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�� . . <br /> W.D. Porm 4 <br /> CITY �F EVERETT-WATER UEPARTMENT <br /> APPLICt�TION FOR WATER. <br /> All blanks must be filled in or crossed out � <br /> -- , <br />' Everett,.........�.J..�.'_r�..._��_;'r..........................._....._19.: ...... <br /> 'PO THE SUPERINTENDENT OF THE NATER DEPAR'PnfENT: <br />( CITY OF EVERETT: <br /> I hereby apply for tl�c use ol waler in nccoidance with thc rules and regu- <br />� lations ot thc �Nater Depart�ncnt, for purposes and fixtures ststed below. <br />(' During lhe time that any of thc watcr mains may be taken up Ly rcason <br /> I of nny improvements auth• rized by the City of Everett, in or of any sireet or <br /> alley in which they may have bcen laid, the City will not be requirnd to furnish <br /> I �vatcr during thc progress of sudi improvements to any consumer whose sup- <br /> ply n-ay thus be cut off, er bc liable for any damages tor its failure so to do. <br /> �-.�..�.�.'� -_,�'�'�f �.�'i- �-�' <br /> � �� <br /> f.pplication No.._ - <br /> Blocic............._..._...i...............Lot.............._._....._......_...... Add..._........_......_..__...:......._. <br /> , , , , <br /> . . � , , . ., � .� <br /> ., . .;, � ,,_ _ . � . <br /> No.....'.�...__...._...t:. _:...._c..............:.......=L.:'.!.::...:......_:._......:....:..:.......Strect I <br /> � . � ;. . . . .� <br /> . - � .e'� :� �_ , . , . . . 1 <br /> ..._. ......_................................._\.._.,:t...»_............:....:..._....:.:.....z..�..;...:............................__.. <br /> The work to 1•e executed bY..................._.__............ ..___._......_...._....BlumUcr <br /> S�it�' sizc ot tap. ' .. . - . <br /> :�. . _.......Tap to Ue inscrted in thc main. ��� � ' , <br /> _ __._....Wnlcr closet , �� � <br /> ..__.........Bath <br /> ......._._....Urina_ . <br /> ._._. _.._..Plain faucet insicic <br />� .. .... ..._...Side wall: �vashcr ' <br /> . _.......__Hose bib outsidc , <br /> . .... .........i{ose biU for building purposes <br /> .._.._..._...Hose bib inside <br /> __._.........Bib for staUle containing....... ........st:ll__. .__... . <br /> ..._.___...Numbcr of persons in famity <br /> .. . ._...._..Number of rooms in building <br /> The Premises mr to be used as a........._............._._.__.... ..__.._....._..._. ......_._._... <br /> The o�vner of the premises is.............._.__.. ....___._............._... ..._......__._....__._.. <br /> 1'Se aS��nt is.. ..__.........................._........._......................._.....__....... <br /> __.._._._._............. <br /> 1'liis aPP>i�at�on, alt augh signed, shall not be binding unon the City, until <br /> :�ccepted by Uie Su�eri,tendmt of the�9�ater DeparLment, <br /> \ i , <br /> Si�ned d ` �' -'� ,✓_ � '_�:-� , ���'1_.`_. ._._..Applicant <br /> Accru:c�l.. .. . . . . ... . . . 1°._ ._ 'ic.. _ _.. ... . . .._......._.. ......... <br /> � Ruperintendent. <br /> - _. ---..�.i� �. _ _ _ _ '"_I�!!a <br />