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W. 0. Form 4 <br />CITY OF EYEl2f:TT—'JV.�TER �EPAkTMENT <br />AP}�LICA�'T �i�t FOR WA'�'FR <br />All blanks mt,st be filled in or crossed out <br />E����« ...................._........... �..." 3......_............_._.__..�s. ��, �� <br />TO TFiE SUPF.RINTENDE?7CIOY OF EV RE T DEPARTMEFT: <br />I hereby npply for the use af watcr in accordance with the rule; and regu- <br />lations ot the �Valer Department, for Purposes and fix!ures sta[ed bclow. <br />During the t:mc tha? any ot the water mams may be taken uF 6y reason <br />of any improvemenls aulhorized by thc City of Everett, in oe uf ar.y streM or <br />alley in which lhey nrav have Ueen laid, thc City will not be required to furnish <br />water dur:ng the prog:ess of such improvements to any consumer -�vliose sup- <br />ply ma�,- thus be cut ott, or be liablc tor any damages for its failure so tu do. <br />Application No....�(t-.�..X� � •. '7 � � <br />�>ti�.;c�:L'J«z � <br />� Add._......_ _ ........................ _. _. <br />Block........:..� ........................... Lot............::... �.�_(_....._.... <br />? -- � �_......,'..�..�.�.........�..��..._..._Street <br />_ '[ � <br />xu.................�.1.../...7 ........ ....... <br />............. -- <br />The wm�k to be executed by ........................_..._ ... ....Plurr.Uc'. <br />. .._.._.._..._.........._ . <br />State size of tap. <br />7 r <br />.��. Tap to be inserted in the main. �� � ����� <br />........ <br />.........Waler closet � <br />. <br />. , <br />�� .,-v/��--a'-� � c-' -_ <br />, Bath ) <br />. ........ , , <br />• .�tCIC / ,�/'%"LCao� <br />................UTIIIfl� �-- <br />.._............Plain faua'. inside -' '. � �.� ; �• <br />� j c <br />Side walk «�asher � ,'' �! � � 7�`- <br />.� ............... /�I(` �.�4 t/ 3 . <br />....I�Iose bib outsidc <br />Hose bib for building purposes ��'Ji • ; - �� % � <br />............_..PIose bib inside . � {�`�� <br />f�:,.. � . . ,� � `� <br />� � � � --� -.:.� <br />._......._....Bib for stnblc con'.aining....._..........._st�ll......:_'........ <br />.._..._._...Number of persons in family <br />1„ .'!.,; ! .:f-.' , <br />.. ��.........NumUcr of rooms in Uuilding <br />Thr. Premises arc to U^ used as a......._.....___......... ._....._ ................... ._........... <br />The owner of the Premises is_..... _._......___.._......._ .................._............._.. <br />1':�c ngent is._..__ ............. ............................._..................._.. <br />...... ........ ....... _ _............. . <br />This applic�iion, althau44�� S�B�h�j� `}��» nol Ue binding upon tlie City, until <br />accepled by thc uperi %ndent of the R,f �llepartment. <br />� ` � ' ' ...Applicanl <br />. , <br />S',�edt Cl� v . .,_ _i.��'.1/_.. ... <br />i <br />A^crp:cd _.._ ._.__ __1°._..... Sy.._._.^ _ . . ... .. .............. <br />Superintendent. <br />