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� f''i'�J g'�7- :v-N-✓. <br /> � G'ni�l� 7^3�"�4-F'1 <br /> M'. D. Form t I500 3-I-17 C.P. ' <br />� CITY OF EVERETT==Water Department <br /> Application for Water <br /> :\II binnks must be filled in or crnssed n . <br /> . ErereU.___ ��_J�'� '____'___lY[�---_ <br /> TO THE SUPGRINTENpiiNT Q HE�,.�ATER DF.PARThiENT, <br /> �. " Y OF EVFRGTT: <br /> 1 hert6y apply tor the us�of�vater in :¢cordarce with the tvles and regula� <br /> tinns n(The 1Vater D�p�rtm�n[,(nr purpnses and fix[ures s�ated bclon•. <br /> UurinK [he lime Ihal any o(the wa[cr mnins map 6e taken up by reason of <br /> any iinuruvemcnts auli:orized Lr[he Ciq•of Everet[,in or of an5' streM nr allcy in <br /> :vhith ihey map have>>een I:�id,the City�vi11 nol bc rcquircd to fumish�vater during <br /> die pru�ress n(such i:nprovements tn any consumer w�hnse snppiy may tlms be cut <br /> ��tf.nr bc 1ia61c for anY d�a7m;��;es for its failure so ln do. <br /> IApplirntinn Nu.._"5+.4'U'/__'___ <br />� i;i„��; a��/ r1-/J� <br />�i _. ..,--- -.t.�n-� -- ------- ----- <br /> --- ,�aa ---- <br /> � -----�------- <br /> i . ' . ?:u.----/,.:�,±1�-- ------•------- - strecc <br /> � ."_'.. <br /> i . � - 'fhenrorklolecxecutedby ___"___"'_"'-_""_-'�----""_""__ plumber <br /> _ _.___.._"____ __ <br /> � <br /> i . .. � . ' . � Slatl' c af t.lp. <br /> I - � � � . � .-�__7'�p ta be inxrted in the main. � /C�� <br /> I � ____�__R'alerdnscl <br />��I' � . � �--.--�._.Dnth <br /> .. � .___ .Urinnl ' <br /> 41 � �.__Piain (aucct insidc <br /> I ___ <br /> I . . . ._ / _'_S3e��-alk�ashrr <br /> I ' �f <br /> ___!__'._Ilnse bib outside <br />�.i � . � ----------Hase-bitrirn-6attithi};l�nm�+"�'� <br /> I,i � � � �' -'---'-__HoseLiWnsW�- /;�\. <br /> i <br /> I' � . '-"--'--'OiSffril�bie"Zanninirtg_--_„-'--StaIL�C�-__"' <br /> � � _ /� Nwnbcr of pers�ms in (amily <br />� � � � ___LC___.Numbero(roomsinbuilding , <br /> The premises are to be used as a_._!1.4��¢'ALP_ __ _ <br /> p '_. __"' <br /> The owner o(thc preinises is __�(!C_Q���c�-___�y��:�kro--w <br /> """" <br /> 'Che agent is_'--'_---., ( <br /> _.-"----'----- �--------"-'--"-�---'----" <br /> I'�` 7'his applicatiun, altF,ough signcJ, shnll not bc Uindinti upon the CitY, un�ac- <br /> �';K�� ' hv Thc Superinlcnflryit of ihc lYntr •parUj,�'nt. � � ��,U�,''y y'A. <br /> ' ��`�"', Signci CJ'�(.�������c���iYt/Z_AM 1� U- cint <br /> � --- ------- - -A li . <br /> . ��' .-"��_��Il �y- - �/��'�Y�: <br /> i. _""__ <br /> ��,.., _ u�e meneenl ,/ <br /> y� � ( � i� <br /> ��::lil�''�' .� <br /> �c:er... _�.. <br /> , . � '��..�. <br /> �y�) <br /> 1N <br /> �:1:' .. <br />