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:i�,�,< 3 a . '.:a:. <br /> \ <br /> rirTA- �- � �_ = - r �.,_r�, -,=�� ,_,-_;_ <br /> . . , r <br /> W. D. Funh � ISJO �-�-17 0.P. . . <br /> CITY OF EVERETT�=Water Department <br /> Application for Wnater <br /> AII hlanks must be Icd in or cros\�ut <br /> Evcrctt..-_._... _ "-" -'_�� _'__"__'____19Y.�___ <br /> TO THE SUPHRINTGNDIiN"P OI�T 1F WA7'ER DIiI'ARTi11L'NT, <br /> CITl �G BYtiRETT: <br /> 1 hereby nPPly for the use of«'a[er in :��cordence a•ith lhc rales aud regula- <br /> tions nf The 1Vater DrDartm�nt,f��r purposes and fixlw'es statecl below. <br /> DurinK lhe timc �hat any o`the�ca:cr mains maq be taAcn up by reason of <br /> anY improvements aulhorized by 0•� City nf F.vcrelt.in or o( nnY slrcet nr allrS in <br /> which lheY����y hnve becn laid, the C::y wili not be required to lurnish water durin� <br /> die prnQress o(such imProvc'�.nen�s to any co�ts�:mer ��'hose supp�y ma)'Ihus be cut <br /> ofL�r bc liable(or anYi�darm�it;es fnr :��iailure x to do. <br /> Applirnlion No..__/_.(--��'-'-""'"' <br /> Rlock9------- -- .—Lot-'—'----------._Add--"__-'----'------' <br /> Nn..✓�O'� — ���_-'_'_'_' .Strcet <br /> ' "._.._ <br /> _ """". <br /> _'_' <br /> . ___'____'.._ ___.__'__"__-_____'_ __""' <br /> '--''1'hc aork to be executed h>'___-----"'— '-------------------- P{umber <br /> Statc sizc of[ap. <br /> i <br /> --3� -- ae�to��e ins<<ted in tLc main. � � � � �/O. .�f- '�� <br /> G <br /> _.__—___\Vatcr dose[ �-- � <br /> �— <br /> ""' 13ath <br /> ' ___._—.Urinal ' . <br /> ____�--Plain (aucet inside .'\-„��-•� <br /> -- ----side wa�k a•ashcr �P1C'��a <br /> '_'�.._Ilose bi6 oulsiJc -�:\��\@ <br /> ti <br /> _____�=1lose bib tarbuildinl: P���V��•es , � i ., ; . <br /> _____—=Hoschibinsidc � <br /> �--—Ui6(or sta6le co•riaining.___---'-�tnll___. __" <br /> __"�'�__.Numbcr u(persnns in (amil�• <br /> `i� _'__'_='.._Number o(moms in building � � <br /> ! ,..a � �f <br /> The prcmises are to bc used ns a-_--��� .------ -.�-" <br /> tiThe �wncr of lhe premises i= _�`��-1�-�-��-= �-----'---'---' <br /> �^- __ <br /> Thcagentis . __'_-___'_'__' ._._____'___""'_____'__"" <br /> 'I'hi. .�pPlication, although signcd,sliall not bc binding upon thc Ciq', until ao <br /> � ed Ly '1'he Superinlcndcn[ lhe \Vntcr U� artm•nt. <br /> ; .�.� , / / �jJ ��� � <br /> �I�' �' Signcd�-I --�'�i�_-'-'✓'___�_�:"---APPlicant , <br /> ?��", / <br /> ; :�:�• � / <br /> Accepted_________ -191 B'____.-______"____"""'__"'r <br /> 1 _ -"; - superlmenCe-� <br /> � _ � <br /> , <br /> ;' �::�.- . .,w,;__-___.. • _ _ _ ___: <br /> ,�� ` �'^ �13A i _ _ <br /> � •� � ��ga,.:if �Y' � i <br /> � � `��� b `'��+� ' . <br /> ��Pi� ��fi�,� ��.-.�5.� � .�.a^f".a�,AY." �s ve^`.� <br />