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, - i_,..r..-„_,�-�-�-,v. ��/Tp-9-�-q-�-v <br />. _ .. .,--.. w . .r <br />W. D. Farm t I500 3-1- V C. P. . � � <br />G�T1' OF EVERETT-=Water Department <br />Applicatior� for Water <br />All blanks must be in or crossed t _ <br />�Jr6 �- <br />Everett..__._..__'_ ' _'C�`_Q_..—_..."""'._.1�____ <br />'PO THE SUPERINTENDRN7' OF THE TER DEPAHTMENT, � <br />CITY OF E`JERETT: � <br />1 hereby apply for the use of wa[er in :iccordance with the rules and reRul�• � <br />tiun� of The Water Depar[ment, tnr purposes and fixtures stated be�ow. <br />During [he time [hat any of [he water mains may be taken up by reaeon ot � <br />Any impro��ements authorized Sy the City of Everett, in or o( any strcet or alley in <br />which the7� may have been Iaid, the CitY N'ill not be required [o furnish water during <br />ihe prugress of such hnprovements ro any cunsumer x•hose supply may thus be cut <br />utf, or be liable for any qdamaqf/es/ for its taiiure w to dn. <br />APPlication No.__{_�4 b'-_"-- <br />Blnck.'--------- -----Lnt---'--�-------'-_Add-----�------------- <br />No.�__'_'.._. _.._ "_""_____'_"___..Street <br />�'_____' <br />�•� � '_"" ' ' _- '____"'_'__"_'_"' <br />k�/'i�la- 'r=�!a' ' ____"' __.._""_'_'___'_""'"""'_"'__'"_____ <br />' .� The work to be executed by_____________ __ Plumber <br />C <br />° State�ze of taP• �� � . <br />�. �. _�'__Tap to be inserted in the main. ('� � 1�/ <br />.__Water closet ��� /\y� /� I � <br />. "_"__.._.SaLh I I `� CJ <br />� � (% <br />___. __.. .Urinal <br />. __._____Plain faure[inside <br />.___._.___Side walk washer <br />_______.._Hase bib outside � 'i, .�, <br />--. "..... ;. <br />._________Hose bib forbuilding purposcs -�..�,,, . � � � <br />_---_'_Hosebibinside � .���}; )r,_y� . <br />1 . <br />__""_'__Bibfors[ablecontaininR____.__._._:;tall.____""' �• . <br />�•. . <br />""._____Numberof persons in famil5' /�/ � . <br />__._._____Number ot rooms in building `'! - - <br />Thepremisesaretobeu�edasa_.___ ____._.___..___._._______��__... <br />Thenwnerof[hepremises's _______________________._.____.__._. <br />Theagentis._' ___ _. ' "'_______ _._____._""___.__'______ <br />This applicatiun al u signed, shall nut bc binding upnn the City, un[il ao <br />cepted by T��uperint�nden[ af the Wuter Drp�r ent. <br />/.� ��� ^` SiqnedC�.!%�/$_�__�'`�t"y'��__"�/{ Applican[ <br />!/f c ' Cl\"'_ <br />/ Accepted.______ _.__"__191 BY-___ <br />. _______________ _' <br />///��/�,� p�� Snperimendem <br />VV � �-� V �.. �.���'_ <br />