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- . .._� .; -��v-n � �,-,�J N�.�3' -�� "' <br /> _ . . <br /> lV.D.Form c-1600—E.P.Co.-6-26�R� <br /> City of Everett�Water Department <br /> APl'LI�1�'I'IC�N FOR WATER <br /> All Ulanks must he filled in or croased out <br /> Gcerett............................_y./.�._2..—....................1�. <br /> TO TAE SUI'ERINTPNDENT OF THE NATRR DEPAIiT\1E?�T: <br /> CITY OF EVF.I2ETT: <br /> I Uere6y xpply Cor the use ot water in accordnnce w'ilh the rtiles nnd regu- <br /> letions of the Natcr Department, for purposes nnd fixtures stated below. <br /> During the time that any of the watcr mains mxy be taken uP by reason <br /> ot any improvemer.:s euthorized by thc City of Ererett, in or of nny strcet or <br /> alley in which they may hare bcen lnid, the City will not be required to furnish <br /> water during the progreas of such imprm�ementa to nny consumer whose aupplY <br /> may thr.s be cut aft, or be�1liable for nny dmm�ges for its fnilure no to do. <br /> Application No............�C..7'2.:3._-... � <br /> � ' <br /> Block..........�r.�:.�1.._.._./..�. _ Lot.....�.....�..�-............. Add......_�:�c�....)............... <br /> No............/..3.0.�'...!.�-:�-'�-�.4:-.�..................Strnet <br /> ..__.._................................................................_......................................_...._................._....... <br /> The work ta be executed by...._._.....____ ...__.. ........__.._..........._.__...Plumber <br /> �tat aize af tep. c��t / � � <br /> . �yt j <br /> .�.�..Tap to be inserted in the main. p � <br /> __...........Wnter closet j� �� <br /> ................Bnth ' d"O <br /> ................Urinal �. �� ����/j, L..f S <br /> ................Plnin faucet intide V <br /> ................Side a�nik «•nshcr � <br /> ...............Hose bib outside <br /> .............._Aase bib for buil;ling pmposes <br /> ................Iiase Lib inside f/ <br /> ................Bib for stable contnining....................atall............. .1.. . <br /> ...............Numbcr of persons in fxmily \ <br /> ................Rumber of rooms in �uildinq <br /> The premises ere to be used as e..... n <br /> . ., _-e-... .....�-...__..............f................ <br /> The owner oC lhe Fremises is....../_:... . �--c'L��,.q. _. <br /> �.... <br /> Thengent ir.................................................................................................. .... . . <br /> Thia npplicntion, elthough si�ned, nhetl e bindin on the City,�until � <br /> ��npted by the Superinten mt ot thc \ er De nrt e <br /> Signed........ . . - Ar,. ; / <br /> .__.._...._. .... ........ <br /> ;d..r-��...'22.....-..1oZ�irJ By ,�� .x I <br /> _ . ,,y,� / <br /> � . ..eh: <br />