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I I <br /> I <br /> i <br /> �-'Y��,_ ,- a ,_ �.3 _ no _ _ �N� , -z-_ �:_r,; <br /> -+ � <br /> K'. D. Form 1 I600 J-I-i7C.P. I <br />' .,.�„ . CITY OF EVERETT==Water Department � <br /> t.; � Application for Water <br /> . . , AII blanks must bc in or crnssed uut <br /> ,.� , , . * - , . . . <br /> � l //,/J_ I <br /> II -c. : ', �': Ecereti�__." ' ��L_�,.. ' _'_..__]9[_�_�_ <br /> r <br /> �T.{+' ��. TO THE SUPERIN7'ENDENT OF �14ATER DEPARTT7ENT, <br /> ��.� �_ • � � CI ' OF EVERETT: � <br /> 1 hcrel>y apply inr the use of xalcr in ncrordance wi[h thc rules and requla- I <br /> linuc of Thc Water Ueparunenl,for purposes and fixtures Stated belou�. <br /> DurinC the time Uia[any ot the water mains may bc taken up �y reason o( <br /> .iny improvements authorized by thr City of Evcrett,in or of any strcet nr al�:y m <br /> which the7 may have bcen laid, the City aill not be required �u furnish walet during �., � <br /> the proKnss nf mch impruvements m any conswner wimse supply may lhus be cut � `� ''�' , I, !� <br /> nf(,or be Iiablc for any damagcs tur its (ailurc so lu do. '_ , �.—��� � <br /> Applirntion No._ ` . � .: � „ � <br /> ,,f/ �G' �'- I' � <br /> I31nck ._7/Y�1 LoL_ "-' �3' Add-` '-�.` ��i__J��4j� .�i .� ,�94 <br /> ' . �l 'QQQ__ ��- . '--- <br /> --' \o. �l��� . . a^-^�^-J. ... _ Strcet I�' ' ' �� � <br /> / I <br /> .. ..' '"" - ',' i <br /> -- -- ' "-'-'-"--'-'-'-...._ � -ll �� ,� <br /> . . '1'hen�orktobecxeculydb'_._____'._._'_. '.___.._'______'__.__.. Pl�mbtr - �� ` .t I ��I <br /> 3 II <br /> Sta'e size yf tnp. � � . . — <br /> / ��( UO <br />� ___/.��Tap to bc inserleJ in the main. /"C� �'�—� � � �;�,. , 'j� <br /> C. .Watcr closet � :'�� r .'�I <br /> �� <br /> ___'�__.6ath , , - _ <br /> -'--'_' .Urinal � � � <br /> "_"'____Plain (auce[insidc �� ' ' <br /> � _."""'_Sidc anik washcr ��. � � <br /> ""___'._Hnsebihoutside � � . _:'�, <br /> .""'_..Hose bib for building purposcs � �' � � � •• - <br /> � _ .i <br /> _"'__'__Hosc 6ib inside . . <br /> __""""13ib(or sta6le wnlaining._______._..stnll_._.'__'_ <br /> ..__._.__'Clumber u!persons in km�ily <br /> .___�'__Numbcr oi runms in buildinq � <br /> '1'hePremisesarelnbeusedasa. _____"__'_'__ _.. <br /> �j __-.__-___'__' '__"' <br /> Theow�nerofthepremisesis ___._/.�'� • <br /> - ._____ ____________'_'___'_ <br /> Thengentis ___..__.-_ ____-"""_' ___.' � � - p�y� <br /> 'fhis �pplication.nithouFh signcd,shall not bc binding upon ihc Ci�)'. until ac ^ <br /> ceplcd by The Superintendcn[o(thc \Vntcr Ucpar enL ` <br /> Signed.�ljti(iL.' .------.---- ---'---'Applicant � <br /> Acecpted_'____'_"'____19l BY_"_. "..'__"_"_.____."__'____ <br /> . . ���C*rlmenCem <br />