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f <br />� <br />� <br /> h <br /> r <br />� <br />� <br /> , 4.�.�-:. ,o-s-26-fj� . <-,- �,t�_. ._;ti� �� . �t . ;.� ;-:� , : � , <br /> 0.'.D.Vorr.i l—IL00—HP.Co.—G-2G.24 ^..� _ � " • -� _ .. . <br /> City of Everett�Water Depai�tment <br /> APPLICATIC`N FOR WATER � <br /> i <br /> All Llanks nmst Ue f:lled in or crossed ont � <br /> �cerclt......._�::�1'��.........b........_.......192_� <br /> TO TIIP SUPERINTBNllCN7' OP TIIB {VATF.I:`DCPARTIIENT: I <br /> CITY OF CVPRliTT: � <br /> I hercUy npply for tte nse uf�vnter in aucordance ���ith the rules mid irgu- <br /> I��tions of the �\'ater Deparhnect, for t�urposes nnd fixiures st:ited Ucio�e, <br /> During the tinte that nny o[ the watcr mnins mny be taken up Ly renson <br /> of nny improvements nuthorized by tLe Citp oC Ererett, in or of nny strcet or <br /> u11eY in �vhich ;hey mny hn��c bcen laid, thc City �vill uot Uc re�uired to furnish � <br /> ��•ater durin�; tUe progress of such improvem:uts to nny consumer whose sup�ily <br /> mny thus bc cut off, opr�Lc ]iable for any daniugrs for its fnilure so to do. <br /> APPlicntiun T'o.._.6..+j.� G............'� �" � .`j�.' / . , <br /> • Block............_`.:�._.��...v�.....,..^...._Lot.........._�. �.`..��.......... Add..__".....'.-. ..�._..........r__._... <br /> No....����__.'��(-G��........... Strcet <br /> ._................_............... ........................................... �� <br /> ................................................................... <br /> Thc «•m�k to be executed liy...�,r(.�/,,����c.�!�_ � <br /> . r.. .......... P1umUcr <br /> 1 <br /> Statc sizc of tnp. G � ', <br /> 5 �-- <br /> .--�z._Tnp to Ue inscrted in the main. / y I <br /> .....�.....Nntcr closet <br /> .....'-.....Dach <br /> .....-:..-......Urinal � <br /> .....2-�.....Plain faucet inside � <br /> ,� i <br /> ......._-.....Side ��•alk wnsher ._ -� . . I <br /> .._...�.......Hose bib outsidc (_;�� <br /> ....._-......Hose biU for building purposes <br /> .........—...fIosc biU insidc <br /> ........—...Bib for staUle cont�i�ing...................stall.................... � <br /> ..............Number of persons in family <br /> a?"�� <br /> •2,..-.,:?......Aumber of rooms in buildinF , <br /> TLe premises nre to be used ns n...._._.��.t.�.��,�n,=�_.�y`� . <br /> . ................. ...... <br /> The ou•ner of the premises is..........._............ .. . ...__..._.._..................................._ i <br /> Tl�c ngnnt is................................................................... <br /> . .................................................. <br /> This npplication, nithougL signed, shnll nat Ue binding upon the City, until <br /> . �cepted by tlic Superinlnndcnt of the \Vnter Department. <br /> � 4 Si d.�.......................................................................................APplicant I <br /> Acce tec�...�......��.Gi.:]<:��...192...... By...................�__.............. <br /> �—�—�� c���'����� <br /> � <br />