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t,vi A � '—�9 f% <br />: <br />W. D. Foim 4' 1 S00 J-1-17 C. P. ' � + � <br />CITV Ol� EVERCTT==Water Department <br />App�licatier� for Water <br />All blanks muct ue fillcd in or anssed uut <br />—__ <br />Everet4 � --.��-"----'191�—' <br />7'O THE SUPIiRINTENDENI' OF THE WATER DEPARTMENT, <br />CI7'Y OF EVERETT: <br />1 bereby appl>' fnr Ihe use of waler in accnrdance u'ilh lhe rules and regula• <br />tinns nf The ��atcr Uepartmrn4 for purposes and fixtures sta[eA below. <br />UurinR the [ime lha[ any of the water mains may be taken up by reason of <br />nny imProvements authnrizcd b>• the City ot Evcrett, in or of any strcet or alley in <br />w��ich they may have been laid, the City W�ill not be requited tn fumish water durinR <br />Ihe progrcas o( euch improvements to any consumer whose supply may ihus be cut <br />n({, or be liabic (nr any da7mages (ur its failure so lo do. <br />Applitntion No..��7St--/ 'e�'----' <br />Iilnck ._--��-/- -�---L/o�t--('S'_--"----.AJd.--"--'-'---'----- <br />'� �Io.__..2-5 .�./_-./-J �_ __""'__ X_/ S[reet <br />'___"' _ _'__"_'_'"" <br />' _'.__"_" _-_.--•------U---_._______'__"'_"_""""_. <br />The work to be executed by. _-_ _--'-'-".'------------"'— Plumber <br />Stale size ��! tap. <br />__�r <br />_____Tap lo be innerted in the main.. <br />_._Materdnsc[ . . , � . ....--",' <br />_.13ath � � � . ': fT �:--�: '� <br />_'_"___ .Urinal - . �� /%�:%/.. � . ��`�.:� ��., <br />- -- � �,�r.. _ ; ��. � <br />___Plain faucel inside � v � � �� %• �.` � <br />__ ___._.Side walk washcr I� I �� ��.j�� � �� <br />� .._Hose bib oulside a� � ;� . ( . v. , i . <br />'_"'_ ��` �� �)"�/�. <br />"" ' "'Hose bib for building purposes `' � : <br />Hwe bib inside •.� �.. Ze. .,�� <br />.._s�all._ . '- -_ . i� <br />_""""_I3ibforslablecontrininR_-"_-- -�-'.— �,i4� . <br />�.:. ____._— <br />_ _ _' _ . _ . _. Number ot persuns in family <br />_________.Number of ruoms in building <br />Thc premises are lo be used as a_-------------------- �--------------- ----•- <br />Thc owner nf thc Premises is .. _ _". _ _ _ _' _ _'. _' _ _ _ _ _. _ _ _ _' _' _ _' _ _ _"_"""' <br />TheaKcntis.._______._.__ .___'._______"_____.'______'_'.._""""'_. <br />This applicaLion, nithnuyh siNned, shall nut br Uindinq upnn thc City, until no <br />cepted by The SuperiNendent �� �e 1Yn`tc�j{�Sep�a�r/l�1_ en�t. � <br />Sigry�.�� . .. -. --.`-"-- l� - `"V -�.!� _.a+r'}1�'plicaut <br />..— /y <br />AccePt��=i �-/-'-'---191�' IS�' ' _--'-""---------- � <br />/ � % ; � • Sucerlmrn'.em / <br />� / i <br />