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w�T-a E, -�,—�urt- <br /> „ • . , �-.-�.4.�..�. 6-�;-- ��, rs„-� <br /> W.D.Fbrm 1-1600—&P.fo.-6-26-Y� ' <br /> City of Everett--�Water Department <br /> APPLICATION FOR WATER <br /> All binnks must be filled in or crossed out <br /> Everett„.................... ...._s:.:4-.,......._�...........192..� <br /> PO THE SUPERINTENUF.NT OF DHE ATER DEPAI2T11fliNT: <br /> CITY OF EVERETT; <br /> I 2iereby apply for the use of water in accordnr.ce with the rulea and regu- <br /> lations af the Water Dep¢rtment, for pm�poses end fis'ures stated below. <br /> During the time that nny of thc wnter maina may be takcn up by renson <br /> of nny improvements authorized by thc City of EverMt, in or of ¢ny street or <br /> nlley in which they mny have been inid, the City will not be renuired to furnieh <br /> wuter during tfie progress of xuch improvements to nny cunsumer wLose eupply <br /> may thus be cut off, o(r be !iab1 e for nny dnmages for its fnilure so to do. <br /> Application No......Q...�..(>.,�.f............. '� 3��. <br /> Block........................................ Lot................_.............._..... Add..........:.i . „ ' <br /> . _._...............__...... <br /> xo......._/__3._:3..3.........CC74- �t.-�-�c�c <br /> ................. <br /> ..._............................................_............................ ............... . <br /> ..._................................ <br /> The work to be eeecuted by................. .......: _. .�� ' - "' Plumber <br /> ... . ... ............ <br /> ,� `"� �l <br /> .. . <br /> State eize of tap. -� ' <br /> ...%_Tap to bc inserted iu the . <br /> ......... . Water closet JUN - n ��?8 <br /> ......�.......Bech �•rtv nc EVERETT-WATFR p[P"� <br /> '......Urinal ,. . .�r". � , <br /> ......._ . . . . . . <br /> , :- <br /> ....,�.......Plnin faucet inside J <br /> ........-....Side walk �easher <br /> -....../.......Hose bib outside <br /> ......�......Hose bib for building �mrFoses <br /> ....... .....Hose bi6 inside <br /> .... ........Hib for stnblc conlaining....................etnll.................... <br /> ..._— ...Numbcr of persons in fnmily <br /> ......./.. <br /> .....�t....Number of rooma in building <br /> / <br /> TUe premises nre to 6e used as a...... . ..... ' <br /> ... _ ... ..._.............. ..................... <br /> The o�aner of the premises is........... ....C1�l.c.cfGa-..� �G/�%: - <br /> The nqent is....................................... <br /> �N"-�... <br /> ............................................................................... <br /> � This applicntion, although signed, shall not be binding upon the City, until <br /> 'P�d by the Superintendent of the Water Department. <br /> Signed.`.�......(t1!.�i�s��l1'."GG-s�..............Applicant <br /> . ......... <br /> . .._........................1'J2...... By..._...... ... i � <br /> .. .. . .................................... <br /> � -/-�� -- '�� Superintendent <br /> • <br />