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`«� �r ,� 27 �r �xp��.._�. �( _ . <br /> W.ll.Form J-1600—gllCo.-6-26.2� ' • . <br /> City of Everett--�Water Department <br /> APPLICATION FOR WA1'ER <br /> All binnks must ke filled iu or crossed out <br /> Ererett�................... (��..�....... <br /> .....�... .. .....................192,.... <br /> TO TISE SUPERINTENUErT OF THE NpTLR DEPARTnIENT: <br /> CiTY OR EVCRETT: <br /> I hereby npply for the use o[water in accardance with the rules nnJ refiu- <br /> Intions of the Nntcr Depnrtment, for pmposes and fi�lm�es stated bcicw. <br /> lluring the time thut any of thr n�ater mains mny be taAcn up by rcnson <br /> af nnp in;provements authorized by thi City of Everett, in or of nny street or <br /> ulley in which they may hnve been Inid, ;he City �vil1 not bc rnnuired to furnish <br /> wnter during the progress of auch improc��ments to nvy cnnsmucr whose supP�Y <br /> may thus be cut aff, or be liu4:e for nny damnges for ils fnilure so �o do. <br /> APPlicntion No.....c�,..� �v <br /> ......../..._....-. 7 z Z. 8 <br /> Block.............................._....... Lot..................................... Add.1.�-.:1l�.,� -L•-- � <br /> r/ / Q..a-�.t_�., <br /> No......._�_.��. .2...7'.......... �GL,t..G�o........Street <br /> . ................ <br /> ..._._.................. <br /> _........._............_... <br /> ._..._.......-.� ...... <br /> � . . ... <br /> .: ....._........................... <br /> The work to be executed by...._._.._... . -Cr-` � <br /> . . _....._..........................Plmnber <br /> Stnte sizc of tnp, S'c - <br /> ����f�..Tap to be inserted in the main/ � � � <br /> .....-/.......R'ater closet � � <br /> ......�.........Qnth � ' .� . <br /> `-- . ' `{ 1�� <br /> ................Uri nul <br /> ���...�...Plnin fuucet inside � <br /> ���---.......Side wulk e�nsher ;-�� � <br /> -�--�......Hosc bib outside <br /> �������-......Hase bib for building pw•poses <br /> ....... ......I�ose bib inside <br /> ����... ......Bib for stuble contnic�in <br /> g....................stnl 1..............._... <br /> .......-......A'umbcr of Eicrsons in fnmily - <br /> ���-��... .Number of rooms in building <br /> TF.e prmnises nrc to be u=eJ ns n...,., . �,c_,1 � <br /> '',� owncr of thc premi c.• �a �� � � ... . ............... <br /> __. <br /> .. ..... .... <br /> • ..... <br /> ... <br /> •pnt �s.. .._ ..... . ..<J-'+n_x.:c.c � -i i, :i <br /> . ................lL:..:..:'.^,C�.. <br /> ��nlicntion, althouqh signed, shnll not bc binding upon the Ciry, until <br /> the Superintendcnt of e Nater Depnrtment. <br /> / <br /> .,��ned........................._..... Z� <br /> ...............�L���t li <br /> . . . ..... .. App cnnt <br /> ... <br /> ...�..��...10� By..��.. � � <br /> / _ .. .�... . ,...................... <br /> � � S•.perintendent � <br /> � <br />