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r,,�c.r 9 z5�;-fi `c:.�zd v-,25-1 fr'�r <br /> W.D.Form�-1600—E.P.Co.—SR6�2� <br /> City of Everett�--�Water Depart�.nent <br /> APPLICAT�ON FOR WATER <br /> � � All blanks must be filled in or croased out <br /> Ererett,..........................�/y �� .....192...A. <br /> � f�•��.�•.......................... <br /> TO THE SUPERINTENDENT OF THE NATER DEPARThiENT: <br /> CITY OF EVER�TT: <br /> I hereby apply for the use of w•nter in accordnnce with the rules nnd regu- <br /> lationa of thc Water Department, for purposes and fixlures stuted Uclow. <br /> During the time thet eny of the water mains mey be taken up by rcason <br /> oY any improvements authorized by the City of Ecerett, in or of any ulreet or <br /> nlley in which they mny have heen laid, thc City will not be required to furnixh <br /> wnter during the progresa of such improcements to any consumer whoae aupply <br /> may thus be cut off, or be liable for nny damnges for its fniluxe ao to do. <br /> t�pplication No.....5-�_�?...2.-........_ — 6 "�/� <br /> ast. <br /> Bloa��/................................ LmAt............_........J.... ............ Add... ..................._.........._...... <br /> No.......�,/.._...��....�-..�...........�`:.....�(...�.f.�..Street <br /> ......... ........... .P . ....Y.......................................Q...... ....... <br /> I . ............................. <br /> .... .._...�..... .................... ....Gt.. ._ ..._....... _.._......Plumber <br /> Thc work to be executed b ..... <br /> Stnte aize of ta ; ��S <br /> ....�2...Tap to be inserted in the�ni�,,,.r �"` ��'\ <br /> . .......I.....Wnter closet � � ��� �:' � A 1 <br /> .......�.......1�ath � V <br /> _....._—..ur;nai i SEP 2`; 19%8 _ ..,.. <br /> �-,., CiTY GF E\'cC��1 ti�•�aZ ��' ' � <br /> ............. Plain fnucet inside <br /> — � . ................._......... <br /> ................Side walk washcr . ��...........•....,.• • <br /> ....._�.......Hose bib outside ' <br /> ...._—:....Hose bib for building purposes <br /> .....-:......fIose bib inside <br /> ..._�.-:....Bib for atable conteining...._..............stall.................... <br /> ............... <br /> A'nmber ot persons in fnmily <br /> .��.—.....��........Numbcr of roome in building <br /> :he �remises are to be vaed ns e........... ./�p �/ ........................................ <br /> The owner of the premises is.............. . �{-.. .. �C..�'...................................... <br /> . .... . . ... <br /> Thcagent in...................................................................................................................... <br /> This application, although signed, ahall not be binding upan the City, until <br /> �pted by the Superintendpent of the Water Department. <br /> ........ � ..��r'."P��, <br /> Signed.....��...1T.`�y.......By....l=...�.� ............. ......Applicant <br /> — <br /> ....�..�.�.................. .. ..:... . � <br /> •- .. . <br /> 9 .. ...................... <br /> Superintendent <br />