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��� � ... <br /> �_ ,�,r� n—,� 3�9 flj <br /> _ � . <br /> \V. D. Form�4 ISCO 3-1�17 C.P. , <br /> C[TY OF EVERE'fT==Water Department <br /> A�p�i�aii�ari f�r \]V�►ter <br /> All blanlcs musl:Ue filled in or cro�:;ed nut <br /> —'_— <br /> Everett,__.'_.__'___ ._'___Gl/��_____191 ,.__ <br /> 'P�� 'PIIR. SUPBFIN7'ENll6D'T O� 9'I�1G W.CPIi4 UL'PART\fE:JT, <br /> GITY O� E`JERIi7"C: <br /> I hcrairy apply tur thc usc��f watcr in accordance aiLh Ihc rules and regula� <br /> ti�.�u; u( 'Che �Vater Dapa..im:�nt, inr pwposcs and fixture,s[atzcl below. <br /> During Lhe time thar any of Ihe water mains may 6e [aken up by rcasnn of <br /> .�nv impruve�nents aulhurized bp tlie Ci1y of Everett,in ur of any sVicet or allcy in <br /> �chich[heY �»:O' have 6een laid, tli: City will no[6e required ta fivnish wa[er during <br /> ih�• progress of such in�p�.rvemeuLs [n any cansumer n�hose supply may thus be cut <br /> ��lf. or 6e I�abin for any damaqes(�r its failure su tn do. <br /> ApplirntionNo.____���..�.�`.'J____.__ <br /> Block ..-1 CQ' _._..Lot-`1-�---�--`-------Add--�--. _-�------------- <br /> // � J ` [ <br /> Nn..__�.'7..� �_-�.�rL��C'-��fJ=_..Street <br /> J <br /> ___._'_ __ ..___.__ . ______________. _'________'_._____"'___. <br /> ______ <br /> 'fhe��vnrk to te e�;ecuted by_.__._...__Qh<�e0—�_-e_.,,,,____ Plumbrr <br /> Str�tc ize u(tap. <br /> ___��,.,__Tap�o be inserted in the main. � ��(.��� , ' • <br /> '_�'�__"_W.tcrrloset �. Q� X Y' <br /> "',""_'_Bnth � <br /> '__.'___ .Urinal . �'�G� <br /> Plain faucel insidc `' ���` �� � <br /> .__" Sidewalf. washer �l�,�n�\,t`y��� :. . <br /> Hosc 6ib outside -• �'V � <br /> "__ . ;� .—��I�" <br /> __"___.__HosebibforbuildingPmpnse��, . [)'3 �1W�1� �� ��i�. <br /> i <br /> ____ __ Hosc bib in,ide � ;, �1 �-. ::,: <br /> .,`� : <br /> _"_ '__._Iiibiu:s[�bircnnLiininK____�- 6a��-=� -l;;` <br /> . y,+:. <br /> ___'-__'__Number a(p:�rsons in lamily `� � �.. � .-�.�, <br /> .����•F <br /> _�_""Number o(rooms in building ,--�� �-.�+�(, _. .,,�° <br /> 7'he premises are lu be used as a'___. .l�4%..•�=�C`-�_::_._c_' � <br /> t____ _____ <br /> The ownern([hepremis�•s is __.__'_____________'_______________'__. <br /> ____ <br /> 'fhe agen; is ._"'_____..._.___________ _______ <br /> ____._'__-_-__-______ <br /> This applicatiun. although siqned, shall nut be bindinq upon the City, until ao <br /> cepted by Thc Superintend t o(the Wn[er��eparlment. <br /> �� _/ <br /> �igned____dJ��..l.L___L���!'�:f._.__ __ _ A licant <br /> �'� f .___ _ '�"_"__' PP <br /> _ ._ <br /> O,y,�«<n�Pa. !� --=� .3 — ��, is��./°�'� <br /> \l �— ��,-,--- -- <br /> �����<<�d��� <br />