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f.�?�+ 's:,,, ��- -�� ti , � <br /> � <br /> U'. D. Form � I500 J-I-V C.p, . � <br /> � I <br /> CITY OF EVERETT==Water;Department <br /> Application for IWa/t�er <br /> :\II blanks must bc f in ur crossed nu[ // <br /> /Q �� <br /> Evcrett.---'---'--"_-- � ..- "----19�� <br /> TO "�"IIE SUPIiRIN1'GNUIiN7'O�THE NA1'IiR llL•'PARTAtENT, <br /> CPfY OF EYGRE7'T: <br /> I herehy apply iur Ihe use u(water in aaordance with the n�les nnd regula- <br /> tiuns o('Che 1Vater Urpartmnnt, fnr purpnses and fistures staced bclow. <br /> Uuring tlie time that any nt thc water mains may be taken up by reawn of <br /> any improvements authurized by the Cih• uf Everett.in ur o( any s�rcet or alle}• in <br /> which thcy m�Y have been I�iid. thr City x•ill no[Ue required to furnish a�alcr during <br /> die pmgress of such improvements (n any consumer �chose snpply may Ihus he cu[ <br /> nR. or be liablc tor any dama�;es tnr its (ailure so to dr. <br /> �/ G <br /> Applirntion No.__.!_S. ._a-'."' <br /> 131uck / <br /> ________ . Add.__.___."'_____-' <br /> _'- .- °t'-�y"–�'-'�-----"-"-" <br /> No.__��/� ��_iGe�Cil"a7�� .____..Strcet <br /> -- - <br /> � 'L-:t-�-3 !--- <br /> - - ---- � -------- -- ---------------- ------ <br /> 'fhe �corktobersecuteJby.__________ _______"'__" Plumber <br /> ._' __..__. G o- <br /> St:rtc ize u!hip. <br /> __��_Tap lo hc insertrd in thc main. � / �— <br /> """_"'_1Vltc�rlasl[ <br /> _"�'__.[3atl� <br /> ----'__' .Urinal <br /> -----___.Pl:�in (aucet insidc <br /> --""'._Sidc«•alk washcr . <br /> .____".._Ilosc bib oulside <br /> --"""'tlose bib tor building purposes <br /> .--___"Ilosc bib insidc `� <br /> ---" .-'[3ibCorstabiecontaining-'-------.;_stnli...--'-'-- �/, <br /> -- _ Nwnbcr ot persuns in family �F ' <br /> -�_'Num6cr of rooms in buiiding G <br /> "Phe premises are to bc used as a_.._'________'____'.-..- <br /> _"_'_'_"'_' <br /> _"'_ <br /> 'fhc mvner of the premis-es is __""_"_""___ <br /> ___'..__".'.__'__"_'__.. <br /> Thc agenl is.."____'_"'_ __""""_"" <br /> This applicatian,although signed, shali not bc binding upnn thc City. until ac- <br /> cepled by 1'he Superinlenden[,.n1f t ic {1'n[er Depart icnt. <br /> SiFncd___(/_�(�U__. _Cs� �l. <br /> i <br /> _ '__. ___.'_.-"'APPlicant <br /> Accepted. .. _ .. _____.__191 Rv <br /> . . _._.______._'____.__"'_--, <br /> su;reHmen��� <br /> —C ... ":_L»• <br />