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/�-i�-� <br />w. o. co,m a <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION F�R WATER <br />All blanks must be filled in or crossed out <br />Evemlt� .................................�c�.....J._............_...19L: a' <br />TO T2iE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />C[1'Y OF EVERETT: <br />1 hercUy apply for lhc use of water in accordancc with the rules and rnFu- <br />]alions o( the R'ater Departmeni, for perposes and fixlure5 statcd below. <br />During the time lhat any of lhc waler mains may bc taken up by rcason <br />o[ any improvements authorized Uy thc City of Everctt, in or of any strcet or <br />alley in whidi thcy may have F,een laid, lhc City will not Ue required to furnish <br />�ealer durin6 the progress of such improvements to any consumer whose sup- <br />ply may thus be cut o[f, or be IiaUle for any damages for its failure so to do. <br />Application No,.�.f.� �./...-........ <br />Slock.....��..�1� .....�..f......-.....Lot__././_-�:�.-... � <br />�- ......._ Add..:_..___._.._......_...__...... <br />No._.._.....�.+:�. �..�!:.G<o:2e.:cl.�.-, c.......... .................. <br />............. ......... _ Slreet <br />..._ _ .........................._....................._..........................................._...................................._........ <br />T'he work lo bc execuled by......... _..._. _ ._._... ......... Plwnbcr <br />Sla�t�c sizc of tap. <br />/r.....Tap lo bc inscrted in thc main. <br />1Yntcr closet <br />...�....'._...Bath '� � <br />� .{ / v r <br />................UfinBl �� N � J J / • <br />a , <br />__............Plain taucet inside �'�'';_ `� [- �1 � <br />...............Sidc walk washer �%� :?.� `� ' � J <br />Gi ` � � J 1 <br />. .....2lose bib outsidc � � b�' � � <br />, <br />..__._.......Hose bib for building purpuses��TG�'t• £���.'b�� l <br />..� „ ,�'i <br />............__Hosc bib insido `�' • � � <br />__....._.....Bib for stahle conlaining.__.........___stalL._.._.....,._.. <br />...__._......Numbcr o[ Pcrsons in tanilp <br />-.,�.....Numbcr o[ rooms in building <br />Thc premises are to Uc used as a.. ...___ _...._ . ...._. _.__. ._... <br />'Phe owner ot the prcmises is ......... .. . .__._ ._.___._. ........._.. .... <br />Thc agcnt ts.....__....._ ..._.__._... _.___ .... ........._.._._ . <br />.............._.... ._.. <br />7'his application, a1N augh signed, sLall not bc bindinE uPon thc Cily, until <br />acmptcd by thc Superin �nd t o� he R/'al r Depar ent. <br />Signed� I t"!.._Y'..,..../.`��__....._.. _........_ApPlicant <br />. ........... .. . ..... .. � ... .. <br />.. .._..__............ <br />Supu�intendent. <br />.lsrrpl ed. _.. .. .. _. _.. . _.l �. _ _.. 13}• <br />