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<br /> � W.D.Form!
<br /> ��„j. ' , CITY OF EVERETT-WATER DEPARTMENT
<br /> ''��= =�'x � APPLICATION FOR WATER
<br /> , � . .
<br /> "'%�- °� '�' "�•'� ' � � pil blunks must be filled in or crossed oul
<br /> . oq.�.. t".y �
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<br /> y L.."��� C^C
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<br /> .. �, . Evcrell� .__...._ .....��-..� Y ....._... ._ .__.. .....19. .-/
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<br /> '.t } , ` TO THE SUPERINTrNDENT OF THE WATER DEPARTMENT:
<br /> CITY OF EVERETT:
<br /> ���'�: ;r � � I hereby upply tor lhe use o[ wnter in accordance with the ndes und regu-
<br /> ��:'-1 t' ��� �� � Inlians ot lhe Wuter Depnrtmenl, [or purposes nnd tixtures stated belaw.
<br /> "e d�G��r�.y ;�itd , � During lhe time that nny o[ the watcr mnins may be tnken up by reason
<br /> kf'g) �i� � � o[ nny improvements uulhorized by thc Cily of Everett, fn or of any atreet or
<br /> �'�`T 4.:�- � nllcy in which they mny have been laid, thc City will nol be tequircd to furnish
<br /> +�r�, 'L wnte� durinF thc progress ot such improvementa to uny consumer whose sup-
<br /> ��`� �"�-� ��`:q��. . �, ply may thus be cut olt, or be ]lable tor nny domnges for ils tailure so lo do.
<br /> °"� r. ?u,Y�t ..:"�' �� , , �i �
<br /> � r �, �. . � � APPlicalion No.� �...� /
<br /> v"�r . A,� � ;., ^ �.. . �.. iol __.... � ._ . .._.
<br /> .�
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<br />� ,�04' � . . � � . Block... . ... . . .. �___ ... ... .._._.. ......
<br /> � €x A . . ' ' � NO .. ... `� � 3 S� Ct..l,rU-rrL.A.�t,� ��if."«�Ilreet
<br /> �5�., r v tr`' t�e � � . ............ ....
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<br /> �V�.�h7.'ih. '�.� .... . ...... . ...
<br /> . .. ........ . ,
<br /> �H tr� ��p M .u.: . __ . ... .. Plumber
<br /> t
<br /> :?,�_.� � The work lo be exe:uled bY-. ....- -.... .......__. _..-.
<br /> ,� �� , Slnlc size ot lep. GC' t'`'�'
<br /> ._ �"�,�z,' ' � ,
<br /> . "t ', �A ; � . ._ ._..Tap lo be inserted in lhe maln. �/�{ )c<'
<br /> Y � ,G : . . .....Waler closcl �y yG7
<br /> il �, ' . . � , �
<br /> 1[ ... ... Bn�h , �
<br /> �
<br /> .. i� ,�f Urinal
<br /> y^ <+ ` . . � . . ..Ylnln fnuccl insidc �� �.
<br /> ��{��'c�` �:y � � /.
<br /> q,,,�kr���; ' � � ... . .S��ie wnik washcr ����"�¢ _ �
<br /> . � � /�/-:�.. .�c' , � i....�
<br /> " �� xt
<br /> � • ........... .Hosc bib oulside
<br /> � ( � .Yi.
<br /> }w `y,i �'°I' i,.,..,3 . .. ..........Hosc bib[or building PurPoses ---�
<br /> .di '�:�!, � - . ...............Hosc bib Inside
<br /> �: e �x� t
<br /> . �µ�,�y.j 'a. , . . .�. - .....IIlbtorstnbleconlnining. .___.._...stnll ....... ..
<br /> �1���5 " � � . .....Numbcr o! persons in tnmily
<br />, �� a�' i-d� Q, �� ...._Numbcr ot rooms in buildmg
<br /> .�' �t��ii �, .` . � The Premises nre lo he used as n. . _... ._. . . ...... _ _. ._.
<br /> ".� ° � �� 7'hc owner ot lhe premisca is _ .. .. .. .. . . - - .
<br /> s , �
<br /> : �� . �, The aRent �a. ..._.........__ . . . .. . . ._. ..__ ...... .. . .. . .
<br /> � '�� • . �. . �
<br /> .._ .. - �� This npplic�t�on, nllhou�h sipned, �hnll not 6c bmding upon the City, until
<br /> � nccepled by lhe Superinl enl nt th/e�R'nler Depmlment.
<br /> �id. .�. �'.7.!d-S...C�5,1�t�C.l�7� �.. . _..._.APPlicant
<br /> � " � �yJr � (Ll�sw .. _.,�
<br /> Accepted.__.. .__. _._....1D....... I3Y.. ._....................... ..._........_ _..........___.
<br /> � ���-� fiuperintendenl.
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