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. . � i .�" f1 �'i/ , <br /> ry� f�, 4 <br /> W. D. Pcrm 9 ILCO 'a.:-V C.R • <br /> C�TY OF E\'ERETT=-Water Department <br /> Applicatiom for Water <br /> All hlanks musl bc filicd in or crossed ou� <br /> 2 -�-�-,'--- - �9�."� -- <br /> Ererett.-_--� <br /> -- --�-'--�--`- _. <br /> Tp 'PHE SUPL•'RINTENDL'NT O TYf(I'EVERE7 TGPARTTIENT. <br /> 1 hereUy aVP�Y <<'r the use o(H'ater in nccordance H'ith the ni�es and regula• <br /> U,m;o(TMc R'ater Uzpertment,fnr purpnses and fixtures stared belnw. <br /> Durinq thc lime Ihat any of the water mains may bc tnken uP by reason of <br /> ;rluch hey maq have b enzl.ad"thc CC5'`Hill nnl be requi�ed lo lumishew'atc�adurinF <br /> the pmgress��a�����mp�nvements to any cunsumer wh�e suPP�Y may thus be cut <br /> nfL ��r 6e 1ia61e!or anY dama,^,es tar its t�ilure so tn do. <br /> Applicetion No.__-',--�� -J�--�---' <br /> .- / ai..0__-Add'-_____'_"____""'_ <br /> ��i�xk ._J6-.3-- " ----9�-- <br /> . g '_'.___'_"..Street <br /> \n..r�o2'_�' __'_'._""'"""'" _ <br /> "_ <br /> ' _"__"_"'_""_"_"__'_...'""_'"'_'""_"_""_'""_"'_"_"""' . . <br /> .,� .�1 <br /> __'_"_'_'_" <br /> ._------'_---- <br /> ___' PlumbcY= J <br /> 'fhe work to be excr.u�ed bY----�-------' ..A �_ �_�(e� <br /> /� —� <br /> State siec nf tap. L��U p <br /> -`/ � 7'ap tn be inserted i�the main. e�{ (. �"t9—C9j <br /> �j._'_'__ v V <br /> __"'_'_'R'ater doset <br /> -'---'-_.8ath <br /> __..____ .Urinal <br /> _.. _Plain faucet insidc " � -� �� <br /> ____Sidc walk washcr ��A.�, :��"�, �a �`�'`'�.`�.. <br /> '. �.. <br /> _'__'_'.'HosebiboWside - `..1, <br /> _"".' <br /> __Iiosc bib(orbuilding Purpuscs � —�', <br /> '__'_'_'Hoscl»Uinsidc � . � j . <br /> stnll_'_.'-"'`:' <br /> ---'------l3ibforst�blecontainini;-----'---' .. . . <br /> _---_'_14umber uf Per�ns in tamily U <br /> ___.____Numbcr of momt in Uuilding <br /> Thc premises arc[o 6e used as a�� (�7(]���'-�--- ---��� <br /> _" _' <br /> 'fhe awnerof thePremisesis _'-" - -�_�`�- -'------"�--� - <br /> '__ <br /> Thc aRent is .__"._________'.'--'__'___' ._-.-.___ <br /> _"_'"'"''_'_"_"" <br /> This applicalion.allhouKh si8ned.shall not bc bindinq up�m thc City, until ao <br /> rcnted by The Superimenden[of the Wenlcr U� cpartment. <br /> .. �' . .e�, /-- �( ppPlicant/ <br /> S�gm-d... Y�-..�l.�.�'YilPL�M'-�-__.-':_".'. <br /> " 5 - --- '--"--'--'--'----- <br /> '_'_ <br /> — <br /> Accepted'�—;�-�./-v- 3 .. Suverlmendem <br /> T <br />