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_ . . ,- t-, :�:.:._._��, � _ � � - -�b � ��-� � � <br />l'f. U. Form /-13n0—HP.Co.-6.26�2� <br />City of Everett�Water Depai•tment <br />APPLICATION FOR WATER <br />All binnks must bn filled in or crossed out <br />Evcrett. ....................... �( / ...19�.. <br />0 <br />.................. ..... ..................... <br />PO TIIE SUi':RINTCNDENT OF TIIF. \P9TRR DEPARTIlIENT: <br />CITY OF EVliR�TT; <br />S hereby npply for the use ut water in accordunce with the rules and regu- <br />1¢tions of thc Watcr Department, for Purposes nnd fix!ures stated below. <br />During the time that any of the water mnins mnY be taken up Ly ren=on <br />of any improvements authorized by the City ot F,verett, in or of nny street or <br />nlley in �chi:h �hey mny hnve been Inid, thc City will aot be required to furnish <br />�enter durir.g tlie progress of auch imFrovements to nny consumer whose supplY <br />may thus 6e cut off, or be lin Ic for :my damnges for ,i/ts feilure so to do. <br />Application No ...................�....J..�...�.1..�= ��.0 <br />, i '., <br />s�o�k...../.7..�j._ :......�..�. . .. ��c..................._..........._.... aaa............ .........__............. <br />xa........�Q. .9_....�..i�-�.-,�°Q Q...c? .....................scrnec <br />TLe work ta be esecuted by._.___....._..... ..._.....Plumber <br />. .. .. _ ........ .. ....... o <br />Sta e size of tnp. �(.� �� ) <br />-'L.�-�n.,- o ,.. <br />�.i/�.��....Tap to bc inserted in the mnm. ��-- / <br />......:..........Water closet , . �� . . <br />................Bach /%� ,:, ' <br />�y � � . ,,i <br />.:.. ...Urinal ' �':. <br />....`L-....Plnin faucet inside �, ISn, �� !� i� �' , ', / <br />` � <br />................Side �calk «•ashcr � •• . ;,-� 7/ <br />� `. . <br />...........ilose bib oulside � .....,..'. . i �� � <br />� ... .:.-...._Hose bib for building purposes � � � 1 . � � <br />�.:...--:.:.IIose bib inaide .�. ' �..� ... . <br />--- ..IIib for stnble containin - � � '.stxll... <br />.............. 6....,.............. ..... ...... <br />...._�2...Number of peraons in family <br />�.l..........Number of roome in building/� � �� .�(% ,, <br />TUe premisea are to be used as e.._../.`-�'_�.:�."'�-.4 ...... ... .. . <br />^ n ,�-t_�n ............. <br />The owner of the premises is...(�......._�71g_Jc�et�yc_,y .................. <br />Thengent is .............................................�.................................................� <br />. .................... <br />':�!s application, elthough cigned, sfinll not be binding upon the City, nntil <br />; by the pe nt)e�ndent of th�e 7Wn)tcr ,D�/epnrtm,(eInt. <br />. Signed.......1.L4."�:....�.......l.l.C-,C�;:..�:I��S:../ ...........Applicant <br />i .. .... <br />�% / . <br />� ...........�/0...19AIi. By.. .. .. . tt/ <br />. . . . ........................... <br />. - � �Superintendent <br />�i,r. <br />'' <br />�, <br />