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1 <br /> ; <br /> F �ir,. v-�3 �� ,.r � - EN�1� -i-�°-�---_- . <br /> ' � <br /> K'. D. Fcm� 1 IE{.J S-:-I]L.P. • ' <br /> GITY UF EVERETT==Water Department <br /> Application for W�►ter I <br /> All 6lanks must be fillcd in or crosxi•d aut ' <br /> Ererelt. _-�--�--'-- -�---' 7�1U-------191 .L Z— � <br /> TO THh:$UP6RINTFNll1iN'P OF TIIL' R'A7'EK llliP:\RT\1ENT. <br /> Cll'l'UP ii9BkE1"C: <br /> 1 hereb>'apply for ihe use ni waler in :¢cnrdance x�ilh thc rules:md rrgida� <br /> �i� �i;u('fhe 1Vater Dspaitmenl, fnr pmposes and fixnves stnteJ 6eiow•. <br /> Durinu lhe time that an>�nf thr watrr mains ma��be taArn uP hy reasun of <br /> nnq improcements nuthnrized by tlir City of ErerMt,in or af any strcet ar allry in <br /> which thep may 6ave Deen laid, thc City�eill not Lc required to (urni�h walcr durin�; <br /> t i pro�ress nf such �mprovemenis I��any cunsumer a�hus� supply may thus be cW <br /> nf(. n•bc IiaM1lc inr nny damaH�•°q(nr its fnilure so In dn. <br /> �lpplindion No..�f t�_.I'.F�'_'_"'_ ��,�f/�_ � Q� <br /> Blnck __��rc? __._.Lot____f.3__'____._eYclU'-`-yJ�-�S- <br /> _ _ _. � <br /> �---\o.-----�/� O S_..�� -�--..Strcct � <br /> 7'hc aurk tn be rsecutrJ bp_._.____'___"_' ... ..____'.._.__.____.' Plumbcr <br /> Statc sizr u(tap. . <br /> / I � 4 <br /> ___�,�jy_.'Pap tn 6c inserled in the main. 3 � S�--.� <br /> _..__� __.1Valcr dusct � ' <br /> '___�"_[iath <br /> ___._. .Urinal <br /> __'____.Piain (a�cet insidc <br /> -___.____Sidc���nik �cashcr <br /> .'__.--__Hose 6ib nutside <br /> "_____...Hose 6ih forbuilding pwp�ocs <br /> .'_____.Hose bib inside <br /> __"_'___.Bibfnrslablccontaining_ ___ _._. .stalL.�'_ __._ <br /> .__' _.___Num,beru(persm�sin (nmily � <br /> __J_..\�___Number o(mum:in 6vilding <br /> '1'he Premises arc ln Le used as a____ .______""_"'..""'__".____ '_"" <br /> "fheo�cncrotlhepremisesis .____'. _______._...._____________ <br /> I'hcagentis _..____..-- ___________ .._ ......' _ <br /> 9 his applicatinn, nithouµh s;gned,shall not br binding upon the CitY. �mtil ac <br /> -,n��J by The Superintendent of 11 1Yn�t `i3�>art� n <br /> Si�ncd.._��-l�..-. ... _._._.._ �-4______Applirant � <br /> cepled__. .'_____.191 i• _. . <br /> _..____._. .______._.__ <br /> i �`j_ 2Z Svr.rimen^.•nt <br />