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. �q'Ty`' j' i�_ 7.a'C e <br /> c <br /> , ���.an.�di — —'i--�— 7J rn-r�Y . <br /> � k'.I7.Form�.-1W0—E.P.Co.--6-26-21 • <br /> City of Everett�Water Depai•tinent <br /> APPLICATION� FOR WATER <br /> All blanks must Le filled in ar crosaed out <br /> � i <br /> E��erett........................... ............192..��.... <br /> . .........7................... <br /> YO TIdE SUPERINI'I:NllF,NT OP TIIE R'ATGR DEPART1fENT': <br /> CITY OF �VE$liTT: <br /> I hereLy npp�y for the usu ot water in accordance with the rules und regu- <br /> lation= of the Watcr Department, for �mrposea and fixturrs etated bclaw. <br /> During the time that any of thc water mnins mny be tnken up by renson <br /> of any improvements auLhorized by Lhe City o[ E��crett, in or of any ntreet or <br /> nliry in n•liich they m�y have been laid, Lhe City will not be required to furnish <br /> wnler during Lhe progresa of such improcemenls to nny consumer whose suPP�Y <br /> nwy ihns Lc cut off, or Le liable far any dnmages for ils fnilure so to do. <br /> APP��cntion No..........�.�-2- � <br /> . ....................... <br /> Black..............._�.�......'. Lot...... ..�..........._.... <br /> '..... Add.. <br /> . . .._..... <br /> . .. ......___............_. <br /> No..--___. ...�..q. � Street <br /> ......__........._.. <br /> .............................._.... ..... <br /> .... ................................. <br /> . <br /> . .......... <br /> The wark Lo be executed by.....__.... . ._... �Q Q� � <br /> . <br /> ......_"�`"'.'��'. . _......Plumber <br /> . .. ....... <br /> Sl,A/tC 612C OS LIIjI, <br /> -��%:�.-.�.Tap to be inserteJ in the main. <br /> ����-.--�-.....Nater doset ui <br /> / n <br /> ....�......nacn � , o <br /> ............._-.Urinal ,' � � ��� <br /> �-....vPlxin faucet inxidc � �� <br /> .....—:....Side walk wnshcr <br /> �����-`._Aose bib outsidc <br /> �-��-�....Hoac bib for building purposes <br /> �_.��_�.—:�.I►ose bib inside <br /> .....-.-.:...Bib tor stable conlaining....................siall. �.�._`....... <br /> ��-��-r..A'umbc3• of pereons in family �� <br /> ����.��.......Number ot rooma in bvildinq � <br /> The premises nre to be uned an a.... . • <br /> __..... <br /> The owner of the � �� <br /> , .. .........._.. <br /> prem�ees is......_.___....._.. - . <br /> __.. _._..._...._....... <br /> ............................ .. <br /> he agcr,t is..._...._.....__.............. <br /> __._._..__.............___.e_.�.......... <br /> Thia apPlication, nithouqh =igned, r.ha] not Ue bin ' <br /> eccepted by the Superinte of �i� r nr °�0p � City, vntil <br /> Signed.......... , <br /> i <br /> . . ........ .. <br /> .. .......... .. <br /> ....... .. • <br /> Aecepted..--6-..—��.r_......1 _. . . . <br /> ��- -��� PPLcant <br /> � BY..... ._ � .. __ . .yli: ' .... <br /> �. <br /> Superintendent <br /> � ✓ � <br /> • <br /> � � <br />