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(�_. � <br /> e c C C��t-r <br /> W.D. form a <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPLICATION FOR WATER <br /> AIl blanks must be filled in or crossed oul <br /> Everett�....._..__............_.......1/-G...'.�.....�.....7r._....._.....19.�Y <br /> TO TIiE SUPERINTENDENT OF THE WATER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I hereby apply for the use of water in accordance wilh the rules and regu- <br /> lalions o[ the \5'ater Department, tor purposes and tixtures stated below. <br /> Durinq the time that any of lhe watcr mains may be taken up by rcason <br /> aC any improvements autharized Uy thc City o[ Everett, in or of any slrcet or <br /> alley in which thcy may have bcen]aid, lhc City wil! not bc required to turnish <br /> a�ater during the progress of such improvements to any consumer whosc sup- <br /> ply may thus be cut o[t, ar be ]iable for any damages far its tailure so to do. <br /> APPlicalion Nro�.f..�..Q...�..�.-s.�........ <br /> Block ..... .. ..../...1. . .Lol . O .!'�..���- . Add..... ._ _... ._._.. <br /> No. .. . . ..��,f.C!..� �-f!%f�or.fn.+C� .._._.Strect <br /> � ...... . .... . <br /> ...................................................................................................................................................... <br /> The work to be executed by..........._..._...._...___...._................................Plun;ber <br /> State size at tap. <br /> i • <br /> ��-.........._Tap lo be inserted in the main. <br /> _..............Walcr closct � <br /> �C: r"cC <br /> ' � :; <br /> ................B:1t11 � " '7CCf �i I <br /> ...............U[if18� ��� � <br /> ..__..........Plain taucci insidc � r � � �' � � � <br /> .._...._....:Sidc walk washcr /��� n� <br /> ............_.Hose Uib outside�l� i � <br /> 1 <br /> �-c c<..c i _� .!c <br /> ..__._.......Hosc bib tor building purposes <br /> -._...........Hosc bib inside <br /> . ....IIib tor stablc containing .._...sta❑ � ll�. �C � '—J <br /> . _.._..Numbcr of persons in tamily �L � c/, �e c (F�"_(�< «� <br /> ._...Numbcr of rooms in building ���sr�'" .�,�� C��r <br /> � X • <br /> P .��l(..a=(i"� � a� <br /> Thc remises are to bc uscd as a � / f� <br /> _ ... <br /> 1'he owr.cr of lhe premises is....... .�y�/Ta.�c..< <ei,•.n .:. . �:.�_i <br /> 'Chc agent is...... � � <br /> ._..........._.._._...__.._._.___..._. ........._._......_..........................__........ <br /> 1'his application, althnuF��signed, �hall nat Uc binding upon the City, until <br /> accepted by the Supe n�endent of the R'aler Depa/rt/menl. <br /> S1+ne .....__�/'��_._.../�-���_/K........Applicant <br /> A,.crp;ecL. ._.. . . ... ... _. .... 7P... $y...._... ._. . <br /> ._. .... . . _........... ........ <br /> Superintendent. <br />