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9' <br />� - � . c��i <br />W. D. Ferrn .1 I500 3-1-17 C. P. Y <br />CITi' OF EVERETT==Water Department � � <br />Application for Water <br />All bianks nwst be filled in or crossed nut <br />Evcrett�- ---'----- -^'�-l--"�[-P_.. ---------.191 0---- <br />'CO "CHE SUPF.RIN1'ENUIi�'1' OF'CHE WATER llEPARTMtiNT, <br />CI7'1' OF EVERETT: <br />1 hereiiy apU1Y for [he use of water iu acwrrance with the rules and reSula- <br />tion; of The Weter Dzpertment, for purposes and fixtures stated below. <br />During th: ti;ne Iha[ any n( Ihe wa[er m:�ins mny be taken up by rcason ot <br />any improvement, authnrizecl by the City of Everett, in or ot any strect or ^J!: y in <br />which they may have been I:�id, the City wiil not be rcquircJ to furnish water dwinq <br />the proKress o[ such improveiuents tn any consumer whnse sepply may thus he cut <br />o(f, ur bc liable ior :my damages /tn �ts (:iilure so [o do. <br />Applicnlion hNoo._'"'�_� t �/"__' <br />Hlock...._/_O-_� _____Lot__��%-��_______Add_____.___._"'__"_' <br />x��. _ 3. _ 3�_ � -- �-?,.rE-c.�'c.�� ---- . sv«c <br />-------- - ----- -------- --- ------------------------ ------ <br />'Phe work to be executed bY____"___'__"__ ____"____--"'---' Plumber <br />Sta[C 51ze Ol 18p. <br />� ,� <br />. f..__.__Tap [o bc inser[ed in the main. <br />.__'_�____Wa[cr dose[ <br />_ "'�___.I3ath <br />Ih' � �� <br />�� <br />IY 1� <br />� <br />_'. ---- .Urinal � ,;�,y `'" C L - <br />Plain tauce[inside � � <br />________Side walk washer /// � ��v� � � ` �} � <br />1 �.�� ., 1� I �.�\1��. <br />-------'--Hose bib outside � / : � I <br />._____.___Hose Uib forbuilding purpnses � R " <br />� �,P �R/�,,�, � I <br />__'_"'_"Hosc bib inside � •� _ , /.. <br />Hibforst.iblccontaininF._'_____ � � <br />'_"__"'"' '_stall__'__'__ \C. � .. <br />____.____ Number of persuns in (�mily �` , <br />\ � � � <br />____�___Number of rooms in building/� � � �� �/ <br />. _.... <br />The premises are W be used as a____. f_SJ�a'.:�:_�:c`r:-r�-C�_______ ______ <br />The o�vnerot[hepremisesis ___'_______"'_.__'________"__""__""____' <br />Theagentis..___'____'.___._"'_"_"_'_" "_.__"__"""_"'____'___'_' <br />7'his aPpliration, although signcd, shall mt be binding upon thc City, until ac- <br />ceptcd by The Superintendc���n111l ot the \7nter Depar/tm�ent. <br />Siqned_l;��___l�-_'__S_� �t-�—'-- ---'--'Applicant <br />.-_ -'-- rlccep[e�__�.�___19I�Hy_�_'___'_"_'____ <br />ii,� . � �� Suo-rin�endm� <br />' _ !,"i <br />,. " C' <br />