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I-��. <br />� <br />� <br /> r <br />� <br /> I <br /> il <br /> C� � �� �� ' <br /> W.D. Form 4 <br /> CITY OF EVERETT-WATER DEPARTMENT � <br /> Ap�LICATIC`N FOR WATER <br /> All blanks must bc tilled in or crossed out � <br /> Evcrelt,_.._.._.... ' � �� <br /> �., i <br /> .. _.....:............�......._..._.._.._........._.....19_l'_' i <br /> TO THL' SUY}:RINTENDENT OF TI�IE WATER DEPARTn1E;�T: � <br /> CITY OF GVERETT: <br /> I hereby apply for tlie use of water in accordance witu lhe rules and regu- ' <br /> ]ations o[ lhe Water Department, for purposes and fixlures staled Uelow. <br /> During the timc that any of the water mains may be taken up by reason <br /> of any improvements authoriud Uy the City of Evcrett, iu or of any street or � <br /> alley in which thcy mny have becn laid, the City will not be required to furnish <br /> �rnter during lhe progress o: such improvements to any consumer whose sup- <br /> ply tnay lhus be cut o[f, or bc linSlc for any damages for its failure so to do. <br /> Applicalion No.....,/..�:�.�...3.�........ � <br /> � J� <br /> Block........................................Lot...........�f.................... Add........................................... <br /> No......................._. .......,1..,�.c.._,1..�.......... n:�....c!_,�J�..'�.�.�4.-c....Strcet <br /> ............................................................................................f.................................................... <br /> The work to be executed US.. .................... .....-....-... .-............ ............-Ylumber <br /> Slatc sizc of tap. <br /> .._.._........Tnp lo bc inscrted in llic main. � <br /> ........__...Water closet �� <br /> �.....Bath ^ ". . . , . � �. �=—C;G <br /> ...........Urinal � � �: <br /> .. �/ <br /> ................Plain faucet insidc � /'���^_���— <br /> ...............Sidc walk «�ashcr L <br /> ... <br /> .........Iiose bib oulside " � A � `,�;. <br /> ................ <br /> Hosc biU for building purposes , , f � a �'� J�'"`� <br /> .� , � <br /> ...._..........Hose bib insidc ' 7���i'.v:,�c 7,0 <br /> :,:: <br /> ........._.....Bib for stablc containinS..............._...stall.............::.': �% ` ;y";�:';: Y <br /> - , .. ,,. �J' � <br /> ................Numbcr of persons in family "� - �� <br /> ...._[.1.....Numbcr of rooms in builLing . <br /> -i:i. 4 � C7c �f<�Ga-G <br /> The Premises are to bc used as a..............._���.y.:..3.�.._:.�G_.............._.............. ' <br /> The o�cner of the premises is.............._._..,st....._�.�..r....c..�:.�.� .r.�._�r_4.<. �,c yc, � <br /> TheaSent is.................................................. .. ..__........................................._.__.......... <br /> 'Phis application, althou�h signed, shaL not Ue Uinding upon the City, until <br /> accepted by the Superintendenl o[ the R�aler Departm�t. <br /> , , � � 7 � I' <br /> SiSned_..:�.._..�.Q_,�..G-_.��.�-:.:c.......�r..'�.�s..-.U'......Applicant <br /> AccePted.......__..__...........................1^....... By...__.._............. ................................._.. <br /> Superintendent. <br />