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.fi+^'7��( Y��1�z'/– � _ ' �.N "T� fl� �-.S = Z.y'—�1 <br />W. U. Purm 1-1600—E.P.Co.-6-26-21 <br />City of Everett�Water Department <br />APpI,ICATION FOR WATER <br />� All blanks must be fiiled in or crossed out <br />GvereCt,. ���/...�........ ... <br />............................ <br />--.... ....................?0� <br />TO TIIG EUPERINTPNDI'sPICITY OP' PV`EHGTT:llGPaxT:IIC\'C: <br />I herebv npply for the u��^. of water in nccardance witL tlie rules and r�.gu- <br />latiuns of the R'ater DePurtme:;t, for �„�•�oses nnd i�xtures stated Uelow. <br />During the time thnt nny ot tne n•:iter mnins mny be taken uP UY reasm� <br />oY anY :mpm:euicnts nuthurired by thc City of Eeerett, in or uf nny etreet or <br />a�ley tn �vl�ich they may huve been laid, the City will not be required to furnish <br />water during the pr•ogress uf such im�ro�ements to any consumer wLose supply <br />may thus be cut off, or be liablr, for � ny damages for iLs failure so lo do. <br />App!iration Ko._...��..:__-::...1. .._._..... <br />Blork...�...�.......ro'..._:�`�.....�.�..�t.�.^.�.5.-.'�--!-.9�!-:S_.._._... Add........._..__........._..._..... <br />�-'�.. C.Y...�-r.s._cw-.+.J._- S.-_.7��-+-x.. � t et <br />No........ .. ........ <br />..............._... __......................_...................._...._........................._._... ...................._.............. <br />The work to be esecuted by ............._... _._... _. .__.... ...........__...........Plumber <br />S�/tpte size of tap. � u <br />�.�,.,..._Tap to be inserted in thr. m�.i�. �/ �, � I S----�—� <br />-_.---_-_---.R'ater claset % <br />................ B a t h <br />................ Urinal <br />.............._Plair, favicel insidc � <br />...._..........Side walk washer <br />._..........._flose bib outside .,;>^ . ''��' <br />......._.......Hose bib for builling purFoses <br />�. .............._I-Iase bib insidc � ��i�l. . <br />��� <br />� ................Bib for stnble containing....................stall...::...-._�..._. �. <br />................Number of persons in fumily � � � <br />................Number of rooms in building _ <br />' The premises are to be used as a.../....._.___....�.'i-<.:: .....�_............ <br />The owner of the prernises is._..._t,�...._ ._...... .. <br />�. The agent is ................................................_. ....... . .........._..................................... <br />� This applicntion, although signed, shall not be binding upon the Cit}. until <br />�� nccepted by the Superintendent of th^_ nWater Depnrtment. <br />�Gned ................�... ...Jlf ......... ... _.........._........ ........... _.�.APPlicant <br />�� <br />Accepted._�- .�i�.�....:...�19�....: BY.. .. . . ._.. .L!/�..Y..� ................... <br />-�yS�{�ermtendent <br />