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. �,...L's� 9.-.2S-z-( �r � <br /> • . , . `c�..R-�J q_� .- :�, , <br /> W.D,portn�-1G00—E.]'Co:6_6-21 <br /> City of Everett�--Water Department <br /> APPLICA.TION FOR V�ATER <br /> All bl�mks must 6e filled in or crossed out <br /> Evcrett�............................._!.��� _.....192.._� <br /> ......................... <br /> TO THE SUPERINTENDEA*T OF TfIE NATER DEPART]IfENT: <br /> CITY OF EVEI2�TT; <br /> I hereby npplp for the use of�vater in accordanee n•ith the rules nnd regu- <br /> Intions of the Water llepartment, for purpuses nnd fixtures stnted bclow. <br /> During the time that any of the wxter mxins mny be tal;en up Up tenson <br /> of nny improvements authorized by the Cily of Everett, in or ot any atrcci or <br /> alley in which they mny have bcen laid, t.he City will not bc rnquired to furnish <br /> water dm•ing t6e progrnss nf such impra�ements to any consumer whose supP�Y <br /> muy thus bo cut off, or be linble for nny dnmages 1or its failure so to do. <br /> APPlicetion No......�...�......1�.'...�.... -` 7 �$ <br /> .... <br /> Block.................................. .... Lot.................. . <br /> . .... ......... Add.__......._.._.........__.... <br /> _.... <br /> xo........../.:�....% � ��� <br /> .............. ....................... ......3treet <br /> ........................................................................................... <br /> � .. .............. ..... ...................... <br /> .. . <br /> . ..... <br /> The �vork to be exacuted by......._........ � - <br /> ...._.. . ...............Plumber <br /> Stnte size of tap. r <br /> / �< <br /> -���-..Tap to be inserted in the mnin. * � 1 � <br /> Water closet � ' " <br /> ....� I ; ft �! � �.� �•1� <br /> ....;/.+........Bath ,�f /vt l ` � <br /> _ 1 ._ h� '�.. <br /> ................Urinai j;' SEP �,�J �`)�g � 1 <br /> -....2:.......Plnin feucet inside �:iTN flF FVfI��'�1 -�+��TER ��`� <br /> ..... <br /> —_...Side wnik washer � "�- <br /> ....... .... ......_..... <br /> .-__�.........Hose bib outside � � ' <br /> •....\.....Hosc bib for building purposes � <br /> ���.—::......Hose bib insidc ' <br /> ....:....'.......Hib for stable contnining....................etall.................... <br /> •��-�..—.:..Number of pereon.a in fnmily <br /> •����....Number of roome in building <br /> The premisea are to be used ss a........ . . . �,c/�' <br /> ..................... <br /> The owner of the prerniaes is........:. � <br /> ...... . ......�...................... <br /> .................... <br /> e agent is............... <br /> .......................................................... <br /> . .... ....................................... <br /> .c "" 's hpp�ication, althovgh aigned shell not be binding upon the City, unt.il <br /> y the Superin endent of the Wnter Departmenc. <br /> _--� .. Signed..... ........................... <br /> .. .............L�if�+..'.............Applicr nt <br /> � � ....�-?�....-.......102.� By...� <br /> ... <br /> R�-:�, <br /> . . .. ...... . ................ <br /> -� - uperintendent <br />