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� <br /> � <br /> _ -. : �--����- <br /> W.D. iorm 4 <br /> CITY OF EVERETT-WATER DEPARTMEN� <br /> APPLICATI�N FOR WATE� <br /> All blanks must be filled in or crossed out <br /> Everett............. � 5 ...__....1J�.-....5 . <br /> . .._.............._....��...r.:..:.............. <br /> TO THE SUPERINTENDENT OF THE WATER DEPAATMENT: <br /> CITY OF EVERETT: <br /> I hereby apply fm• the use ot water in accordance with the rules an<. regu- <br /> ]ations ot the Nater Department, for purpos�^ nnd fistures stated Uclo�.s. <br /> During the timc that any of the water n.ains may bc taken up by reason <br /> of any improvements authoria.ed t�}� thc City of �verett, in or of any :[reet or <br /> allcy in which they may have been ]aid, the City will not be required tc furnish <br /> watcr during the progress af sach improvements to any consumer wt.ose sup- <br /> ply may thus bc cut off, or �e liable for any danages for its failure so tu do. <br /> Application No..._...�..Z. .%�_��.. <br /> Block............._..............._../......Lot....,.�... j�...___...._...._....... Add......._._... ..... ....._...__...._. <br /> No........... ..................��...4:..Y...........=.=c6..!_t?'��..............:.....__..Strecl <br /> The wark to be executed by........................._.. .. ____......._.__..._____.Plumbcr <br /> State size of tap. <br /> _. ............Tnp to be insertcd in the main. <br /> _ _...........Water doset <br /> .____.......Hath 'r ". � /�, <br /> �L �C, L�� � �j' i �� - <br /> ................U n n a 1 <br /> � , <br /> L <br /> ..._ .. Plain taucet inside ��tL(��,.� � . ��,z. (^r" <br /> .._............Side walk w�si�er � <br /> . ....._....._Hose bib outside <br /> ._........_...P:osc bib for building purposes <br /> ................Hosc bib inside _ <br /> .. _...........Bib for slablc containin ���� � � � � ' <br /> . g........_. ....._stal:.. ...__.E. ....(_", .� -c �,� <br /> ._....._..._Nuinber of persons in family ����//�) �� C7 <br /> _._.___...�Number of rooms in building (�`" "_•==`-�__-.. <br /> 7'hc premises are to bc used as a..........._ ..........__................._..........................__.. <br /> '17ic o�vner of the Prnmises is.........................._.....__................._..........._._._....__... . <br /> TScagent is......................_..........._........._._._.._....._..............._......._................__....... <br /> This applicntion, nithou„h 'gned, shal] not Ue binding upon the City, unti] <br /> acceptcd by the Superintend 4of th�Wate DeEart t. <br /> 5 i�:ncyZ........ ..._�._�..��.�.....................Applicant <br /> . . <br /> .\_eop:od._.. ... . . . _ ._. .._19.__.. B^ _ _._.. . .._.. ....... .._... <br /> ...Suprri�temiv�:t. <br /> .. -- __ ' —— �a:..�...:.__ _ -. __.. _._.' _ _ _ ' ' �. .. . � <br />