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CiL/-n -�- � 3- �.i ' �._�.;� 6 _ 1 1-2h -- tH-i <br /> W.D.F'orm�-16W—&CCo.-6�26-YI <br /> City`of Everett�Water Departm.nt <br /> APPLICATION FOR ��TATER <br /> All binnks must be filled in ar crossed o.+t <br /> 6/�y , <br /> Evcrett�................................._........... ..1�J3a... <br /> ......................... <br /> TO TIIE SUPERINTENDENT OR THP WATF.R DF.PART\fENT: ' <br /> CI7'Y OF EVL•'RCTT: <br /> I hereb,y npply for the u�c ot tcnter in accorJence wilh the rules nnd regu- � <br /> lations of the Water Department, for pm�poses and fixtures stnted Lclow. <br /> During the time thnt nny of t.hc watcr mains mny be +.n.cen np bY rcaeon <br /> of any improvements nuthorized bp thc Ci�.y of Everett, in or �: nnS street or <br /> ulley in which they may hnre Uecn laid, thc City will not be required to furnish , <br /> wuter during qic progress of such improvements to nny cunsumer whose supply <br /> m�y thus be cut of[,Qorr'b�e liabl/e far :my d.imnges for its Cnilure so lo do. <br /> Applicntion No..fl.d.�^.W............._ . <br /> IIlack.......................___..y...�...... I.ot...... .........;/....'.._....... Add..........._._..._.._.. .._.......... <br /> No......�f Q.o�... ......Q.l.-(1'.�� .. ..1....�i.Street <br /> .. ..................... ... ........... � __... .. . .. ....... <br /> The ��ork ta be executed UY��-�-- � y-_�"">�-0�-- -�� �..PlumUer • <br /> State size of tap. �/1- <br /> ...�ry......Tap to bc inserted in the main. <br /> .._.�:........Naler claset <br /> ....�.........B¢th <br /> .__�:.....Urinal <br /> .....�,......Plnin fnucet in�idc / <br /> _.....: .`.._..Sidc wnik wnshcr G./ �; <br /> iJ <br /> � .....I3ose 6ib outside � <br /> ..._`-...ftosc bib tor building purpuses <br /> .......—.....Ilose bib insir'.e <br /> ..._''. .....IIib for stnUi� wntnining......._...........stnll...._.............. <br /> ......^....._Numbcr ot perso��� in family <br /> .....�....Number ot rooms in building � / <br /> The premises arc to bc used ns n._......_ . .�����-.�Li-�.:�,._...4_2.,......... <br /> Thc owncr of thc Premises is......__...........__..___............................................... <br /> �i�rnt is..........__..............._......................__........................................................--- <br /> npplicntion, although signed shnit not be binding upon the City, until <br /> by the Superintc de�yLbf the-Vatcr Depa <br /> ��'i` <br /> � Signed...�.�y..k:.s�-.���--... .........F�p(�licant <br /> � --- 4 � � <br /> . .'�.... ......_1925.. IIY.._.... � _ �/�'�......... . <br /> �.� , <br /> 'rintendent <br /> +:r <br />