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/� �i y _ <br /> w.o.co,m a <br /> C;'fY OF EVERETT—WATER DEPARTMENT <br /> AP�LICATIQN FOR WATER <br /> Al] blanks must bc filled in or crossed out <br /> Evcrett,......____.. ........���..'�..._.�.�...�.�..........._....._....19�`i_.`� <br /> TO TI1E SOPERINTENDENT OF THE WATER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I hercb}• apply for thc use o[��ater m accordance with the rules and regu- <br /> lalions o[ the Watcr DeP�rtment, for purposes and fixtures slatc,. Uelow. <br /> LurinG «�e time ihat any oC the water mams may bc taken up by reason <br /> ot any improvemcnts authorized US thc City ot Evcrett, m or ot nny street or <br /> alley in which they may liavc bcen l�id, lhe City will not be rcquired to furnish <br /> �satr• during Lhe pro6�ess a[ such improvements lo any consumer whose suF• <br /> ply may thus bc cut off, or bc liable for any damagcs fnr its failurc ;o to do. <br /> �'�'�� ��t.ev e/ :'rr <br /> AppL ation ND.- � i� , <br /> �� �� .... �, <br /> �eellt«<,e o" �� F'a.r� � r. ��� <br /> Block.. ... . . .. . .. . Lot �. ... / ... a d _. . .. . _/.. _ . .r <br /> ` ��L?�.(�.(J�•{,.4.�KI / ./..�..S rl ec�� <br /> No..._. ... ,7j.. ,Y ..�:..5._.._ <br /> _ ........................................_........................................................_......_......._....__............_....... <br /> ^.'�e work to be executed bl'..._.....__....._ . . . .. .. _ . ._ _.._.__.. . _Plumhcr <br /> Stale size o[ Wp. <br /> .�y..��._.Tap tu bc inscrled in thc main. <br /> ....Y.. ...R'ater doset ) S' C', �`t' <br /> ...�._�.Balh / �� <br /> .........._....Urinal �� _-�c�—c �Gt� <br /> ' "v J' .7- <br /> ._.........._..Plain faucet �nsidc ' � <br /> .._._.....__.Sidc walk washcr � <br /> _ _........._Hose bib autsidc <br /> .__......_...Hosc bib tor building purposes <br /> ._..........._IIosc bib inside <br /> .__...........11iU for static containing....__._..___stall_.__.. . .. �JI���II., t4e, <br /> ... ....._.Numbcr ot persons in tamily �7 / �t ! ./)�,`�,� Y _` <br /> / � �� <br /> __Number of roams in buildins ',3 J�/ ��7 <br /> Al=�;/ <br /> Th, premiscs are to bc used as a.... . . . _. . .. <br /> �r««c_!?� . �e.�, <br /> Thc owncr ot thc P�'emiscs is..._......... ._.. . __. . . _.._. ._.. <br /> Thcagenl is. .._.._.._ ._.. _.._ .._...... .._...... .. .. __.. ._....... <br /> This applic;�liun, allhnuAh signed, shall not bc binding upon thc City, uvtil <br /> .creptcd b� tl�,e SuP�rini�nr1c�J��t �o( the \V�ic:jDe �rtme/nt. <br /> Si^ned-y4�. � 'L_!L.i�...�(`' .C.(�{L.i..a.Sl_..._ApPlicanl <br /> i <br /> Arcrp;rd .. ... ._... . . _.l!!... .. d} . ...i.. .. _ __ _..._._._.__.. <br /> � � Supcunlendcnt. <br />