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w. o. rc�m a isoo a-i-n c.e. <br /> CITY OF �VCRETT==Water Jepartment <br /> Application for �Water <br /> All blanks mus[6�filled in or crossed n <br /> Everett,_�._��!�t__-�y _/�� <br /> � .____. .__.19�_ <br /> "P�� '1'11G SUYGF'I�7TENDIiN'1'O�'CIIE\VATGR DGPAIYfMEN7', <br /> CI'I'Y OP Ii`JERE7"C: <br /> I hereby apply for die use of water in accordance with the mles and regula- <br /> tiva;u(The AVater Deparumnt, (or purpos-es nnd Gx(m�es statccl helmv. <br /> f�urin� Lie time Ihat any ni the watcr m:iins may be taken up by rcason nf <br /> nny imnnvements au[hurized by [he City of Evm�et[, in ur o( any strcet nr alley in <br /> which Ihry may have becn laid, the City will no[ bc required to (urnish wa[cr during <br /> the pro�;ress of such hiprovements tu any consumer whnse supply may thus be cut <br /> o(f. or be liable for a�ryy dam:iFes7(}of,��L� f:�ilure so to do. <br /> Api�licn[ion No.�9..`�__-�'_' � <br /> [3:ock __'_"_"' __ oL___'__'__' Add__"'_ _'_"____' <br /> v�.--l_ql_b .�o� ---..s«��� <br /> - -- ------------ ---- <br /> 'Cheworktobeesecutedby_._____________ _________'___.______.__ Plum6cr <br /> Jlatc ize u( L'�p. <br /> ..��__Tnp tn bc inscrted iu Ihc main. � O' �� <br /> l___\Valerdnset —� � <br /> "_ �'_'13aP. ' ' <br /> __. .Urinal <br /> _. __�'.Plaiu (aucel insidc <br /> - ---"--S�d�•walk washer <br /> .____..�._Hose bib outsidc <br /> -.__"__.Hos-c 6ib tor building purpuses <br /> Hose bih inside � . � <br /> ____"___Uib (nrs[ablewntaining.____'_..__.`ta1L______'_ "'...� <br /> �'.'__-. <br /> ___�_Numbcr of persuns in (amily <br /> ..___`____Numbcr o(roams in building <br /> 1'he premises are to 6c used as a_�_�(y}..__. _________'__..___' ___ _ <br /> 7'he nwner nf Ihe premises is __"�_���-�!�`�_/—�jl�� <br /> ____ <br /> ]Iie oF.eut is ._""'_""__ ""_"_"___" <br /> 7'his ap�ilicrtion. alt!:ough signed, shall nol be binding upnn Ihe Ciq�, un[iI ao <br /> ecpted Uy The Superintendent u(�(the 1Vn[er Uepartment. � <br /> �iRnrd ___(/--"----------------'_`_ __ .'__ '____Applican[ <br /> � ' <br /> Accepted.�,,�_r. F3 " �� ,7 <br /> /`- �� _ _ __'____ <br /> �- �?�_',L.s�n���ienn�r.� � <br /> . � <br />