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v�., n +��-'--S'r7� <br />`- <f'— // --Z w C � . . <br />. •� - ' <br />� W. D. Ecrm a ISoo 7-�. 17 C. P. ' ' <br />CITY OF EVERETT�=Water Department <br />Application for Water <br />A71 hlanks must be filled in or crossed ou[ <br />�� <br />Everett.----' �----'--'.._'"'__--_.'---"----1� <br />TU 7'HE SUPERINTENDF.N7' OF E WATER DEPAPTNENT, <br />CI OF EVERETT: <br />I herebY apply fur the use of wa[er in atcmdance wilh thc rules and regula- <br />tions ot The Wa[er Department, fur purposes and fixtures staced below. <br />During [he time that :my o( the wa[er mains may be [ai.en up by reason of <br />any improvements authorized by the City of Hvere[[, in nr ot auY streel ur alley in <br />which they may have been laid, Ihe Citv will nnt Uc required to lurnish water during <br />the progress of such improvements [o any consumer who�e supply may [hus he cu[ <br />u((, or be liable for any damages tor its taiWre so ta Jo. <br />• �-/ <br />Applirntiun No._ � 6 � - _ /-------- <br />_ <br />Block._ .._ �r1�,t, ''Q, � /-,I-------Add------�------"----- <br />�--' Lot--�-'-----�-' �-q � <br />%f//-._ " "�"�'!��"' `-J/.��..Stree[ <br />No._ -' -'.'_--'--'-- -'--- <br />-_'_".________" ' ____""'.______.'___'____'__""__""____"".'_'__. <br />'fhe work to be exewred by_____--_.____ _---_--------------- 1'�umber <br />�{/,,,SSSt te s e uf tap. <br />/�ap to be inser[ed in [he main. � /�/ o v <br />0 � <br />____'__'__Water clnset <br />______".Bath <br />__..___ .Urinal ' <br />________Plain faucet inside <br />._________Side walk washer <br />___.___._Hosebibnulside ___ � <br />�...,_ � �__ <br />� ______-.—Hosebibfor6uildinqpurpo� � .�� ~ <br />_CS <br />"_"__"' <br />Hose bib inside r <br />���*, .:. _""'_"_6ibforstablecon[aininR----------stall.,.._"_' <br />� ____ ----Nwnber o( persons in family <br />'r �7 <br />�;+.'.-�' ' q<___Number of ronms in buiidinK <br />___ <br />� ,� The premises are [u be used as a____--------------�-� �------------- -----• <br />�, The owner af the premises is __"-'—'--"---'--'-� -----------'--"'----' <br />{ ,. TheaHentis __'__""__'__.____�__'__".'___"______ <br />' . This applicatian, although siqned, shnll not be binding upon Ihe City, un[il ae <br />�,;'TY cepted b; The Superintendent of the eter Department. <br />� �� � � Si ned - -✓^���.-"'----"APPlican <br />� <br />: � � _ - ! <br />� Accepted �___ ______ 1 Ay.y� '_ '_ ""_____"c _"_•_"" <br />'�- � 3 r� su erm�endev <br />.. . . . 4���. <br />i -- <br />