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_�.�_ ��� , 4...-�Ji.�._L i o - 'a f- 1 '� f'n"w�et <br /> ��c�6 il—I�l , <br /> .... _ <br /> W.U.Form�—IGOC—EP.Co.—b26-P� <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All blanlcs must be fi:led in or crosaed oat <br /> Evcrett..................._�...�..�...r�-...�...............................Y92�. <br /> TO THE SUFERINTENDENT OF TAE N4TER DEPARTEtENT: <br /> CITY OF EVERETT: <br /> I hereby aPP�Y for the use of water in nccordance with the ivles nnd regu- <br /> lutionn of the Water Depnrttnent, for purposes end fixtures stnted Uelow. <br /> Du:ing the time that eny of the water mnins mny be taken up by rcaeon <br /> of any imProvemente authorized by LUe City of Everett, in or of any etreet or <br /> alley in whieh they muy hevo been laid, the (.ity will mt bc required to fumish <br /> weter during the progreas of auch improvements to ¢ny consumer whoae au�ply <br /> may thus be cut otf, o�rjbe linble for nny dnmeges for its failure ao to do. <br /> ApplicationNo....p...7�� 7z36 <br /> .... ...................... <br /> Block.........�:..�..�................. Lot......_�..:c'..................... Add.............................._........... <br /> No.............�.�..2� �'Cr..ra....3tmet <br /> ..... ........... . <br /> ............................................................................:.... .......................... ./..�::.......................... <br /> � � ,......... � . .....Plumber <br /> T6e work to be executed by...... ........... . •=�.,,.,,�' <br /> .. ._.. ..... . <br /> Stnte size of tap. �'S � ;, ��"� - <br /> , . , �.;' lttti.i.i. ':, <br /> ...�1......Tnp to be inserted in the m�m. ';;�;( � `_' � Jp �!� ' <br /> / <br /> ...Water ctoset �'� 1��!' <br /> ......j........Bath .. ' . . _ ...AX <br /> 1 <br /> .......-......Urinal � �: : <br /> __,,, <br /> _...i.�........Plnin fnucet inside <br /> .......-......Sidc walk washcr <br /> ......I.........Hase bib outside <br /> ....... ......Hose bib for building Purpeses <br /> ....... ......Hose bib instde <br /> .......-......Bib for sWble contnining....................statl.................... <br /> .........-....Number of persons in fnmilY <br /> ...�_�.Number of rooms in building „ <br /> � ' - / _ <br /> ,5e premises nre to be veed as a............... ......._���.�L.������- �---�� <br /> .< owner ef the preroises is.............�.......................................................... <br /> ,•�. :+gent is...................................................................................................................... <br /> � licntion, althoagh signed, shxll not be binding upon the City, until / <br /> . che Supedntendent of/��the �'l'n ��Deparlment. � <br /> Signed..�/��...!CL.i.......T.Y..L'1�Y.5............. . .......... Applicent � <br /> ut - /� ......................... <br /> ....�Q....�(........192.7 B}•.. _.. ... ... ..�= .. uperintendent <br /> � �- <br />