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� , r 1� a <br /> W. D. Fmm 4 I500 3-I-17 C.P. ��� O.�� <br /> CITV OF EVERETT==Water Department ` � r' ` <br /> Application �'or Water <br /> :111 hlznks must be filled in or crassed nut <br /> Everetl.._______'__________"bJ��-.I__________191 p__-- <br /> 'f0 TfIE SUPHRINI'GNDIiN7'O�iHE 1VA9'ER DGPARTb1EN'C, � <br /> CI'I'Y O� G7ERE'PT: <br /> 1 hereby applY for the use ot water in accordnnce witL the rWes and reKuLi� � <br /> tinn:o(The Nater Depar[menL (��r purposes and fiztures sta[ed below. <br /> UurinF [he time lha[any o( the w:�rer mains may be taken up by reason of � <br /> :mv imurovements authorizcd bq the City o( Everett,iq nr o( any stree[ or allcy in <br /> which[hcy mny have been laid, tl�e City will not bc mquimd [u furnish walcr during <br /> che prnQress u(such impmvementr [n any cousumer whnse supply map thus be cut <br /> off, or bc Iiablc(or any dnmp�ges ior ils (ailure su tn do. <br /> Applicn[ian No._____�_J.�-�----- ' i <br /> isi����: --r�1 ��-�1— — --��.��_,3J-,�-`-f��1-- ---ndd�Q-u(tla-�-v-�a� , <br /> Na..___�._{�- l__�=-��--'"'-'`=�-�-___..Streel �, <br /> _' I �^� - _ <br /> . __________________'_.____.________________'______. <br /> ���_Thca�orktobeexecu[edb��.-_._. .�d_RA�'�-�-?.-_____-_--_ Plumber. <br /> Statc size o!tap. <br /> -�//ey,_�___9.p [o he inscrted in the main. � �, � I <br /> ___�_.___\1':vercloset 'N" . .� . <br /> . <br /> ___._"._i3ath � � <br /> .._. ____ .Urinal �� <br /> ._____.___Plainfauce[ inside j-`t�-�� <br /> _ '___"__Side wnik washer �h.�� - L <br /> n ' <br /> .._____.__Flasebi6outside � I..iI�`/A��� I � � � <br /> _____'____Ilosebibforhuildingpm�pnses ,..�.� .'�^����J����_.i\�t'.,, . <br /> _____.___IloseUibinside y t��r_.• j� <br /> `� f�_ � ;, �l <br /> _.__'_._'_13ib(ur stnhle containing.__'____ _ ta I_____1f .t ) p 1 <br /> ____._____Number of Pcrsuns in tamilp /� �C�"'��-__ <br /> 'Z. � <br /> ..rz_____Number nf rooms in buildinq � 'V <br /> 1'he Premises are to be used as a_.__.______'- �-T_' .G _____ ___-' <br /> 'fl;e uwne� o([he Prcmisos is _____'_____________�.-____.________'__'_'.___'_ <br /> 'ChcaFentis.._____'_'."_' ___'_'__'__" '__"_"__'.'_' _ , <br /> 'Phis applicatian,altliough signcd,s�all not 6c bindinp upon the City. until ao <br /> cepted by 1'he Superin�cndent of thc Wn[er Departmen�[.p / <br /> 1II'I�p Si�ned ___""_._"___._. -_.. .___F�-�LC,. t��:i.S�_ApPlicmt <br /> � / /� � �,,/ % <br /> ' ` Accepled./�.'.-�v{---'__l� I3y.,,?�-- '-----'_'___"___'__'__' <br /> ., V / �i iv 5��:.ii��i��a-�i <br />