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_ , _ � , .a� , <br />w. o. �o�m < <br />Cli'Y OF EVERETT-WATER DEPARTMENT <br />APPLICATIOI�T FOR WATER. <br />A]I blanks must bc filled in or crossed out <br />-- , i..i <br />Evcrelt�.........__..._,�'y C:�. .�—.. �'� ................._.19i� _.... <br />/ .�?.i ... . . . . . <br />1'O'PIiF. SOi'ERINTENDF.NT OF T74E 1VATER DEPARTMENT: <br />CITY OF EVERETT: <br />I}��reby appty tor thc usc of water in ncrordance µ�ilh the rules and regu- <br />]:�tions at lhe Nalcr Department, for purPoses and tixlures slated bclo�s. <br />During lhe time ihat. any o[ thc walcr mains �nay Lc laken up Uy reason <br />af any improvemcnls autharized by thc Ciip of E��crett, in or of any strcet or <br />alley in which ihcy m�y ha�'e been laid, ihe City �vill not Ue required tu furnish <br />�valer durinF ilie pragress o[ sudt improvemenls lo any consume. whose suP' <br />ply may thus bc cuL o[f, or Uc liablc tur �n}' damagcs [or ils failure so to do. <br />Applicalion No. /... '� ` / <br />. ,/.. �� '.: ....... ... _.. _....... <br />Block..�....�. ... _.... ....... Lot.. . _.. .. . .___. Adci_ .... _ . ._..__. <br />No :.✓�.�.-&.<:r1L%.... '9.. a .,.�f:':._'�. . .... ..Slrccl <br />�!ci._�,......� . . �.. ��. ...... ....... . ___._._.. <br />. � <br />The �vork to Ue executed bv .. ........ .. ._.. ..._ ..._ ..._. Plumbcr <br />Stale sizc o[ tap. <br />,-. .i <br />.�-:�........Tap ta Ue inserted in thc main. <br />..__.........Nalcr doset „� <br />._..........BaUi � <br />�� I; <br />_. .........._Urinal " <br />.....Plain fnucet inside r L � <br />.. __..�......3idc wallc a'�shcr !�1� � <br />. ............Hose bib outsidc <br />....._......Hose hiu for building purposes <br />. . ............Hosr Lib inside <br />. .._._.......Dih for slaUlc containing........._...__ st:�ll.... .. _ . . <br />. ...__.._Numbcr of persans in fam'.!)• <br />. _._.._NumL•cr of rooms in huildinF <br />'i Lo premises are lo Ue used as a_...__._._... ._. _ . . . . . ... . ... . .._. <br />1'he owncr of the premiscs is...___.__... ..._.. _ _ ._. . _. _. ._ _.. <br />Thcagent is..._......._......___....__........._......_.......__......._......_ .................__..._....._. <br />This application, althou�h si�,ned, shall not be 6inding upon the City, until <br />arceptcd by tlm SuPerin ndenl of thc,R'ater D(e�part�ment. <br />. V Csn'�+.�,.� <br />SiFned . . ....,.. ._.. . . _._. APPlicanl <br />Accepted .__.. . . . .... ]� .... 63 ...._ ... , ....._. <br />_...._ <br />Superintendenl. <br />