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� . �_� c�� <br /> W.D. For;n 4 <br /> CITY OF EVERETT—WATER DEPARTMENT <br /> API�LICA'I'I�OIlT FOR �ATER <br /> All blanks must be filled in or crossed out <br /> E��T�t�......... ....... .._...._�. . � _...»�:..;., . <br /> :.. ..................... ._ <br /> TO THE SUPEftINTENDENT OF THE �yATER DEPARTMEfi^_': <br /> CITY OF EVERETT: � <br /> I hereby apply for tl�e use of wnter in accordance with the rules and regu- <br /> lations of thc \Vatcr Department, for purposc� and fixtures atated bdow. <br /> During die time that any of thc walcr mains may bc taken up by reason <br /> of any impruvements authorized by thc City of Everett, in or of any strcet er <br /> alley in which they may havc been laid, the City will not be required to furnish <br /> matcr during the Progress of such improvements te any consumer whose sup- <br /> �ly may thus be cut off, or be liable for any damages for its failure so to do. <br /> APPlication No..-/.....C�....r�...�...�.�.._... f . <br /> _ <br /> Block......��..... � �- J-c' � � �� �a`t'�c-CY` - "- <br /> {.. .G�..........Lo�.�...Z............/.�.......:d...�a.r�...iur./�rs-d%�c:.<<v: <br /> No.................�'�....�......'.._.�,� -�� �/' � --.....Strect <br /> � .. .......................:l�.... ..... <br /> � <br /> ...... ,..._.:'.;�._�..s;.._..7,..�.,.f..1..................................._............................. <br /> The tvork to Ue executed by... .............__...........___............................_....Plumbcr <br /> Slate size o'f tap. � . � �I <br /> .�.�� Tap to he inscrted in the main. ��� � /�� r`C� <br /> -...._........Nater doset r� �� <br /> ......... .....Bath ,,.,�:'� �.�'� n Jc. <br /> . c.�e <br /> . <br /> ................Urina] v.� .` �! i/ <br /> ..._...........Plain faucet insidc �� , -�. , , ;�.j�.. �.`� <br /> ..-............Side walk washer <br /> ....._.........Hose bib outsidc <br /> ---_........Plose bib for building purposes �` ���"�� <br /> ._..........._Aose bib inside ' , .,.cC.c .� <br /> �jt a � <br /> .........._....Bib for sla6le containing........._........stall.........__...._ � <br /> ..._..._._...Number of perc,ns in family <br /> _._._........Number of rooms in building <br /> The premises are to be used as a.............__......_._....._...__._... <br /> ..._.._._.. .....___...... <br /> 1'hc nwner ot the Premises is......_.._............._..._............................._.........._.._........ ' . <br /> TSe agent is............_..................._. <br /> _....._._._._.................................................__........... <br /> This application, although signed, shall not Ue binding upon the City, until <br /> nccepted by the Superintendent ofthe \Vater Department. <br /> Si gned.....r....... ..�.r....G�-,.�+-.�....... ......Appl i can t <br /> � ��� <br /> Accepied ._.._.. ____.._..1�....... By .._...__._...._. <br /> . ._..............___..._...__... <br /> Superintendunt. <br /> I <br /> .-- ��-`�— . . . - - - �--- <br />