Side wnik washcr <br /> •������.......Hose bib outside <br /> �����.. ......Huse bib for building purposes <br /> ��_-�-......Fose bib inside <br /> �•...�..-......Bib far atable containin <br /> ,_ g..._..............stnll..._............... <br /> ����•����.......A'umber of persons in fnmily <br /> •������...Number of roans in buildinq � <br /> -��re premiaes are to be used as a.... ....._... <br /> ............/........_.................... <br /> ........... .. <br /> owner of the pte�ti;es is..... . .. <br /> Ln'�c[/..<<-."S..�........ <br /> , .sen �s.................... <br /> . <br /> . ....................................................... <br /> .......................... . <br /> . . pplication, nithough signed, shall not be binding upon the City, until <br /> .+ th� Supednten,d{ent of the \Vater Depnrtment. <br /> aed._��Dr!�--.—s-�.,s.•.,. <br /> ..........:......................... . .. <br /> / .. .......... .... ............ Applicant <br /> . +�C4e..'.��192...... By..� <br /> .... . .. <br /> ........ <br /> Superintendent <br />