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bMu —2 � z7_� r c. , . �/rTD � -iY- '�-7� � . <br /> � <br /> w. n. Fo��-. � isco a-i-v r..N. <br /> CITY OF EVERETTa=Water Department <br /> Application for Water <br /> All blanks musl bc filled in .r crosscd uut / <br /> EvcretL-_._. __/�'.______ .'.__.._.19Y__:___ <br /> 'IY) TIIE SUPiiRINTF\UITT OF TIIG\VATIiR DEPAKTNGNT, <br /> CI1')'OP G/IiRET'f: <br /> 1 herr6y apply (��r the u-.e o(waler in accurdance���ith thc rules and requla� <br /> tiun;��f The 1Vater Uzp:�rtm.�n�, (or purpose� and fislures s�a�cd belnw. <br /> DurinR lhe time that _nc uf lhe u'aicr mains may be taken up by reason o( <br /> nm•imorovements autharized by� the Ciq�of livemtt,in ur o( an}� strcM ��r a.I1cY' in <br /> � which they ma/ hace been laid,:hc l'ity ���ill nat bc requireJ to furnish u'ater during <br /> the progre�s n(audi imprnvements In any cnnsumer uhnse suPP�7' �nap lhus be cut <br /> ��f(,or bc liablc for any dam� efs�L� �ts(ailurr sn ro do. <br /> Applicatian Nn.__���/._�_-_. <br /> p� C <br /> Dlu�k .��-�_ -. .._Lot_ .d._. __-�_.._._'AdJ___.....-'.______._" <br /> s�,._30�✓—� /�— � �! ---..s«��� <br /> -- - � <br /> _ . . _— — - — -- -- -- — -- - ----- ------------ <br /> '1'he work to be csecuted bq - . --_ .. ___------._— --- Plumber <br /> -�n /, .:, �;i s <br /> Statc size or tap. �f'A-�- 4�� `� _ , ���, <br /> � I/ <br /> �Tap tu bc inscrted in thc main. � �a o a , / <br /> q�aterdacet v ��. -�.� <br /> ._.._._-_Iialh -- --. �.• <br /> .__. .__ .Urinal <br /> _.___'_.__Piain faocet inside " <br /> _._____.Sidc���alk w•asher <br /> ._______'Hnse bib outside <br /> ..___.._.Ilosc bi6 fm building pwprnes <br /> _..___.__Ilosc bib insidc n <br /> _"'_____Rib for stable containing._____-——stall..____.\J `-. <br /> ____--.__.NwnLcrn(personeintamily ��� <br /> ,�' r <br /> ____.,___.NumUcr of ruums in 6uildin1g//� � / �(��J(.� <br /> 'Phc premises arc lo be used as a ..VY�1--�`n^^�!-�^'�--��-"�-�--�-�--- -----� <br /> 9�hc uwner of thc premises is �i iC: 4s-�--�-�____.-'----"— <br /> Thengentin ._'_"__._ .-. ___"._ '__" .... ._ '._--____..._._'._.___' <br /> This applicetion,althuuKh signed, shall not be binding upnn lhe City, until ao <br /> cepted Ly The Superinlendcnt of 1hc Waler Department. <br /> , Signetl".����:�..cL'r+_..Y.:'.:'._w_:i<...,�_-:,_L.:_ .���r�..__'.ApPli anl <br /> o�p��/ J <br /> I �/ � -- `Y✓+y �ly"- -- G'' _.. � f'' cem-- <br /> �` , 2 <br /> 1 <br /> � <br />