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J <br /> V <br /> `4-�-r� �o,z2.ze �r ��� . <br /> ,a_ �o-.zr- �� <br /> W.D.Fonp�—I500—E.I'.Co:6.p8-YI ' •• <br /> City of Everett---Water Department <br /> APPI.ICATION FOR WATER <br /> All binnks mest be fillcd in ot crossed out <br /> Everett,..... � / �U <br /> TO TfIE SUYERINTENDENT OF TAE R'ATEtt DEPqItThfENT: <br /> ... .... .............1�J2...... <br /> CITY OF EVEIiL•'TT; <br /> I hereby apply for the use ot wnter in nccordnnce with thc rules und regu- <br /> lations ot the Water Department, for purposes nnd tixtures stnted belaw, <br /> During the time that any of the water mains mey be taken up by renson <br /> of any imProvements authorized by the City of Everett, in or of any atreet or <br /> nlley in which they mny ha�•e bcen leid, the City wil! not be required to furnieh <br /> wuter during the progresa of euch improvements to any consumer whose xu�ply <br /> m;�y thus bc cut off, or be lieble for any dumegea for ita failure eo to du. <br /> APPlication No.......��`...�..�.............. /�E' � <br /> Block............................... . <br /> �t....................................... Add.........._. <br /> No......./..�..f...//......... ' ._........................... <br /> ......fG�Tt�............3treeL <br /> ....................................................... �� � <br /> • _:. <br /> The work to be executed by.,_.._ � ��- . �'""" <br /> � <br /> State aize of tap. � •' � ���� . "'`. a � `-.Plumber <br /> / i <br /> {�`.....Tap to be ineerted in the mnin, :.-, ,- �� � � '� � � <br /> � <br /> i., <br /> �--���-.._.Water doset � � �� - , . <br /> .....�........Bach ,' <br /> ....._........Uriaal , . <br /> ���••Z....Plain faucet inside <br /> --���-.......Side a•nIk washer <br /> �������/.......Hose bib outside <br /> �-�-��-����-._Hose bib for building purposes <br /> ������������....Hose bib inaide <br /> ��•���� ......Bib for steblc contninin <br /> • `......A'umbcr of peraons in tnmily...........atall.................... <br /> ....... <br /> ���-����..Number of rooms in building <br /> Thc premises are to be used ns n....__...�/ UjuG.i�� � �`,�l <br /> 4/r <br /> The owner ot the prer.�ises is....._...... ....._..... �C�f� <br /> ..... . _.. .............................................. <br /> hc ngent ie................. <br /> ..........................................._......... <br /> .Thin uPPlicntion. althou h si ned, ^ . . . ................................ <br /> ied by the Super(ntendent of the Yuter�D parmentg �pon the City, .j�u� <br /> Signed....._�............. <br /> ............... ......................�ti. <br /> ��✓p.....-...192 ... ' AP licant <br /> .r•._.... � By..��� <br /> ... . . . <br /> ' <br /> � ...:................ <br /> � _ rintendent <br />