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�� � � Q G �Y 7-J� , . �' <br /> `'�(�''JL.^-0.�� <br /> �n 4 ISCC ]4-17 C.P.L/^�. lA-�'✓ ` • <br /> ,;ITY 0� E1'ERE,7�T==Water Depar�ment <br /> Appin�cat�io� for `Water <br /> AII blank+mast 6c filled in or crusscd out � <br /> -- II c� <br /> � Everett.---'----------•- "".`_/1_'-S'---'--_]9] -f--- �. <br /> Tn THE SUPHRINTEVDGN'f OF THG WATC•.R DEPAR7'\7ENT, <br /> C[7'Y OF G9ERF.T"T: <br /> I here6y applp fo*the use o(water in ncco*danm with the rules and regula- <br /> tians of The 1Vater Ueparlm^nt,tor purpo<es and fixtures stated below. <br /> Uuring the time ihat anY nf the aaler mains may be taken up by reason of , <br /> �nv impmvr.ments autherizeJ Ly the City��f i:vcrett,in nr of any e�reet nr aliey in <br /> �ehich they msy hnve bcen laid, Nie City �.��� not bc required to lurni�h water during <br /> the pmgress nt such improvemrn[s to any cunsumer w�hnse supply may thus be cut <br /> n(f,ur Ue liable(or any dam:pSes for its fnilure so�o do. <br /> Applirntion No..__�_�.�'�"--"-' <br /> Block .Lot__"'___'.____ Add..__".___"__'___ <br /> .____._"_' <br /> '___ <br /> __'_' <br /> �.g.(�.--� _ ---_ �_...Strcet <br /> No..- — — <br /> __"_'_____._'___' ' <br /> __'____'_--__._ ____.__'__.____"' <br /> 'fhe work lo be exccuted b)'.—_-'--'-----�----------------'--- Plumber <br /> Sta1c size nf tap. <br /> I'np to be insrrted in the main. � <br /> � �I-- -� � � <br /> / , � <br /> ._______Waterdosct <br />. � ---___.lSalh ry <br /> i ___„__ .Urinal <br /> � ....""___Plain faucct inside <br /> . __"""'_SidewalkWasher , <br /> ' _""_".'lloscbiboulsidc <br /> I . � � '__Hoscbibfarbuildmgpurpo�es <br /> i <br /> � '____"_'floscUibinsidc <br /> ! __"_'-__'I3ib(orsta6lecontaininB.____'_..__stall._.____" <br />�I � __._.__.._Numbcr o(persons in f�mily <br />� ..___'_'_Number oi rooms in building <br /> Theptemisesaretnheusedasa____'___'__'_"""".._"'_"_"""' "_"' <br /> . � Phe ow�ner of the premises is '_.._".._____.....-____'__.'_____'__""""_ <br /> � �: 'ChcaKentis_'__'_. . ___.__"'__"_'____."""__ <br /> :f. <br /> . This npPlicatinn.alth�ugh signcd,sh�ll nol bc bindiug upun thc Cily, until nc- <br /> � �� �;,;� cepted by The SuperiNenJent o(ihc Nnter Deparunent. <br /> '1_,::'� - �1 ' - Q <br />� Sigr�ad-- - '- '--U�--�-^?Ji�-�—��"�-'--A�icant\ <br /> a� <br /> '-'----'--- ------'_'-- <br /> Accepted/�'-j�� Ry -'-- snrei�mena.m <br /> � <br /> 5�..�`[� . ,.f.- . <br /> 4 �'�,✓�'.Y�i �\ :;{"��-- -. .. . � . . . . <br />