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y_..�--cr �.. -.� ;� . -.._+_:T /9 /' . � ' - i <br /> lV.R F'arm J--IRUf—F P.Co.-6-_F21 , <br /> City oF Everett'--Water Department <br /> APPLICATION FOR WATER <br /> All bLmks must be filled in or crossed out <br /> Evcrelt...................... ......o../�.�..........._.........198ro. .. <br /> TO TIIE SUPERINTENllENT OF THC t�'ATF.R DF.PAI2ThSENT: <br /> CITY OF EVEGP'fT: <br /> I hereby apply fot the use o( wnter in accm�dnnce u•ith the rules nnd regu- <br /> lations of the Watcr Department, for purpu=ra nnd fixtures sGdcd below. <br /> During the time that nny ot lhc w�ater mnins may be laken up by rcason <br /> of nny improvements authurizcd by thc Cily oC F.rcrett, iu or of uny stroct or <br /> slle�� in w�hich they mm� hnee l�cen laid, t.he City will not be required to furnieh <br /> a'atcr during the progress of euch improvemrnls to any con=umer ��'ho:;e suDP�)' <br /> muy thus be cut otf, or 6e liable for any damnges for ils inilure so tn .?o. <br /> Applicntion A*o........�.�......7...✓'.r...y........ <br /> Block.. �.!:{:.!�-� ...._ Lot eZ...�... . . ....._... Add._ _....... <br /> .. . ...__..._._.. . _. <br /> No...._ __ �.7.�.0 ... . ( , � _....Strcet <br /> . . .. /ec-'='L <br /> ..._._.....__._...._...._.......__.._......_............_........................_.........._._...._.........................__. <br /> The �cnrk to be executed by.....__.._..._ _.. ..._ .. __......._...___..... ......Plumber <br /> Stn e size of tnp. n � � <br /> ��Lcf.�� Tap to Ue inserted in lhe main. �M.�-�--2'- �-o-"'�`'" <br /> _._._........Water closct V D <br /> � <br /> ., <br /> ............._.Bnth �, �y %� it �y�"t'L- <br /> ................Urinel . � .� <br /> ...Plnin fnucet inaide ' �/l��'� �"��t �' �, <br /> ................SiJe a�nik u•nshcr � , <br /> ._.............Ilase bib outside <br /> yi 9� 7 ° <br /> ._.............liose bib far building purposes ' ' J <br /> ................finse bib inside �pr.µU I � - �� " ���.- <br /> U <br /> _..............IIib for stable containing............._.....stall........_.......... <br /> ................Numbcr of peraona in family <br /> ................Numbcr of rooms in 6uilding � <br /> The �iremises ere to bc used as n...............��a�... -� <br /> C1 ............................... <br /> P . .��.�__P'._...�r.7.�.�_'_1'_c��_.......... <br /> Thc owner of the remisea is........... <br /> Thcngent is............................................_...._.. .. <br /> ............................................................. <br /> This npplicnt.ion, wltl:uugh signed, shnll r.ot be binding upon�the City, until <br /> � accePted by the Superintendent pE�the�n!m• e rtment. // <br /> /'� a��-. <br /> SiGned.....................�:,.�f:�__..._ ,�-FC�!_!,t-e. Applicont <br /> /� ' � �a� <br /> Accepted..��.'.1�..'..._......1�J�....� By..._GG�.�� /� <br /> .y.. ...................... <br /> � `_Su iintendent <br /> , � <br />