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4.�d� 7.I S 7 5' �( <,�c.«._,(L '1-�"1 , i �i�,-i , <br /> N'.D.Form�!—I600—EP.Co.428-EI . . • <br /> City of Everett--Water Department � <br /> �. ,, <br /> AP�LICATION FOR Vv'ATER <br /> All binnks must bc filled in or crossed out <br /> Evcre t t.................................!l....�..�.......................192...Qi.� <br /> PO TFIE SUP&RINTENDENT OF TIIE R'AT.^.R DEPpRT➢ILNT: <br /> CITY OF EVCRPTT: � <br /> I hm�eby app1Y for the use ot waler in nccordance a•ith the rules and regu- <br /> latiuns of the Water Department, far purposes nnd fi.r7ures stnled below. <br /> of anyli;vp�rovemenita nuthori ed bytthe�City ofBEve ett n orkof anybst eetyor <br /> elley in which they may have becn lnid, thc City w�l not be tequired to furniah <br /> wnter during the progress of such imPro�•ements to any consumer whosu au;;ply <br /> mny thus be cut off, or be liable for nny dmm�ges lor its fnilure so to do. <br /> Application No...... ... � - � <br /> � .....Fl................ 7 3y <br /> Block................... .I.ot.................... `'� � � � � <br /> ..................... ........_. Add..`^�`^-b.�' , . <br /> a '+�c-�4 <br /> xo......../.3. .�-�........ �..4�`G��....ss�c <br /> __ .._......_........................................................_............................ . . <br /> � <br /> .............. <br /> .. <br /> The work to be executed by........ ............... ' <br /> . .........................Plumber <br /> � State size of tap, � �� -/5— ' " <br /> ���.�y.'lap to be inserted in the mnin. <br /> ��-���.�..-...�Vnter dose�. � � <br /> � i <br /> . `� � <br /> ..... ........Uath � " I��;,� . <br /> _ i , <br /> ......... .....Urinol ;..r .. <br /> --z:. Plain fnucet inside � � <br /> .... i <br /> ........ ....Sidc n•nik tvasher ,. <br /> ����•��_......Hosc bib outside <br /> ��......'.�....Hose bib for building purpuses <br /> �����..—....Hoce bib insidc <br /> ����.•. .....Bib for stable conlainin <br /> g....................s t a I 1.................... <br /> ......... ..A'umber of persons in family <br /> •�����..NumLer of rooms in building <br /> The premises are to be used as a...... ........... <br /> . :��.'.......... <br /> ........y..............._.:.� <br /> The owner of the premiaes is....... _ �� ��� / <br /> ...(.ti-.rt,.�./.Gc-:.!:,..::�...���.(!�c-�� <br /> The ngent ie............................ <br /> ....................................................... .. <br /> '"hie applicallon, althou h si <br /> . .. .............................. <br /> .�i bp the Superintendent of the Water�D partmen g upon the City, until <br /> Signed.....t`l.�'.�...�•�- . . <br /> . ........._......:.��. ....... ... <br /> . . ,e. g� � .... .... ....Applicant / <br /> �' /..:.��.:........192 .. <br /> fi� By.... _� <br /> . ..........................." <br /> uperintendent <br />