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.c'Nro_G"' _ -,,,,c_. c��, <br />_ _ _ . P ,.-. � � —i—: . '�/ <br />W. D. Form 1 I500 J-1-I 7 C. P. � <br />CITY OF EVERETTn=Water Department <br />Application for Water <br />All blanks mus[ be filled in or cro/ssed aut <br />Everett.-_.__.._'_'_"'_ �` �___"__'__19��, <br />___�'_'. <br />'I'O THE SUPIiR1I�TET!DEN7' OF'1'IIE WATER DEPAN'PMENT, <br />CI1'Y OF G9ERETT: <br />I hereii. npply (or the use of water in accordance wi[h Ihe rulex and regula� <br />tions of Thc Water Dtpartment, fnr purposes and fixtw'es stated below. <br />During [he [ime tha[ any nf Ihe watcr mains may be taken up by reason nf <br />an5' improvements authorized by [hc City of Evere[[, in or n{ any strcet nr alley in <br />which they ma5' have been laid, the City wili not be rrquired �o lurnish water durinF <br />Ihr. pmgress of auch improvements tn any consumer x�hnse supply m. y �huc be w� <br />nff, nr be liable for any damages foc its failure so to do. <br />AppliCntinn No."_7_%'�6 <br />Nlock� /---'-------- ---- LoL/-"�'--"----'----"Add---"-..--"--`------ <br />\o._ Y_ �_Q_� ..� _C u5<e�f�'.____'.Stree[ <br />'Chex•urktnbeexecotedby________________ _ . _______ Plumber <br />Stnte �� r/ 'of tap. <br />�'l.Tap to be inserted in the main. ,�r <br />__ ___ ' � <br />___!__Watcrdosri 7, ' o<. <br />- ��/- / � -- <br />---I--- R��n <br />.__. __._ .Urinal <br />_ _ _ _ _ _ _ _ _ Plain taucet inside <br />.. . _ _ _ _.__Side �ralk washer <br />._.____'_Hose bib autside , <br />_'--____Hose bi6 forbuilding purpnses � �� . <br />._'__"___Hosebibinside /L-", <br />- fi / <br />-- � ._IIib (or stable con[ainin -- �� �/� <br />_.""_' B.___.._'. __stalL_._ _____ <br />"'_ ____Numbero(personsinfamil}. <br />_ _____"Num6er of ruoms in building <br />'1'hePremise�aretnbeusedasa'___..______"'___"'.__'__'_____ __.__' <br />_ <br />Thco�vneru(thepremisesix�_ __'__. .!��.�_�_____"_.__. <br />Theagentis �___.___... � <br />,, This application, although signed, shall not 6c binding upm� [he City, until ao <br />„-.. <br />�� RA,ti;j c�rnrd by The Superimendent of ihe N'ntr: Deparn�ienL . <br />��...... SiKned���,.�""":Aprlicant/ <br />.':�'. (ai .'.:... . `.s�i- _ _ .r?i � l�kil R � �h / <br />� � .... .... .. ��- �jf'�-/ •� u'J<f1O�lfIZCflI <br />� T V <br />� , a �Y��_ � <br />. <br />