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� ,. � <br /> __ : r. �. . <br /> _ ,. <br /> ,. _ <br /> . � � <br /> W.D. Po�m M1 <br /> CITY OF EVERETT-WATER DEPARTt�IENT <br /> ��PLI�ATION FOR W�.T�E�� <br /> All blanks must bc filled in or cressed otit <br /> '7 '� � 19_`...:. �, <br /> _................ <br /> /r/ <br /> Everett�................................._._..........._........... <br /> TO THE SUi'3I'iINTENDENCIPY OF EVERETTDEPARTMENT: <br /> I hereUy apply for the use of�vater in a^cordance with the rules and reE:u- <br /> lations of the Water Department, for purposes and fistures stated below. <br /> During the timc that any of thc �.vatcr =r-ains may be taken uP by rcason <br /> o: any improvemcnts au'•hor�zed by thethe Citf willrno{bc requ red totfurnish <br /> allcy in which thcy may huvc bcen]aid, Y <br /> ply ma,yuthu�.s be eut offsorbe ]inble to��any damages for ts fa']u c sosto do. <br /> r //l/�/ �'� ! `-� / . <br /> Application No..._.�J,...`.._.�..�.-........ /,. . �y� l <br /> r7 � . ...:........._ . <br /> �_.......... Ad�-CL,:�:........._. <br /> IIlock........................................Lot................../.... <br /> // � .......Street <br /> No...........��_/1............._Y���:�............................_...................:.... <br /> . .......... <br /> .............................................................................. <br /> The �vork to be executed by..........-.-..--......... <br /> _ ...... <br /> ..__..._.... ........__..Plumbcr <br /> State size of tap. <br /> ,,..,__.......Tap to 6e inserted in the main. <br /> _..............Watcr dosM �'—J�j :�;.�, [ 'o�. :. : .. <br /> '- � � , . . .: _ <br /> .....�.........Bath � � � <br /> ..........._._Urinal �;�. .Y �. � S" G. ; ' c <br /> -- ..._........Ylain faucet insidc '� .", -i-� <br /> ................Side walk washer � �/ •�4:� )`. .� <br /> •' .. <br /> � ,r ,- . .':;- , .- <br /> „ ,,,....._...Aose bib outsidc .� -� , . . �: : ' .= <br /> __,,,.._......Hose bib for Uuilding Pu�'pose; <br /> ....._...._...Hose bib inside <br /> . . stall.._.. ._.... .._. <br /> ,.,___.......IIib fo� stablc contaimng.................... <br /> ................NumUcr of persons in fam;ly <br /> J.�_ ..,...._..Nwnber of rooms in Uuilding <br /> The Pi'�mises are to Ue used as a........................................... __. . <br /> ._..._ __.._. . .... <br /> The owner of the Premises is.._................_..............................._.................._..._. _ . <br /> .. ....................._._.... <br /> . . . . ...... <br /> ThaaSent is......_..._...._........._...._.._... ...... ._................... <br /> This application, although si6ned, shnll not be binding upon Llie City, imtil <br /> accepted by Lhe SuPerintenden4-Df the Wa�er D//epartmen� . <br /> 1 r � �.c� �/�......ApPlicarc <br /> S�ned _....�1 ��' ........ , <br /> / / <br /> �. ....]!'. ... ] ��.� _ _. . _._.... <br /> _. _ <br /> r1'cep:uc, ___ .._ - ' Supe�intendenL. <br /> � <br /> � <br /> II <br /> J� <br /> 1 <br /> J <br /> � <br />