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-_ �r - 1 �. .�.� <br /> ......�-s'r . I 1 'i " I� <br /> W.D.Fcrm�-�1GD0—ILP.Cn.-6-28-2/ . , <br /> City of Everett�--�Water Department <br /> �" �TION FOR WATER <br /> : binnks must be filled in or crossed out <br /> • EeereLt,................................��/1:.�........................192.�- <br /> 10 THF SUI'ERINT�NDENCITY OF F.V RI rP DEPARTMENT: <br /> I hereby aPP�S for the use of wa'.er in accordance with the rules ¢nd regu- <br /> lations oE the Wntcr Depsrtment, for purpuses end fix'ures stated Uclow. <br /> During thc timu thet eny of the wnter mnins may be taken up by reason <br /> � of any imProvements nuthorized by the City of Everett, in or of any ntreet or <br /> alley in ahich they mny hnve been laid, the City will nat be reqvired to furnish <br /> wnter during the progress of such im��rovements to eny consumer �vhose aupply <br /> mny thus Ue cut otf, or be liable for any damages far its fnilure an to do. <br /> � � <br /> Application ho..... .. .. ^ <br /> � J <br /> BIOCI(........................................ IAC........_.../_....�.� .. ' <br /> ............ I ' .:� .�................. <br /> . Add.........:._....' <br /> No...............��f.a._.........-�.�f/l�C.2+..........Strnet ` , <br /> .......... . .... ... <br /> ................................... .................................. <br /> ......................................................... � . <br /> Thc work to be executed by...........�. ._... ___......................_..Plumber <br /> r�,�, <br /> State eize of tap. � <br /> .,../�i_...TeP to be inserte�l in the mnin. <br /> ,......f..._...Weter closet <br /> ....._!........➢ath , <br /> -.....Urinnl , ' i '`I/' <br /> ......... . . . , . <br /> .. . �„ i�. r�i�i,��'- Y.��. ...i ' <br /> _....2......Flnin fuucet insidc ��" ' <br /> � <br /> ......Side n•alk washei.... ... . .. ..- . ..... <br /> ......� <br /> ......�.........Hose bib outside <br /> ......::.......Hose bib for Luilding purposes <br /> ._.._.-.......ITosc bib inside <br /> .......-......IIib for atnble conteining....................etall................... <br /> ,.......�:....I�umbcr of persons in fnmily <br /> ..........`.�..Numbet of rooms in building <br /> The premises are to hc used as a.. ......._..�����������-��-/��y��-�-- -� � <br /> �.. <br /> ........... <br /> The owner of the premises is......�..U�n.rt.tL�.f:.4=.�:T.M.�=.--. -.+.--.�_- <br /> Thengent is..................................................................................................................... <br /> This application, nithougli signed, shall not be binding upon the Cfty, antii <br /> accepted by the Superintend t of thc Nnter Department. � <br /> Si8ne1.....................................................................�.. ... Applicent <br /> Accepted...��...-e.�.l.�....�.....192. ... By.... .. •._. . . ............ <br /> � � ��l - �� vperintendent <br />