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,z -- �-- <br />W. D. Foim 4 � <br />i�• j j � <br />CITY OF EVERETT—WATER DEPARTMENT <br />APPLICATION FOR WATE�' <br />AII b]anks �nust Le filled in or crossed out <br />�o— l-�c <br />Everett,........_ ........... .......... ...... �.:.�..............._.._......19 _._.,i� <br />TO ;HE SUPERINTENDENT OF THE WATI:R DEPARTMENT: <br />CITY OF EVEREPT: <br />I hereby appiy for the use of water in acccrdance with the rules and regu- <br />lalions of the �ti�ter DeparGnent, :or purposes and fixtures state9 below. <br />During the time that cny of thc water m:.ins may be taken up Uy reason <br />of any improvemmts authoriud by thc City ot Everett, in or of any strect or <br />alley in which they may have bcen laid, ihe City will not be required to turnish <br />water during the progress of such improvements to any consumer whose sup- <br />ply may thus be cut off, or be liaUle for any damages for its failure so to do. <br />Application No_�il.....�� �� . � �� < « /, <br />........................ � <br />t / �--/,. � <br />Block ................1..................... Lot...._.�S?....._.._............ Add..:.��-.Y._t_�s lc__�5-... <br />No ......................._.%.�. �.-.�c..............._.� S �"l `T.�' ..................Strect <br />................... ...� <br />��Lk7+..._i "�t".t'�(._....�{'.,.y�._(.[�.:.i......�Lh_<_d�.�[...�:.'-r� ....................._....................... <br />Tl�e �vm•k to be exeeuted by._ _...._.._...... /._.__ ..._.__ __...._.__ ._.. ...Plumbcr <br />State size ot tap. <br />�i __�....Tnp to bc inserled in the main. <br />� ...............\Vater doset � <br />,, � <br />..._._.........Bath � ') j � c I <br />. � � <br />................Unnal � L_ <br />% � <br />��� %cc <br />._ .............Plain faucet inside l.', <br />......_........Side malk washer S�' � � <br />._ .............Iiose bih outsidc <br />.. ..._........Hose bib for building purposes <br />................IIosc bib insidc <br />.._............Bib for st:.blc contzinins......._..........sta11...__...........- � ..��.e� <br />�i . <br />.-.._._.....Numbcr of persons in tamil}• `'7�y l2 � � <br />. Ce�c�.�Kf' <br />......._.......A'um'�cr of rooms in Uuilding r,/ <br />p/ J ' � -� �.�_�-� <br />The Premises are to be used as a ................._.._.f.............__........ <br />� . . __...... <br />The otvnrr o; the premises is__...._.._ ......_�..Jl �«.lC..�...... a' _ le�i.... <br />r._...' <br />Thcagent is......._.._....._...__........__ _ ......................................._..._........ <br />......... _.......... <br />1'his aFpliraliai, althouFh signed, shall nut bc binding upo thc City, u��til <br />.mceptcd U}� !ho Superintendent c lhe �Vater Departn ent�. /) <br />S:-,ned.�_ �(�SS C. � �?"� .........Applican[ <br />............ .4........ . <br />A�cepled._. __. . ... _._. ._._..7�....... By.._...... <br />.... _..... _ ... ... .......... ............. <br />Superintendent. <br />