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�. ..,�......a�.�s ..�..�...�. <br /> ._.. . � ' �4.�1�:.��a.���.x_.-.. <br /> /�j � <br /> W. D. Fam S <br /> C�TY OF EVERETT••-WATER DEPARTMENT <br /> AFPLI��CATIOI�1 FOR WATL�R <br /> All blanks must be filled in or crossed out <br /> � > <br /> cverc tt...................._..._..`:.�....-..._J...�:..........................19.``....�.: <br /> I TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I hereUy apply for the use of watcr in accordance with the rules and re6u- <br /> lations of the Watcr Department, for purposes and fixtures stated below. <br /> During lhc timc that any ot the water mains may bc taken up Uy reason <br /> of any improvements nuthorized by thc City of Everett, in or of any strect or <br /> alley in which they r,ay:�avc Uecn ]aid, th�Cily will not be requLed to turnish <br /> water during tne progress .:` such improveme.its to any consum�r whose sup- <br /> ply may thus be cut off, or be !iable tor any damages tor its failure so to do. <br /> Application No........l....:5..:�._�...y. .�� <br /> C� t��/.y_ '!<-,4 :� �= . . � _ <br /> Hlock...................---................Lot..���.d_�.�...:............. Add......._...,�G.-=z.-d:...�3-.:.__. �: <br /> No..................'3 � � �- E'` �—�................................Street <br /> /.. .... .................... <br /> ......... .:... <br /> The work to be executed by..............._._ ._.._ .... . . . . . .._. . ...Plumtmr <br />� <br /> Statc sizc of tap. <br /> _4�,_"....Tap to bc inscrted in the main. <br /> ..............R'atcr doset <br />' �...:�:.......Bath � .� <br /> ................Uri i�al . <br /> r� . <br /> ................Plain :aucet inside �' <br />' .............._':;ide walk washcr �� � , �. .' ' � <br />', .._........._.�Iose bib oulside <br /> .............._Hose bib for building purposes <br />' ................Ho;c bib inside <br /> ................Sib tor slaUle containing........_.._._...stcll_. .._ ._. . .. <br />� .......,_..-..Numbcr of perso:is in famil}• - . � <br /> ::J__._._..^Imnbcr of rooms in building ij, c�j f' . �� . <br /> Thc premims are tu be used as a............_._........__.........._.._................. .. . <br /> The o�vner of the premiscs is.....__..........___........_....._......_............_.......__..._. _._. <br /> Thc aScnt is_..............._..............___....__.._......... ................................_.......... <br /> _._ _. <br /> i <br />� This apPllcation, althou{�h signed, shall not be binding upon thc City, unti] <br />� accepted by the Superintendenl of !he Water Department. <br /> "—1 <br /> MSi,ncB�__.._�......IS�c:f:T:?.5........................_...._._..............._Ap,:lic:�nt <br />� :\��cep;r� .._.. . . . .. __.__. ._...19._.... By� .__.... . . ...._ _...._._..__.... <br /> Superintcndent. <br />` <br /> } ��'� _ � ' ._���.nr^�^-^�ia n"96...y.w"`^.uyti^.,,RiR.ts <br /> � l � . .. � � ... '" <br />