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jClu ` <br /> W.�. Faim 4 <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APP�.ICATION FOR �IAT�R <br /> All blanks must bc fillca .-. or crossed out <br /> Everett,........_..._ ✓..L_� J �....._.__._._.. _ ..i9:�'...L_ <br /> ..._... '. .............. <br /> TO THE SUPERINTENDENCITY OF EVERE'TDEP.�RTMENT: <br /> I hereby apply tor thc use of water ia accordance with the rules and regu- <br /> ]ations of the �Vater Department, for purposes and fixtures st.ded 'uclo�v. <br /> Durin�; the time that any of thc wafer mams may be taken �P liY rcason <br /> oC any improvcmcnts authorized Uy thc City of Everett, in or of any str2et or <br /> alley in which they may have bcen]nid, the City�vill not bc required to furnish <br /> watcr dw^ng thc progres�. of such improvements io any consumer whosc sup- <br /> ply may thus bc cut off, or be liable for any damages for its failure so to do. <br /> Application No....�.��..G.._�...�............ \ /. .,� , <br /> �, <br /> � � � <br /> . <br /> ................. Add..�.�'..`.'.......::.:�...._.__...... <br />- Block.._.....�.................__Lot...._....._:.��..�. � <br /> - — ��` .......Street � <br /> '!.�_2......- ...`�.5........... <br /> No......................._. ... ................................... <br /> ........................................................................ <br /> The work to be executed by.._..._._...._...._ . �---���---- <br /> __..__. .PlumUcr <br /> State sizc ot tap. <br /> r�.�. � <br /> :.......Tap to be inserted in lhe main. <br /> _......__....Waler doset �, <br /> / � <br /> —._._,.-:...Bath .; ��,- ' ,�� .��'i <br /> •, <br /> .....Urinal � � r. .. ;� <br /> __ � 7�'_` -, ' <br /> ................Plain faucet insidc � � �. <br /> P � ., �, . <br /> ..__._.......Side walk washer � <br /> .. _..........Iiose bib outside .. .�•,<. <br /> 61 � �_� <br /> ..___........Hose bib for building Purposes �� <br /> ._........_....Iiose bib insidc . � �'�,. <br /> � i0� i�< ' <br /> __............Bib for stable containing.......__...._..stal��.y.......n``.,�. ��- <br /> .. . _._..._.Numbcr of persons in tamily W;�,S�R <br /> ... .,�:_.__.Numbcr of raoms in building <br /> Tim Premises are to be used as a...._._....................._..._._...__. . . . _ .. _ . _... <br /> Thc owner of the premises is...._...__....._.__......._....................._..... .._..._ ._.___. ... <br /> TSc agent is......._........................._ . ..........._.......................... <br /> ._.........__......___............. <br /> Tliis application, although signed, shall not b binding upan the City, until <br /> :�ccepted by the Supkrintendcnt of the W�ter Dep tment. <br /> � � <br /> SiSned.....�.�7..!1..•1::.��.,.�.........._.... 4-_��'.t..`.'=.-:.;.:z�.Applicant <br /> Arcrp!ed.._. . . . .._ .... ._14._.. BV �� . ...._...................._. <br /> _..� <br /> -.........Supc�intc�idr_nt. <br />( <br /> _ <br /> . _ <br /> .-s.�.�__ ___ .�._-._ . _ — .. ___._—_—_ _' '_ _�_" —__�---__` <br />