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''a�Fq 11- I IL.7 7 1� �'i�.�A.i\1_.eL �I—�'p' .` I i!.�. , � <br /> l <br /> .. . f <br /> W.D.Form�--IL00—£P.l'r.-6-26-21 <br /> City, of Everett--�Water Department <br /> APPLICATION FOR VJATER <br /> .411 binnks must be tillcd in ar crosscd out <br /> F,cerelt...................�.�../�._................................10°.�. <br /> TO THF. SCPEI?INTtiNDCN'C OF THE R'ATER DEPAItTilIENT: <br /> CITY OF EVIRSTT: � <br /> I hereby nPp�S' for the use o[water in nccordnnce �vith the ru'es ��nd regu- <br /> lutions of the �t'ater Depnrtment, for purpoee, nnd fixtm�es stnccu bcica�. <br /> During the time thnt nny o[ the u•ater mnina mny be taken up by renson � <br /> of nny improvements autharized by thc Cit}• of F.ccrett, in or of nny atreet or <br /> alley in which they may hn��e bcen laid, thc City will not bc required to furnish <br /> w.�ter during the progress of such improeements to eny consumer �vLose sc;iply <br /> ui.�y thus Ue cut of[, ovr bc liqble for :my damnges for its failure su to do. <br /> Application No.....0..�._�D�^_.....`..! 2 2 2— <br /> _���--_� <br /> t3lock..................................... Lot._..........__..._.._............. Add.. ... . X..c,- <br /> No....._�..�U...�........�.�<y-1..................Strnet <br /> .._.....................................................1..................................... . <br /> _ .. ... <br /> _ .._ . ...................... ... ..... <br /> Thc �vork to be e�eculed L�............... . .�,.. . .._.::...................I..._......Plumbcr <br /> Statc size of tnp, /� � � � � � "�. � ' - <br /> ....��i...Tnp to be insertdd i�the mnin.� " �� ' <br /> ......I........R'ntcr closet . 't �� . .' - <br /> ....J.........Bnth . �:. � �; ��..�t;�s Ucr 1 <br /> ........—.....Urinnl � . . �y'������� . .. <br /> ...... .Plnin fnucet inside ��� � <br /> -__......��Side wnik �enshcr <br /> -....�.........Hosc bib oulsidc <br /> ..._�.....Hose bib fur building purposes <br /> ....... .....Hosc bib inside <br /> .._�.....Hib for sluble canlnining....................stnll.................... <br /> .......—.....A*umbcr of persons in fnmily <br /> . �-..NumUcr of rooms in building <br /> .......... <br /> The premises nrc to be used as n............_......��!� ' <br /> . . ......._......._.....__..................... <br /> nr owner of the premis is..........._.. .. <br /> . . ..._..._.. .... . .. . ......... <br /> ............. <br /> ..__.... . . <br /> .:,� ngcnt is...................... ..l11�.c.s..�,�r.:....t... .... ...........s:,�l..............._. <br /> '�' `�PP��cation, nithough signed, ,hnll not be binding upon lhe City, until <br /> , � b� the Superinten,�znt of thc \Vntcr Depnrtment. <br /> Signed..!/............ K1....T.'�!ra-�cr-c�-�s>::'y3"— .Appl cnnt <br /> / /. <br /> Accepted_.......l��...-.��._.192� By.... _ _.i...G��......._................. <br /> / ,� j `� uperintenJent <br /> .��"r . <br />