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< <br /> _ � <br /> Y �e <br /> .. . ..�te. � "�' <br /> F rv_i.�> �/ - � -_'�•• il. <br /> , W. D. Form � 1500 J-i-17 C.P. ' ' � <br /> CITV OF EVERCTT==Water Departmeu�t <br /> Application for Wat�]p�r <br /> All blanl;s mu' Iled in or ciro , d nut_ /\ <br /> /�JA ' i)� <br /> -:_"_.___.l,�ffl___ <br /> liverctl.. _ .. ___'____ ""____ <br /> � TO THii SUPIiRINTEI�DIiN7'OP'1'IIE NA'1'IiR DEPAR7'NGNT, <br /> CPI'Y O� EVERE7'T: <br /> 1 hereby apP�Y ���r the use of w'alci in :�ccordance wilh the �'ules and regula� <br /> ti�.m;o('Chc 1Vat�r DeParlin��nt.fcr purpa,cs and itstures s[aled bclnw. <br /> During the time that any of the w�ater mains ina)'be taken up bY roason of <br /> ;mr improvemenls authorized bp tne City uf Everett,in or n( any stree[ ar alley in <br /> a�hich they ma)' have becn laid. lh��CiLY w'ill not bc required to(urnish w�n[cr dunnq <br /> the progress a(such improvemenh [�� any consumer whose supply mny Ihus be cut <br /> o(f.or bc liablc for any damaK�s 1�,r il�failure so to do. <br /> Applirntion Nhu.�`-`-'�-'-3/-""' t <br /> Hlock _�.J_.�_ .-�Lut�._���_.`-�-_�.��c!� -Add_.____.___'_____'__"' <br /> Nn��-�Q.�_ _,�s5�`�r%�-'�'-'„Z/..._"_..Strcct <br /> '--'- �---'------'_ ' _-'--'-"----".------`---'----'---'-'-'------ <br /> 'fhe work to 6e esccuted 61'_---------"'- -'----' Plum6et <br /> '_._____._'_._._ <br /> St.dc_ m��f tap. � <br /> ___�y.1J__'1'np lo be inserted in Ihc muin. -�/��- �i p <br /> __________Nater closet <br /> _'.__.__Ilath <br /> "_ ._ .. Urinrd <br /> Plain faucrt inside . � .�t i,�.4�`� <br /> ____ �-� � v A . <br /> . . ___ 5idc��alk wa>lt�r �. . � ) <br /> i I� . <br /> /1 �Fw� <br /> Hose bib nuteide �� , ��Q'� � •�� <br /> �' ' ��� ' <br /> _"_'_.__ Hosebib (orbuildinppurposes � '.i� . <br /> __"_'_'__llosc bih insidc j; 4 +„'�.�. <br /> __"_'__"13ibterstablecontaining.___------ �Ilt--'--" ,. <br /> .'_'.__"'Numbcr of Persons in family (� Jr�� _. <br /> � . _/'_'Number o( roams in building l�'��. � i.r,•��f/ <br /> t. � <br /> _ __ _'.� --�. <br /> 'Chc premises are tu be use< as a___---------------� . „ <br /> 'I'he owncr af[he premises is ---------------�-- <br /> �-----------------'---'- <br /> Thc a4ent is .'_"____' "______ <br /> 1'his application, althou�Sh signed, shall nut be binding oP���� the CitY� un[il nc� <br /> cep[ed �y�fhe SuperintendeJnL�of the \Vntcr Dcparlment. <br /> �C --��f-��C(��' '_"_'__"Applirant � <br /> SiKned_ f.__ '._ _ ' <br /> � ' �— � 13�"""""'Superintendem "- <br />