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�u.c✓ ,o.�z-z8 ,r " .�, �_f�l ,: ,. , <br /> N'.'J.Form{-1600--E.P.Ca-426-2/ , ,• • <br /> City of E�verett�Water Department <br /> APPLICATION FOR WATER <br /> All blanks must be filled in or crossed out <br /> Everett..........................._�.�U..........................193.d.. <br /> TO THE SUPERINTENDENT OF TIIE NATF.R DEPARTrSENT: <br /> � CITY OF LVGRCTT: <br /> I hereLy npply for the usc of water in ncr.ordnnce with the rules nnd regu- <br /> lationa of the Water Depnrtment, for purposce and fixtures atnted bclow. <br /> During the time thet eny ot thc wntcr mains mny be taken up by reason <br /> of an} �mprovements nuthorized by the Cicy of Everett, in or of any atreet or <br /> alley m which they may have been ]nid, the City will not be required to furnish � <br /> wntcr during thc progreas of such improvements to eny wneumer whoae supply <br /> mny tLus 6e cut oif, or be lia�ble¢fo�r nny damages for ita fqnilure eo to do. <br /> Application No.....��,I.....a.gf.� l$3 / <br /> Block....................................... Lot................ ......_.............. Add............._..........._. ......._... <br /> /°. <br /> No.......I."��.U...�........�.._..�.�.!✓._'CF�..........3treet - <br /> ....................................P........................................................................ .._ ........... " <br /> The work to be executed by.....�.y.......... . SGo ... ........ Plumber <br /> ..................... <br /> �.... .:.............. <br /> Stn�t�e size of ta � � <br /> .._�1..'.3..—..:..Tup to be inserted in the mnin. � <br /> ; ' ; <br /> „ � . <br /> ...... Nater closet �. � �•,_��, l; I� .; j ,i <br /> �......_ �. � <br /> ...._/........IIact `)i' I 1 J 1928� <br /> ....... ...Urinal ..-` :�.� -�c � , r �/.'4TiR I',F^. . <br /> ... <br /> .....2......Plain feucet insidc ;"���� <br /> ...._-......Sidc watk washer �� � <br /> .....�.........Hoee bib outside , <br /> .......-.-.....FIoso bib for building nurposes <br /> .....�:.......Hoee bib inaide <br /> .......�....Bib for steb]c containing....................atall.................... <br /> ........—...Number of persons in fnmily <br /> .....�.�.........Number of roome in building / /, � , <br /> The premises are io be used ns a_.........�..(/1<u[...C�4......PY'����!�.��'`'*�c_ <br /> Theowner of the premises is..................................................................................... <br /> . ' :gent is...................................................................................................................... <br /> �pplicntion, elthovgh aigned, shnll not be binding upon the City, until <br /> .. �� the Superintendeu of thc Nnter Depnrtment. <br /> � Signed....�....._�ti.`.T"'..'.".`.::".'--?l—.�s..`..Applicant <br /> - ;cd........f�.:..1./.�.....:..192.Y BY....�.A/H�:.F..f.?:'. .. ... ............. <br /> .� / Fc�=, er�lent <br />