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t...�.e �-�a�,-ir ��.F s- s, �,_ir <br /> • � . . . , . , <br /> W.D.Form 1-1600—E.P.Ca.-686-2� ' <br /> City of Everett--Water Department <br /> APPLICATION FOR WATER <br /> All binnks must be filled in or crossed out <br /> /��� � <br /> F.verett......................:./.�./....... ......_��.............192. ... <br /> TO THE SUPERINTENDENT OF THE ��'ATh:R DE ART71fENT: <br /> CITY OF EVEBGTT: <br /> I 6ereby npply for the use of water in acc•+rdnnca with the rules nnd regu- <br /> Intions of thc Water Department, for pm�puses nnd fixtures stnted belo�v. <br /> During the time that nny of the water mains mny be taken up by reaso�� <br /> of any improvements authorized by the City of E�•erett, in or of eny street or <br /> alley in which they may hnve been lnid, the City will not bc required to furnie�i <br /> � wntet during tUe progress of such improvements to any consumcr whosc suPF�) <br /> mny thus be cut otf, oGr be linble for nny dnmages for ita failure ao to do. <br /> Application No....0. 7.. --S 6 3 y <br /> ..�...... ��............... <br /> Block...........,...{.......................... Lot_........./.................... ...._.. Add.....�1'�....._......... <br /> No..........�.7...�.7......._��C/7....-Cs-o..............3tmet <br /> .....................................................................y .. . ....'�.......,`'..`.�............................. <br /> . . ........ . <br /> The work to be exewted by..�.. Ca.t..... . . , "�•C.ePlumber <br /> j;-.. __ i: � � <br /> State size of tnp. // /S , �� �� ' � � � <br /> �, � M.Y � � 1�7C�� <br /> _.��...Tap to he inserted in the mnin. 1 �'� ' �"� <br /> .....�.........Nater closet • <br /> 1 Bath C;�il' t.i ec.,,cl i "nT�R �"T . <br /> .... .......... <br /> Ur.nal �. ....................... .._ _........__- <br /> ...._�:.:-..Plain fnucet inside <br /> ......_ �....Side walk �vasher � <br /> .....�........Hose bib outside <br /> � <br /> ................Hose bib for building purposes ' <br /> ,......'.—....Hose bib inside <br /> ......-......Bib for etable contnining...................:stall.................... <br /> ...... .....Numbcr of peraona in family <br /> ......�. ...Number of roo:ns in building <br /> The premises are to be vaed ea a.................�'�_�� ,�J�������— �•�-•�- <br /> ... . <br /> The owner of the ptemisea is..�.l'������c��....... <br /> Theagent ie...................................................................................................................... <br /> Thie applicution, although signed, shell not 6o binding upon the City, until <br /> � . �uted by the Superintendent af the Wnter llepettment. <br /> e ' � . /� -.� <br /> Sigr,ed......../`:1..:...�.,j....:... .. ..A.�C��.�.. .. <br /> �p ��� <br /> _ . .:;d..�...o'J...l.........19'�i.'. BY.��.B! .. . .. ... .- -......... <br /> . " / n�],ent <br />