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-_:.....�.� <br /> ,n ' <br /> G x c.�--� � " 1�`- >( w. _ <br /> ,_-�,;__ - S_)6 <br /> ! <br /> ' •W. D. Form � I500 J-4I I G.P. � <br /> CITY OF EVERETTe=1'Vater Department <br /> Application for Water <br /> All blanks must bc fillod in or crossed n <br /> e���e��.. ,i���G - -------i9�_ ., <br /> TO TFIE SUPERiNTEND1iN'1'O�7'HE WA'1'GR DEPA127'T1EN7', <br /> CI7'Y OP EYHRE7'T: <br /> 1 herebY�pply fnr thc use n(�vater in accordnncc �eilh thc rules and regula� <br /> ti�.m;of The Water Uapar[mr.nt. fnr purposcs :md lixtm�es stnled 6eloa. <br /> During [he time Ihat :mc n(Ihe�entcr mains may bc taken up by reason ot <br /> :���y improvemcnts authorizecl b�� thc Cily u(Fverett.in ar o! :m)' s�rcet or allcy in <br /> w'hich[hry u1�Y havc becn laid.�[he City will not be required to lurni�h wnlcr during <br /> the pro�ress nf yi�ch intprovements tn any consnnrr whose supply mae thus be cut <br /> nff.ur be liablc for any damaKp�s fury�'i�, failure so lo du. <br /> r\pplirntion Nn.._�� / O <br /> _"' "___"____ <br /> Rlock ..__'---- - - Lnt---"--/----"--Add—�--------- <br /> 1 . _ _ ______ . ,. <br /> \o.__�i�� �j��c�s�r <br /> -- '--- .Strcet <br /> __"_ <br /> 'Phe work to be esecuted by.._.____"' �_'-�-"_-��._'____'____"__.'__"-. <br /> --- ------- --- Plumber . . <br /> Sla�c 5' e o(t0p. <br /> '------ v-O <br /> ---�,'1'ap In bc inserted in Ihe main. ��' _(''� '� <br /> /v _ � <br /> -------'-W:ucr cbset , <br /> � __""___[iath <br /> ---.'-" .Urinal . <br /> _-_"_"_P�ain fnumtinsidc ',�-.�:`'�����' �'� <br /> . ;. � � ' � lr: <br /> - _' ' Side walk �vashcr Jff�r J/�\ ���: <br /> ' ""'Hore bib outsidc ' �II _�/�,...:1,��,I.�._�i ''.� <br /> • �� <br /> ----'____Ilusr bib (or buildin{�purpuses •. .. � � <br /> . :� i r��. �1��� <br /> -"--'---Hosc bih inside . � <br /> _'Bi6(or s:a61e conlninin '.. , ��Jf" <br /> �" <br /> -__'__ ____stall.__:,. - a•> <br /> � -- — •.i-- � , �' � <br /> .._'.. Ni�mbcr o(persnns in fnmilg '` . . .• , __:'�� . <br /> .__ / !._^,�i"� ' <br /> "__'_"_-Numbcr n[ronms in building , �•'�'C/�� . .;!' . <br /> Thc prcmises nre to bc used as at . �...... �� . <br /> ' - _ "' <br /> � �j�� � '."' """ �....5' :ySf��. <br /> , ' The o�ener o(thc premises is _�"�A � , <br /> a•�, -_. ... . "-f��-v�t/ <br /> � •"".i;'` Thc agcnt is <br /> --------'- <br /> � . . This application,althou�h siqned,shall not bc binding upon thc City. until nc� <br /> ! ceptcd by The Superiniendent nf tlie Nntcr Dcpartmenl. <br /> s�Q„��_�.,L._a'�.r��,�-_- �-UZ�sZ�y�`'�„�. <br /> � — '� - Arni��,�,c <br /> Aeccptcd.----�-J 2l -1!U'/ Ry__�y_ � <br /> ------ <br /> , 1 _"____'_'.'r_"'_'__"_ <br /> � .+.. �. � Sn erinlenden� . <br /> i . ."�� .. � � <br />