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w. o. Fo�m a <br />CITY OF EVERETT-WATER DEPARTMENT <br />APT��.T�CATION FOR WATE�2. <br />Al1 blanks must be filled in or crossed out <br />Everett ............................_,1 -�.'._��"................_.......19_(...:_ri <br />'PC THli SOPliRiN1'ENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hercUp applY tor U�e use of water in accordance with the rules and re�u- <br />]atiun? o( the �Nater Department, for Purposes and fixtures stated below. <br />llw-ing the time lhat anY of thc watcr mams may be taken up Uy reason <br />ot any improvements auli�orized by thc City of Evcrett, in or of any strcet or <br />allcy in which they may have becn ]aid, the City will not Ue required to furnisi� <br />�vater during the nrogress ot such imProvements to any consumer whase sup- <br />ply may thus Ue cut off, or be ]iable for any damages for its failure so to do. <br />Application <br />No....... <br />{, - � � <br />...%...........'.........._ . <br />"�L�i�i:,���"i� t <br />._._ Lot...��'?�.../....✓..:�...... Adt�.-..�y��.r�....,���i _...... <br />,, , ' � - <br />.:_'...:.'_ �... �'.. _'.l._ �:%..' � : :................ _-.._._.Strcef <br />.. _ _. _ _ _...... __ _ _ _.. _. <br />The �vork to Ue executed by... _.........._..... <br />Stale size ot Lap. <br />_..>�....Tap lo be inscrted in the main. <br />_._...........Walcr closet <br />......�......Bath <br />_...__... _.....Urinn] <br />......Plum6cr <br />�i�.. _ .-.,����, <br />.�!=���.-�_, ='— <br />....__.....Plain faucet inside <br />................Sidc walk �,vashcr <br />. ..__.._..Nosc bib outsidc <br />i . ( �/. � �� <br />...........Hose bib tor Uuilding pm�poses - �- <br />... _ . i �,; �,.: _ . <br />................FIosc bib ins�de � � � �r � ,.. �.�' � i��. � <br />..__...._....BiS for stable containing.........._.......stalL....�......r.:....:.' r/J' �,% <br />Y <br />. ._........_Numbcr of persons in familp � <br />_.. �.,..�..NumUcr of rooms in Lui�ding <br />': �.., premises are to bc used as a.........._....._.....__._ .................__.................._._.... <br />'fhc o�vncr of thc Premiscs is.....___......____.....__._ ............................._._._._.__...... <br />'I'hc agent is ......................._...._._............__...._._......_..._......._................_.................. <br />'Chis application, althourh signed, shall not Uc binding upon the City, unti] <br />❑cceP���� by thc SuperinLenFl��t of tho Water D�partmentl <br />/ i \ � <br />Sienc<t'.-:.-.-.._ �.� c'..l„� C .�. .....1^� � 2A�'�:?i.�........Applicant <br />A�. � J:eG.... . . ... .._ .... 1!7. ._ P,y_ .._ ..._. .... . _.... <br />...Supr. inlur,dcN. <br />