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C�� r:/ J - �. <br />W. D. Fa�m 4 <br />CITY OF EVERETT—WATER DEPARTf�AENT <br />APPLICATtON FOR WA'�E� <br />All blanks inust be filled in or crossed out <br />�-� .... � 19_..�i..'.�/ <br />Everett ................... _...�...:... _<: .... . <br />............................... <br />TO THE SUPERINTENDENCIOF TOF c.V RE T nEPAiiTMENT: <br />I hereby �PP�S for the use of water in accordance with the rules and re�'u- <br />lations o[ thc W���r Department, for purposes and fistures stated U b�reason <br />During the time that anq ot thc ��,va�cr mmns may br. taken up Y <br />of any improvemenis authorized by tnethe City willrnot Ue �eqiti ed totfurc i�h <br />alley in which thcy may h�ve been laid, <br />walcr during the prn6ress of such improvements to an�� consunsr �vhosc su�- <br />pIy may tiu�c be c�t uft, or be liaU� f�r an7 damages for its Cailure so to co. <br />� �i �...�...�....... <br />Application No........_......... <br />Block , ._ ...... Lot .... .. . _. . <br />��.a.._ _. .__.._.. <br />....... .. . i <br />— C��r ' ! ��';.,:. ....Slreet <br />r_:r�J....... l _ � <br />No............. .........._. -��. .L......... ... .. -- <br />................................_---.. <br />Tlie �vork to be executed by.........._....__.._......._.. <br />. _............ _.. _. __ _... .. _Plumber <br />Stalc sizc of tap. <br />.--� , <br />�".......Tap to be inscricd in the mam. <br />;r .. <br />_. Water closel <br />....../..... <br />f.. ��...IIath <br />................0 r inal <br />��� ��% <br />- �, ' <br />� � it,.�!i-- <br />- if.�' - <br />._ .............Plain taacet in=idc .% �c.�---�-c <br />/; �� �i i/� <br />_.._..........JldO walk wasi�er _. ,. '. .. .. , �i{. , <br />. ......... Hnsc Uib outsidc „fi %'"� ' ` <br />_ ,. ,.....Hosc Uib for building purposes � _ : <br />� J �V <br />................tln:;e bib inside � . ' ��, V�:.- � � ye '.�d �✓ <br />�- <br />cy - <br />._............Bib for s�ahlc containin6...._ .............sta .-�...... �/`�u/ Yc;' <br />._. .. ....:�TmnUcr o: persons in family I�,,.; , ,-7 <br />...NumUer of rooms in buildinb 4� �,.,� �� �� I—�„ <br />� ,_�-.� _ <br />_ ... _.. <br />_:. _. _......... _.......... _ ............... <br />��..___ <br />The PI'emi�es arr tu Uc used as a..._..........._. <br />. __ _ ............._..... <br />.. _....... _ _. <br />....... _ _. <br />:'iie owner of ihe premises �s..._... . ......_ ..... <br />........................_.._...._._......._ ___. <br />._..._......_ _...._. <br />The a�ent is...__...._...._............_.... � <br />This aPP�«ali�°� "����°°Fh sig �d, �Yall not Uc Uindin� upon lhc City, until <br />th Watcr llepa tment. <br />� crepled by lhe SuperiNencL��f?"J� . <br />• /�1. i:, ' � _� „�-, � �i:...........Applicanl <br />. ___._....... <br />�...,_._.... .... _._ ........... . . <br />Si,ncc .... _. ...... <br />' �� .._.. ...._......... <br />.._.... ._......... . <br />i���cep:cU.. .. _. .... ._._ __..I... 7 1'.. ._ ;uperintuid���t. <br />