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w.o, re�m a � � '� , <br /> Ci?Y OF EVERETT-WATER DEPARTMENT <br /> APPLICATION FOR WATER <br /> All blanks must bc filled in or crossed out <br /> .dvcrett.._.. �; . . , / lo.....................19�. � <br /> ___._....................r......._........ <br /> TO TIiE SUPERIN:'!;NDENT OF T}IE WA'f�ER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I hereby �pp1y '��r the use of watcr in areordance tvith the rule; and regu- <br /> ]ations of the Watcr Departmenl, for purposcs and (ixtures siated Uclow. <br /> During thc timc that any of thc watcr mains may bc taken up by rcason <br /> of .my improvcments aulhorized be the City o( Everett, in or of any street ar <br /> nlicy in lvhich lhcy may have becn]aid, thc Cily�vill nnl br rrqi�irrd in furnish <br /> waler during Lhe progress of such im(irovements to any consumrr �chosr sup. <br /> plp may Ihus bc cut ott, or be liablc for any damages for it� t:iilure so to do. <br /> Application No... L.�..r�:�..='' <br /> , ._......... <br /> Block......... _....._............_...._.Lot......_...__._ .._..__....__._ Add. . , <br /> No........._%�.'.s%'=.i......-!t;�_;f-n.. . . . . <br /> - .. ............................_......._. .. _ ._Slrccl <br /> ._.. _....._._...................._................................................._............................................._....___. <br /> The work to Ue executed by_.._..._...._..._.._... . __ ....Plumbc: <br /> __ _........__........_... <br /> StaJtc/sizc ot tap. <br /> - .✓��/J:..Tap to be inserted in thc main. . -^ <br /> -. .-.-.......Walcrdoset �.;��� ' '� '� <br /> !._....IIath �` � <br /> �� � � � <br /> .._....Urinal , (._• , � , �i , <br /> ..Plain faucet insidc � � '� <br /> .... _ ! . �; � .�, <br /> .. .Sidc u�alk washcr +'.,.� :; j.',� �'':'.r: ,r, <br /> .. ._........_liose bib uutside ��� �� „ . <br /> .- ._...._...Hose bib for building purposes C1\Y <br /> i;, E'. . <br /> ..........._...Ilosc !'b insidc W�TIiiC � <br /> ................Bib tar staUle con�. -ning..._........___stall_ . <br /> .......... ._.. <br /> �---/ .....NuntUcr nf person� , tamily <br /> ...4.........Number of rooms in buiiding <br /> The premises are to Uc used as a......_._. _. <br /> The owner uf Lhe premises is._._...._...._._ . . ._. . . . . ._ ... .._ _. __. <br /> _ ._ . _...... _.._. _ . .. <br /> Thc a6ent is._.................__.....__. .... .._. . . <br /> ......_.........._..___ ..._..........._...... .... <br /> ._. ..... ..._._. __.. <br /> 'This app]icalion, ,tlthough Figned, =hall not bc binaing upon the CitY. miti] <br /> ;icrcpted by the Super'ntend il of th�Water llc45Yt ent. <br /> SiFnCd � a....... --C (,t �� .......Applicant <br /> A_^r,p;eG.. . . __.19. � Hv___ .. <br /> _._ ..........._.. ._.. <br /> �. � Supi�rintondenL _.._ <br />