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���...._ �..�.,.___ <br /> . _.. _.� - - <<. ,= N -; _ . .- -, - - <br /> . W. D. Forin � I500 J-1-V G.P.c ' <br /> CITY OF EVERET�I==VVater Department <br /> Application for Water <br /> All blanks most be filled in or crossed uf <br /> Everett._ __'_ ��-5!-__..19k2� <br /> TO TI1E SUPIiRIN7'ENUliti7'OP TNIC WATER DGPARTMENT, <br /> CIT1'OP G`JFR�I'T: <br /> 1 hrreby apply for the use u(x�ater in acrnrdance v:ilh the ruies and reRulx- <br /> tinns u!The �Vater Ueparimenl, for purywses aud fizmres e.latcd bclow. <br /> Uuring the timc that any o! thr wa�rr mains may 6c taken up bY rcason uf <br /> ane impruvements authorized by the Cib•n(Ecerett,in nr nf an5' strcet or alley in <br /> �vhich they may hnve becn laid,lhc City will nnt be mquin.d to lucnish wa[er during <br /> ihe pmGress of such i-iprovemrnis tu any consumer whnee sup�ly may thus be tut <br /> nff, nr bc liable!or any damagcs Gx Ils (ailure su to do. <br /> APPlicntinn Nu...�.�� �------- <br />_ �si«k . -2�-b - - .-�°'-�2. 3--'2 `�- -- - na�i.��<�-��-.�—�/- <br /> --- �o._ _lol '�.--�— ---- ._--- -- slrcel Q <br /> .__.___...__'_ . _'_'.____..._.__' '__ '_ ___'.___._"__"'____. <br /> ._'_ ' <br /> 'fhe wnrk In be executed Ly._.__._.___"_'.'_-___.__"_-------' Plumber <br /> Sla/lg sizc nf tnp. <br /> _!Y____.'fap tu be inscrtcd 'm lhe main. � • <br /> .___L___.1Valercloset � � <br /> "'_(___ .Balh �I�� , J . <br /> '__.__' -Urinal A �j -1 . <br /> <` <br /> --___.___Plain faucet inside �I <br /> ___Side walk w'asher �� /�ry//� � <br /> __________Hosebiboulside L/"' '�� <br /> """"_.Nosc bib fnr building Purposes <br /> __._______Hosc bib insidc <br /> __""_"13ib(ar stablc cantaininq.__.__....stall__..____' <br /> .___._�...Numbcr of persuns in tamily <br /> _ _5__..Number nt roams in building , <br /> Tbcprcmiscsaretnbeuscdasa___ . ...�,-, )_ -� . --.___ .___.. <br /> The oa•ner o(the premises is ____�l�����—��--� <br /> �� <br /> ThcaRentis_"'.__.__.....__'_______."' ._.._'."____'______'____ � <br /> This npplication,allhough eigneJ,shall nut bc bindin�upm� thc City, unlil ac� <br /> cepted by The Superiniendcnt nf� R'nler a Mi}�nl. <br /> SignCd"_" '/!'"__ "_'��LCh_��j��ll77"7_../___q/�•�plicant <br /> Accepted_�.__JV^_.-1if�-� Bp_��F�y�7/�2:��/�✓�C�.-____ �� <br /> � .3�C'n*tiwden� / <br /> /,• ��� <br />