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.:�.ti„;k�S';>�� <br /> `Y <br /> '}" R. <br /> �� rt� '� <br /> y <br /> � f �� <br /> �; <br /> � j ��� �1 <br /> � ` � �I <br /> tty7'D -_X-ii-23 .C. t=,.r-r> 3�23-x5- y � 1 ��� <br /> w.n. F�•�,. iseo :..i-i;c.r. ... <br /> �,. " <br /> CITY OF EVERETT==Water Department <br /> Apglication'�for Water - <br /> .� � All blanks must be filled in or crossed nut <br /> lverclt.. _'_""'____'�'_Z_"_.3____"'1912.r� � <br /> TO THE SUPERINTENUIiNT OF THC WATER DEPARTMENT, � <br /> q7'Y OF E9ERETT: <br /> t hereby apply tor U�e use of wa[er in accurdance w•ith [he rules and regula• <br /> ti��ue of 1'he\4ater Gepartmcnl,fur purposes and fistures stated bclow. <br /> Uurin�z the tiinc that aiw nt the watcr mains may bc taken up by reasun of <br /> :my imprnvements aulhorized bc the City of Everctt,in orof any strce[ or alley in <br /> . . �vhich[hey m:�y have bcen laid. the City will not be rrquired W(urNsh waD�r durin�+ <br /> - � tl�e pro�ress nf suth imprm•emen[s to anv rnn�umer w�hose supply may ihus uc cut <br /> � , � oH,or be liable tor any damaqes !or its failure w tn dn. <br /> . '� �+PPlicotinnNo..._.!�'J_5�_'_'__' <br /> - 134xk _�or�s iq .__I.oL �Q."" ' "' .AJd._____. .. _""•" � _. }.,. • <br /> Nn. ..2 _`��� �°-''�— ''''-�(�' " ...Street ' �� � � " <br /> - -- - --C.__. _U---- ----------•-�----------....._ <br /> Thc w�ork to bc cxecuhd by_ ��� �� '!': <br /> --'---"-.__..-------'-'-'_-_ Plumber .,. ... <br /> tx �e <br /> _ Stale sice uf tap• ', u,,,� r,• ._a.i <br /> .__Ln )r�, �, . <br /> _ Taptobci�xdedinthemain. se � !Qo „ a r�yi,� � <br /> " .—�.., a�::, i'�t"'`7�N <br /> �_._Wntercbset �,� ����. � � "- .` :. <br /> "_'_'___.13�th . � � .� <br /> . � -"-'_- .Urinai . . <br /> .. � � •'_' Plain taucetinside -� � �n V���. . . � <br /> " . , -; ' ---'Sidewalkwasher �,.j+����, �{ f��'\�\ � . <br /> .._ _ .._Hosebibuutside .d �. � �_� �� � <br /> - — _ ,. <br /> "'__'_..Ilusc bib forbuildin�;purpnscs . .. . ��. " . <br /> '_"'___'Hosebibinside •�..� ���'� ��. J' � . <br /> _13i6�orstable:�ontainin �� � �--- �� `� � <br /> """"" g...____.._stail_.______t r.,�,' <br /> ""__'.Nwnbero[percunsin family . ., � ^: .�� � � <br /> � _'__'__"'Number nt moms in buildinq � � -'��• ' <br /> Thc premises arc lo bc used as a_._�h,�"':""""" '._... <br /> The ox•ner o(the premises is ._'_'____""""___Q.._____'___"__""""" ,I <br /> Thc�Hent is .---"---....--� --'-•-""---- <br /> .____""'___""'______.""_ <br /> T6is applitation,although signed,shall�n/o4 be binding upon lhe Cily, �ntii ao- <br /> ceptcd by Thc Supgrinlcndc�t (the 1VykHleparlmenl.. <br /> /'/ / �'JYJ/. ,..�s__.�. <br /> SiKned___,' �(r�:�c`.!_S�—r--_----�-�:_[.r.._ .._..---'Applicant <br /> Atcepted._____'_ __ '__'.`_191 13y"_..__'_'_ <br /> "' """"""""" <br /> .3 — 3—23 •� SupetlnlenEem <br />