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� <br /> , <br /> /�%-r l� <br /> \4.D. Gorm 4 %� <br /> CI1'Y OF EVERETT-WATER DEPARTMENT <br /> AP�LICATION FOR WA'TER <br /> All blanks must be filled in or crossed out <br /> Evcrett,.........._...................�....f...�...:j7.......................19�!� <br /> TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I}:creby apply tor the use of water in accar3ance wilh the rules and re6u- <br /> lations ot the Water Department, for purposes and fixlutes stated bclow. <br /> Uuring thc timc that any of the watcr mains may Uc taken up Uy reason <br /> ot any improvements aulhoriud by thc City of Everott, in or of any street rr <br /> alley in which lhcy may have bcen]aid, the City will not Ue required to furnish <br /> water during the progress ot such improvements to any consumer whose sup- <br /> ply may lhus be cut off, or he liablc for an,y damages for ils failure so to do. <br /> Y� l ' —7 <br /> Application No..._.../l......f�_/... v <br /> ' Block_...................................._LoL...�..'.J.?f..r.....�A....�. ��dd........_....__......................_. <br /> No............................_�.�./....�...........�..7.J.L_.rC,�..�.`.�.`.-.�............_.Slrcet � <br /> ...................................................................................................................................................... <br /> The work to Ue executed by._..................._...__..._.....__...._....._............Plumber <br /> Slatc sizc of tap. <br /> 7 .: <br /> ..� . Tap lo be inserled in the main. � <br /> y:. ..... L , •� ,, .. <br /> ..........f....�9atcr doset �, � <br /> i <br /> ...L...:F..Bath 1� � <br /> .... .........Urina] (i'�F��i -'.� _. . �.��u < . <br /> ......._.. Plain faucet insidc h;�4. .� �� �J�tc ) .. <br /> .� <br /> ................Si9e walk tvasher :,i'�i`�, ;: `.�',.:.. <br /> S��' �/ <br /> ............__Hosc bib outside '��• �' � <br /> .__...........Hosc bib for building purposes � <br /> ...__.........Iiosc bib insidc <br /> ................Bib for stablc containing...................stall.................... <br /> . . . .....Num6er of persons in family •, l� - <br /> _ I _ ,.� � • <br /> ...(-......NumUcr of rooms in building � ,/ / <br /> ��-l�-ii�c-r•"4�����1�!(.,�` <br /> Thc premises arc lo bc used as a....._...........0 ............ ..... �y� <br /> .. .. ......... <br /> Thc owncr of the premise�is...._ _.._............. 0'1=ct-LC..0 <br /> �_y,��._.... ............ ..... . .. <br /> Thca�ent is...._....................................................................................... <br />. _...._...........__.. <br /> '1'hi�.; ;�pplication, althnugh signed, shall not bc binding upon thc Cily, un.i] <br /> accePted by the Superintendent o the Waler Deparl ent. <br /> �� ��-�-�-'. r <br /> Signed�..�.... !C. <e.,,�..*. _...._�T 2...APPlicant <br /> Accepted..................__..........._........ 1P...._. By..._......�__..__.._. <br /> ..........................._...._.._.. <br /> SuPcrintcr:dent. <br /> \ 1 - <br />