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..______ _ . . � -� <br /> I <br /> r <br /> � <br /> 1 <br /> . t/✓Tp ir -•. . ' <br /> � ' . � � � '� L .-.-r� io-3r�1� � � ' <br /> W. D. Form a ISCO ]-I-17 C.P. I <br /> CITY OF EVERETT==Water Department � <br /> Application for Water ! <br /> AII blanks must b fillc ' or crnssrd n�(t � <br /> �-{} O/, <br /> Everet:.. _.___. ._..c%/. __ � <br /> __. <br /> ____. � <br /> __ ___. <br /> TU THB SUPIiRINTfiND1iN7'OP THH WATER UEPARTMENT, <br /> Cl7'Y OP GVERF.T"f: � <br /> I hereby apph' fur the use of water in acmrdancc with thc rulcs and reR��la� <br /> tiu��n(The lValer Uzpartment, for pnrposes and fiztures stated belm��, <br /> Dw�inq the�imc Ihat any of thc wTter mains may be taken up by reason of 1 <br /> �mp improvemenis authorized by thc City of Everett,in nr o( any strcet nr nllcy in <br /> uhich lhey may harr been laid, the City will not be rcquiced to furnich wa[er during � <br /> ihr pmKress n(sudi imprm•emrnts to any consumrr w�h�rsc suppl�� may thus bc cul <br /> �d(, nr be liable for anr�Jdampag�}es pfor its (ailure sn Io dn. <br /> APPlitatiun�n../__O .7 p �' I <br /> r7� J _'_ /�/��///[ <br /> 131�xA ._�.-._/_`'1_._ .�. ..Lot � 3 ' /!�� i� �� J <br /> __._ _ Add�iC.a�'_�// , <br /> Yn.= _.' — ____...Slrcrt ! <br /> __._ <br /> _ � '_"'_. . <br /> z,,2 3 � <br /> -- — — <br /> - - -- <br /> — <br /> _-- — � <br /> ---- , <br /> -- — _ _ <br /> _ __ --� ---- _.. <br /> "1'hc wnrk In be executed by - <br /> -�-"--�-- � _----_ Plumbcr <br /> _. .'__.__. <br /> State/gize uf tap. �. � <br /> //--'2'—TaP to be inecrtrd in ihe main. � e <br /> . _ ..1. N'ater clocet / �2� � <br /> __"'._/_.BaO� �'O ���/ <br /> _-. _- -1f/if�a�- <br /> - ---�Plnin fauret insidc <br /> -_'__Sidewalk--waelwr `i' <br /> I <br /> ---'�-'llnsc Li6oulsidc <br /> ..-------_Ilose.l�ihr„�1. �id� � <br /> �!t-.pw}iucrs <br /> .-.--.._."jf(LSCl1l�iifl!Mt�C <br /> _.__._____ . . � � __... Tn� , <br /> ;.. <br /> - ,/ Numbcr of persons in (amily � • <br /> ----~-.--NumDrr n(roams in building , � , � <br /> The premises are lo be used as a.___.�t��-f_�,12 <br /> � I __ . _ <br /> 'Phe nwner u(lhe premices is /`1�_�.,_��--Q.Qt��•��^�. � --�n'� <br /> The aRent is "" • " " <br /> __._ _. ___._'._'_____' .' . _ _._ <br /> 7'his �ppliiatimi.altlrou}tl ¢ienrd,shall not 6c binJinti upnn thc Cily, until ac. . <br /> - .�d by Thc Superimendent oi thc \V.`�afcr Ucparlmrnt. <br /> Si�ne�l_"�__�`^' `� ` . <br /> ----- - - / Applicant <br /> ._.._.___� � <br /> .a«���i�d ,/!1-c31_�_�+i ,3 �;. � --;---� <br /> } `�.d � -- - <br /> — .�.. -rmn.e��i <br /> % �' <br /> �r � <br /> y-��._ _'— — __— <br />