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�� <br />w. �. r��� a � � � <br />CITY OF EVERETT-WATER DEPARTMENT <br />AT'PLICATION FOR WATER <br />dll b)anks must Uc fillcd in ac cros=ed ou[ <br />'— _j %_ <br />1.� <br />Everett�... __.��/._._'__.....__._ ..........�.�....,.�_.....:..........__I9_ ._... <br />1'O TllE SUPI;RI�'CENDENCITY'OF EVERETTDEPAliTMENT: <br />I hereby aPPly far the use of water in acrordance wilh the rules and r��ttu- <br />]:itions of the \Vater Deparlment, tor purposes and fixtures slatr� bclow. <br />During the timr that any ot lhc a•atcr mains m�y bc laken uP US reason <br />ot any improvemcnts authorized Uy thc Cit>• o[ Ecemtt, in or �'. any slrcet or <br />alley in which thcy may have been ]aid, the City will not be reqi�ired ta furnish <br />�eater durin6 lhe progress uf such improvements to am• cunsumer �vhnse sup- <br />ply may thus bc cut o[[, or bc liablc tor any damages for its Liilu.c =o to da. <br />� � � <br />qpplication No..�.�'./' ...................._. � <br />Block............_............_......_.... Lot..._�:r...�.c . �..:.'..... Add..._._.. _ . _ ... __. . <br />[�p / _ / <br />l.C.'....�(.. � ,. , �� ..............._........_.._...Strccl <br />No. ...........: ....�................ ,............. <br />_ <br />. <br />i r � <br />_,� , � .. r.� . r�.. C� _ <br />_..� ................. <br />The work to be execuled by.. . ._.._ __. _.. ....._. Plmnhcr <br />Statc/sizc of tap. <br />__/(t...._TaP to bc inserted in the main. <br />... �.......�Valcr closct / �' <br />__ i [� __ <br />J .. _8���, _ <br />... . . _.......Urinal � <br />__.....Plain faucet insidc - , ��p�'�� <br />_ .� � , <br />_ .............Sidc wallc washcr !� ' � <br />, ...._.......AOsc biU OUlside � r i ' <br />. .._.__.._Hose Uib for Urilding purposes ,, ` <br />.___.._......Hosc Uib insidc <br />...............Bib ior siaUlc contaiuin:,...._ .._..__st:ul. .._.. .. <br />�.... <br />NumUcr o[ persona in tamiiy <br />. �'_.__Nwnucr o[ rooms in building <br />Thc premise� am lo be Used as �.- � � � --� ��� � � �� � - � - � � --�- <br />Thc owner of :`�c Dremises is_.... ._ .. _. ...... . . .._. ._ .. ... .. . . . <br />':6� ?ecnl is.... .___._.._....... ..._....... <br />_._......__..._......__ __ _......_ .. ..................._...__.. <br />'this application, althou�h signed, shall not be binding upon lhe City, until <br />;�cccpted by the Superinlcnderl of the R'ater Deparlment., <br />Siencd._.LI:�[J�.,>.t.;..�...w`.�.%� 1.',:..:.{..�..........APPlica�it <br />A �rpted......... . . .. 1^...... By...._.. . ... _.. .. . .... <br />....._.. ._ ..__._.hupc�:nlondr�r�L.. <br />