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,(�.`�.,' �z=f--.�c -,�ir .4:c,c..Z�/' 'i/=� 3-90 —/f <br /> W.D.Form�-1600—EF.Co:6•26-21 • ' <br /> City of Everett--Water Department , <br /> APPLICAT'ION FOR WATER <br /> All binnks must Le filled in or crossed out <br /> Evcrett..............................r,_/�..�?..............................1923.0 <br /> TO THF. SUPERINTENDENT OF THF. R'ATER DEPART�iENT: <br /> CITY OF EVERETT: <br /> I hm�eby apply for the use of�vnter in uccordnnce ��•ith tLe rules nnd regu- <br /> Intions of the Water Department, for pnrposes end fiatures stuted below. <br /> During the time that ¢ny of the wnter mnins m�7- Ue taken up by reason <br /> of any impruvements authorized by the City of EvereU in or of any atreet or <br /> alley in which they mny heve been lnid, thc City will no+� be tequired to furnieh <br /> wntcr during Lhe progress of auch improvementv to eny conxumer whose supplY <br /> mny thus be cut off, or be liaOble fm• any domages for its f¢ilure so to do. . , <br /> Appl.iycation No....�.9C7_�..........�j98� ^ <br /> � i <br /> Block.....f..:...g.�.................. Lot....�.............................. A .................................�� <br /> xo./.!�;_y...�......... .........................sc�t <br /> _........................................................................................................ .................................... <br /> The work to be executed bY....._..__.........__..........._...................................Plumber <br /> Stny� e�ze of tap. <br /> �/_ n <br /> Ll:L........Tap to bc inserted in the mnin. <br /> / <br /> .....�.........Nater cloaet <br /> ..�............IIach <br /> .......Urinal <br /> �� j �- <br /> .............Plafn faucet inside i <br /> ......... <br /> .......Side walk �vnsher <br /> _�..-........Hose bib outside <br /> �,.��..Hose bib for building purposes <br /> ................Hose bib inside <br /> ................Bib for etsble contnining....................atxll.................... <br /> ` <br /> ................Number of persons in fnmily <br /> ...�I.........Number of romns in building � <br /> The premises are to be used as n_.../...._........_ ................................. .................... <br /> The owner of the premises is...��.�- C <br /> . .......t*-a1-u..�.�...Y.—..-�� . <br /> Thengent is..................................................................................................................... <br /> This applicntion, althovgli signed, ahall not bc binding epon the City, until <br /> uccepted by the Superi�tendent of the Wnter Dc nrtment. <br /> P <br /> Signed_ �..._.......................................... .... .. . . F� ��� ...A plicent / <br /> .. .......... . . <br /> J �... p <br /> ..ccepted....��:..,/.�.C..��1D2...... By���'�.���/......." <br /> � . petmtendPnt <br />