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,.._.J._.�� J��-e1-1l /� . „� . ,i . <br /> .. . � <br /> N'.D.F'mm 1—iG00—EP.Co,—G-28-41 <br /> City of Everett�Water Department ' <br /> APPLICATION FOR WATER <br /> All blanka must be filled in or crossed out <br /> _� <br /> � ...19?�./. <br /> Everett.......................�1.:..1�.:1'.I.........7.L�:............ <br /> TO THE SUPERINTENDENT OF THE �ti�rCTER DEPART➢tENT: <br /> CITY QF�VERETT: <br /> I here6y apply far the use of wuter in accotdnnce with the rule4 nnd regu- <br /> laliona of the Water Depertmeat, for purposes end fixtures etnted below. <br /> During the time that any of the water mains may be token up by reason <br /> ot any improvements euthorized by the City of Everett, in or of eny atreet or <br /> alley in which lhey may have been leid, the City will not be required to ;nrniah <br /> water during the progrese of such improvementa to any cansumer whose aupply <br /> may thus be cut off, or t�e lieble for uny damnges for its feilure eo to do. <br /> Application �......�o.. .7....a................ — � s s <br /> ` <br /> Block........................../........ �../.j,n/� ...../.../.y....l.�............... Add.......�........!_..................... <br /> No.........��.r..�l��.......(1l.�t...l.....Z.`',o..........Street , <br /> ..._......................................................................................... ..... <br /> . . . .......................... .. <br /> The work to be executed by..._...... fL.�_, /S.�.a..........................Plumber ' <br /> Stnte size of tap. /y <br /> .....��1.-....Tap to be inserted in the mnin. <br /> ......�.......Nater cloaet <br /> ......_�......Bath 1- � <br /> –......Utinal ��%!� <br /> ......._ .� <br /> ....__�....Plein faucet inside ,'� <br /> -....Side walk washer �� <br /> ......... <br /> .......�......Hose bib oulside <br /> .......�.......Hose bib for Luilding purposes <br /> .....:.-......Hose bib inside <br /> ........ .....Bib for stable containing....................etall.................... <br /> ......�..�....Number of peraona in fnmily � <br /> .... <br /> '.T.........Number of rooms in bui]ding - <br /> The premises are t�be ueed as a... .....�.. .�..................../.....�.../..i./.�. . <br /> The owner of the premises is..... ..�C122(GC��wt..�?e...GL,�..:L<��i.<,Z....... <br /> Theegent is...................................................................................................................... <br /> ' Th�i applica:ion, although signed, shsll not be binding upon the City, unGl <br /> � ' by lhe Superin�tpe�n'dent of thc Watcr Depat[ment. <br /> Signed.......�-a'�'.!�.•..:'..?':ti.:!..:. ... ................................. .App ica � <br /> / ` / <br /> ./.._-..�-2.-31.ioz...... Br.(.`/�a�� l..,ali". . ....... <br /> � n ent <br />