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�u-�-C-A 9' 4 -2 5 '1C Gc.�Cc�� ',7.. (�..f.�.- ;��' . . . . <br /> _ W.b.'rortCl-1600—E,P.Co.-6-26�2t ' � � - <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All binnlcs must be filled in or cross d out <br /> Everett.............................../.��.'................................�� <br /> TO TI3E SUPERINTENPENT OF THG R'.4TF.R DEPARTMENT: <br /> CITY OR EVCI2ETT: <br /> I hereb,v npply for the use ot a•nter in nccordnnce with the rules nnd tegu- <br /> lations of the Wnter Depnrtment, for pm�puses xnd fixtures atnted below. <br /> During the time thnt nny of the �catcr mains may 6e taken up by renson <br /> of any improvemenLg authorized Ly the City of Everett, in or of any strect or � <br /> nlley in which they mny hnve 6ecn Inid, thc City will not be required to furnish <br /> wnter during the progresa of such improvements to flny coneumer whose sui>P�Y <br /> may thus be cut off, or be liable for uny dnmages for its failure so to do. <br /> Application rto........�:�f._3.�........... (�_u,�j� �,�A� <br /> Block........................................ Lot....................................... Add../.�....,.�.,.�.. (��..�. ...�.o��-�" <br /> No......LO�,...(,5:�.,�.��..`...�.t �.�;�`..............................3treet "� " o.on,lv"S"'`�,,J9�r� . <br /> r.��.-�.�.�..,?��-�.o.r...c.....�.... .�...�r�.�-.-.,..t�,u.E�,..�./ � <br /> The work to be executed by....._........�.�. <br /> ._......._ ........................_............Plumbcr <br /> Stnte eize of tap. <br /> i o.o . <br /> ,�.._......Tap to be inserted in the mnin. , C) �� <br /> ---� ......�Vatcr ctoset �I � <br /> ......... ,� <br /> ...............Bach - . . . . <br /> ................Urinal � .,•-- ; : :. � . , � r� , <br /> i .;.-' �/s=�.i_ i.4 � <br /> .....-...,.:.:::.Plain fuucct insidc I1 . <br /> . ' <br /> ..!� !. i: ���Q <br /> ..._,.-.._�.....Sidc wnik wnsher C�T'�' Cf' _t ,;I .�' ..�:rt� r <br /> � 1 �'F <br /> �.....:..:....:_Hose bib outside � � , <br /> . ............ ... <br /> .....-::..:..._Hose bib for huilding purposes . ...... . <br /> _i _ _ . <br /> .......:.........Hose bib inside <br /> ......:..........Bib for atnblc contnining..........._.......etall.................... <br /> ..�.....Number of persons in family - <br /> ��....�......Num6er of roama in 6uilding , <br /> The premises nre to bc used as n.........�2„Z..�..y�„Q.,l�._�'i <br /> �; ............. <br /> The ocvner of the prer.�ises_js..;......G.[...... .�..0:C� .�1.,.p-p--ti� <br /> , .... ........................ <br /> Thengent is.................................................................................... <br /> .................................. <br /> This application, although signed, shell not bn binding upon tho City, until <br /> pted by the Superintendent of t6e Natcr Depnrtment. <br /> . Signed.................................................. . . PPlican <br /> .......................................... <br /> :pted......... ...�.. ..192.. .. By.... C <br /> 1 �.;_. . � . ... .. ; <br /> / Superintendent <br />