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� i <br />� <br /> � <br /> I <br /> I <br /> I <br /> I <br /> I <br /> E�!'7�'� — s— � � - -� --. � �n, �-r� 3..�;_ �y. � J�1, <br /> W. D. Porm 4 i sco a-i-i�c.P. <br /> CITY OF EVC�RETT==Water Department <br /> - I <br /> Application for Water ! <br /> AII blanks must bc filled in or cro`ss/ed nut � <br /> EverelL.-___'_"_-__-l-..ys._'_____.19?'��[" <br /> TO THE SUPFRINTENUIiN7'OF THIi NA7'F,R UGPARTh1tiNT, <br /> � CITY OF' IiYGRF.7'T: <br /> I ,y{ 1 .. . 1 hrreby apply G�r 1he use nf aater in accardaoce with the rules and regula� <br /> tinnc n(The \Va1er Dzpvtm•nl, (or purposcs and hztwes stalcd below. <br /> -� '' � 1� . Durinq the time that any nf thc�val�r mains may bc ta6en up Iry rcason nf <br /> ' j _�',i � ' any im�rmemcnts nuthnrized L> �he Cuv nf LvcrML m nr o( an>• slrcct nr allcy in <br /> y�:�jj•',.���, � which they maY have becn Iaid, thc CitS'will nol bc rcqnired tn lurnish watcr durin� <br /> �,, -.. � thr. progress nf such iiuprneements to an7�rnnsumer x�hnse suppiy ma>• thus Lr cu. <br /> �� _�. � �� . ,. � - . nf{,or bc Iiable fnr:my dama�re (or lls failure so tu do. <br /> -7 C <br /> ���Q ' . ' . . AppliceliunNa. /._��U __"' <br /> s .�� <br /> I �jll � �; . � ' Block ___� p2 `�� _ .Lot _ � �` �/" ' Add. _' "' "" '_'_'_ I <br /> i ��:.1 �,w .e._ '�• �i �� -� \n.�^_Z.�¢..� ""'.""' ' '... Slrert <br /> i 1 9 ' <br /> ' . �� : . : <br />. , . � . __......___"_ ' "'_"'_ __'_""'_"""" ""'. <br /> � __"""_"_' / �..� <br /> '__".`7";"__'_ <br /> ----Thc work m bc exccutcd Ly--___ vC�!-.�f.:�2-.--.-"-.__ Plumbcr <br /> Slate�sLize nf tap. <br /> . �T••Tap ln bc inscr(cd in the main. o„ <br /> "'_ _�__Na�erdoset �£f• ^ `r � <br /> ""'�__.13a1h � � <br /> ! "_ .-_ .Urinal �v L� � y'� � <br />' __..-_.Piain faucet inside <br /> i ....______Side walk washer <br />� � ,, :__'_�_..Hose Lib outsidc <br /> i�� , _.Hose bib for buildinq pu�pnses �-� <br /> ,�,�I`{ : . . .__ '._liosc6i6ins:de <br />. .._��,.. . � , �� . <br /> ,S� , _ ___'__ Ui6forstablecunfainin�.._'_�.__ntall _..--.__. <br /> •i `4 f <br /> �;.' ' . Numbcr of persons in taniily <br /> y --- <br /> . . � '�j_.Number nt roums m buildmq /� <br /> i I re• � � The premises are to be used as n . S/�.�,:. . ._ _____, <br /> I... � <br /> °� , . �. � . 7'he on,n�r nf rhr pr.n•isrs is �r.'�'�'`"� r� <br /> ."' <br /> � , . . � . . -� � . ._. <br /> .,�!_.. . . � � ThcaHcntir. '_ __ . . ' .. . _ ._.—.. <br /> ""_""" <br /> I : b �� ' � � . . . � . This applirnlion,allhough signed,shall nol Ue bi^ding upnn thc Ci[Y, until ac- <br /> cented 6y The Superiniende t of lhe 1Vn /r Ueparimen[. <br /> � •. Signcd��-���'�✓'�`--�-�L�9�PI�licant <br /> • ted_. __✓�.�f-'__.��� 13 _ _ --- <br /> rlmrneem <br /> _--''�_._._ _ � <br /> i � � <br />�l�'be � , . � . . <br /> L <br />