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�.�iy?__ :...� v. _. -L/_ �� �`n r7�a?a-�r y-j <br /> . _ .. . � <br /> W. D. Form 4 .I500 d-L17 C.� <br /> CITY OF EVERETT�=Water Department <br /> Application for Water <br /> All 6lnnke muat be fille crossed out <br /> Everctt.----`----- ---/--y-'_.. -----....IX!....-- <br /> 'f0 Tt1E SUPGRINTENDF.N'f OF THF. 1VATF.R DF.PARTMENT, <br /> CI1'S OF F.VERE7"f: <br /> 1 herehy npply(ur the use uf xn�er in nttordnnce wrth [he rules and repula� <br /> tinne n(The Wn[er Departmant,(nr purposes nnd fixtm�es etnted 6elow. <br /> Duriny the time �haz any��f the water mains may be laken up by renenn at <br /> any imprnvements nuthoriud Ly Ihe Ci�y o(Everett,in nr of nny street nr nllep in <br /> which they may have been laid,the City wiil nal 6e required m Iurnieh water duting <br /> Ihe prnRresn n(auch imprnvements to nny wnenmer whose xupply mny lhae 6e cut <br /> �df,or be linhle fnr any dnm:�gen fur i[�fnilure so ta da. <br /> ApPI icatinn Nn."'L_��.r_7___ <br /> Block _.._.__" ._ t_.__" ... __._ d' <br /> � .f3 �....� -- - - <br /> - <br /> Nn...' _. _l_' .7'___.__"_...""__'_......._..S�reet <br /> 'fhewnrktnl�erxeculedLy ' ___.__._"___ __. .__ __. _ _____"' Plumbcr <br /> si:,«/qt�P��r i,�. �y (� � <br /> --%._Y_Tnp tn 6e insrded in lhe main. ._!�J �C� —' <br /> __._.�.._W ater dnxet <br /> .-3=_':. <br /> "_"(__.Hnth �� �-f �. <br /> 41_� �V�. <br /> --- .--- -Urinal /L" � � ��Q � . <br /> �?, <br /> _._..__Plnin (nucet inelde � � /� /l: �.1 } <br /> --_____Sidewnikwaeher I� , ii. lI/..� i�ll <br /> _..._._Ilnscbibauteide `\ � �� " i� <br /> --_._ ._Hose hi6(orbuildinq purpoxes ` .( YQf � � � � ' - � ! �. <br /> . _..__Ilnee 6ib inside L `� �. �� <br /> � _ �1' �.h. ./a <br /> ._"'._"BibforstablecunlnndnR ----- . Flall._._ � � �-� <br /> "pr� <br /> 1� _ NumLrr n(perxunx in (amily � wY� <br /> . _b___Number of ruums in building <br /> Theprrmiaesnretnheuyedosn__. . _. __.__.__.. <br /> . ._ _.___'_' ".'_ <br /> Thenwnernflhepremiaeaie _.___.. __'__.. .. . <br /> __ <br /> ''__"'_"_" <br /> 7'he agent is ___..__. .. <br /> .____ ____.._ '__ ._ '_-. <br /> 'Phis ,pplicutiun,nithuuN�� y�RnrJ,ah;Jl nut 6e binJing uM��� �hc Cily, until ac <br /> ��rpted by'Che Snperin�rnJrnt uf thr der 1 iUe�A. <br /> SiNned __ .. _ �-�ci�/i__�y7 �__�.__'_'Applican� I <br /> ' �z �._,,�-7 <br /> n�•�e�n�d • � _ i;� � itv`�i]" <br /> -- - <br /> __ . s.�,����,�<�:,�� <br />