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`l L/ j' _� <br />W. D, Fmm S <br />CITY OF [VERETT-WATER DEPARTMENT <br />t�PPLICATI��T F(JR 'WATER <br />Al] blanks must be filled in or crossed out <br />Ev�rett,._ .......... .. ...... �. �`�.y......._........._.._...1!'i�.Y <br />TO TIiE SUPERINTENDENT OF THE VJATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hercUy apply for the use of water in accordance with the rules and tegu- <br />lations ot the Water Department, tor purposes and fistures stated below. <br />During the time lhat any of the water mains may Uc talcen up Uy reason <br />of any improvemenls authari-r.ed by thc City of Everett, in or of any strcet or <br />alley in which they maY ]�ave bcen lnid, thc City will not be reyuired to furnish <br />water during the progress of such improvements lo any consume: whose sup- <br />ply may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No.l..� � :'..: �r..._._....... <br />stock.__....... ;:%.F..i............_._ Lot.......1.:.:.. :l . ............_.... naa.._ � �:.::: :.:r.: �:.r_ �::=--.... <br />/c; �: � /?. ,./.:':':-'. �,.:::::7 ........................_:...........Street <br />No ............................ .................. <br />............................................... ..................................... <br />The work to be executed by ... ................... <br />St�Jtc�sizc of tap. <br />...%.1.....T�p to be inserted in thc main. <br />......................................Plu mbcr <br />G� <br />................Nater doset � � �'��� <br />� ,u F <br />...,1....._...Bath �' , � . <br />R, . <br />................Urinal �' /"' . ' <br />,, <br />._ .............Plain faucet i•�sidc ���' �,1' �� ,� <br />.........._....Side wal!c washcr 1 .I' �I�1 " <br />............_..I�Iose bih outside ' p,� ���pV n! � <br />W <br />._ .............Hose UiU for building purposes � bf �� <br />,� <br />................Hose bib inside �T�i .�i� .o� � � <br />� ' <br />................Bib for slable containmg......_...........stall__._...._....... � �� , <br />_._..........Number of persons in family <br />.....-.'.._...Numbcr of rooms in building <br />The Premises nre to be used as a ................................_.._................_....___....__...... <br />The owner of ihe Premises is..........._.....___..........._._.....__......_...._ .............._........ <br />Theasent is ...................................__......................_...._._.._......_.._................_........... <br />This application, althou�;h signed, shall not be binding unon the Cily, until <br />accepted by thc Superintendent of the Water DeparLment. <br />� % / <br />Signed � �'1�,{ -/-r/ �� �/�� ��.Applicant <br />AccePtcd ._.__. . _..... /../ . °._.... ,� .. ... / . . ... . . ....... <br />� .. .Superinlendent. <br />