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'c,a<_r...: 7- fx �rs-ry ,..-_�_� . .> -i- i"': ', 5� /d���� . <br /> . , � <br /> N'.D.porm 1—IG00—&P.Co.-5.26.2� <br /> City of Everett--�Water Department � <br /> APPLIC.�TION FOR WATER <br /> All t lnnks mus: ..e filled in or crossed out <br /> Fverelt..... .........................���......................132.C�. <br /> TO TIIE SUPEI;INTENDENT OP TIIE \1';1TER DLPART11fENT: <br /> CITY OF EVERETT: <br /> I Lereby npply tot the usu nt wnter in r.ccard�nce with the rules and regu- <br /> lations of the Water Deparlment, for purposes xnd fix!.ures atnted below. <br /> D�.ring the lime that any of thc water mains mny be tnken up by renaon <br /> of uny improvements euthorized by the Cily oF F.cerett, in or of any street or <br /> nlley in a�hich lhey mny hnce been Inid, the City will not be required to furnish <br /> water during the progresa of such improvements to any consumm• whose auPP�Y <br /> may thus be cut off, ornbe`liabple�for :my damages for its f¢ilure w to do. <br /> Applicntion No.......A...Q......0....Z........�3'/� Z -� � � � �...� <br /> Block........................................ Lot...................... .. . ......... Add.�'.`..'.'-�.�1.c4'S.},�rC� <br /> rra...._......./3...2.3.........�C,,��Gt�'C-<�cStreet . <br /> ......... ..........................................................._........................................ .. ........_....................... <br /> T6e work to be executecl by......... ....... .... ........_.................Plumber • <br /> / r� `7 � . <br /> Stcte eize of tnp. �. �_ <br /> ...���:Tap to be insertea in the mnin, � <br /> ......'.......Nater closet <br /> _.�........Dnth / <br /> ...... .....Urinal j/ <br /> ...._Zr..Plain fnucet inside ' <br /> ........—...Side wnik tvashcr <br /> ......!........Hose bib oulside � <br /> .......�.....Floae bib for building Purposes <br /> ..... ........FIose bib inside <br /> ...... ......Bib for stable cot�tnining....................stnil.................... <br /> ... ,..Number ot persons in fnmily <br /> ....../.. <br /> ..._�::1.....Numbcr of raoms in building 7 <br /> The premises arc to Le used es a....{. �/.__.......�t.'[.,�;�._'_.,._�_..._/_._._._.._..,,�� <br /> ..h� o�mer of the prcr.iises 19....�Cl..(.M:J,.�..GF-,L6�_��.. ( F...��.c� <br /> . . � igent is.....................................................................__.................._......................... <br /> . ��pplicntion, although signed, shnll not be binding upon the City, vntil <br /> ���y lhe Superintendent of the \Vater Depnrtment. <br /> ' . Signed......_��-.L'�.'.�.1.. ................ pplicant / . <br /> y_ C ,/ <br /> Accepted._........,l.......��........192.� By.... . . .. .... �(l� .. .......... <br /> / � � �erintendent <br />