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_ �. �,:,—r -,-� --'I %;'' <br /> n <br /> N'. �. Foem 4 I500 J-I-17 G.P. w <br /> CtTY OF EYERETT==1Vater Department <br /> � A�plication for �Water � <br /> All blanks mustb filled in or crnssed e t <br /> / /�Q � / <br /> Everet[. - .�[��C__�_ ___l_.�:�_-�__ ___.___-_.19] _�._ • <br /> TO "IHE SUPERINTEt7DEN7'O�IiL NP;1'GR DF.PAR7'ML'A'T, <br /> �j Y Or tiVERET7: <br /> 1 herehy app1Y���r the use of water in :�ccnrdance with lhe rules and reF:ula- <br /> ti,.ms u(Thc \Va[er Departmen[, for purposes and fiztures stated bcloa•. <br /> Durinq Ihe [ime Ihat any nf thc water mains may be taken up by rcasun of <br /> any improvemenls-authorized Up the Ciiv o(Lverett, in or of any strce[ or alley in <br /> �vhich[hey may have been laid, We City will not bc mquired [o furnieh wa[cr during <br /> the prueress o(such improvements[u any cm�sumer �^hose supplY may [hus be cut <br /> ��i(, ��r bc liable for any damaKes for i [nilure so to do. <br /> Applirn[ion No,._/_,��'.`�_�"h- A <br /> 19��ck 7.�.y�__ ..____ _ c�`J..__._ Add.___.__ <br /> -< � / � � /r'�� � <br /> ___' <br /> � Vo.'_'t�'_�-`t.'___' �'_'^t_Y---"---'-''.'_ . . Strre[ <br /> ___.' "_'_._'__"_' ' _"'__'_' <br /> '1'he work to be ezeculecl by___________________-----.. . Plumber <br /> SL�te s e ot,tap. � : ' + <br /> .,/ �.� <br /> . ��y.Tap Ln be inserted in the main. <br /> ._..�-__R'a[er close[ { ��cc <br /> J ,� �_ <br /> _____>�__8ath �� ��. �� <br /> ___ ___ _Urinal .�§'-(�'�Vj.. <br /> __Plain faucet insidc `� v �•� � <br /> .. __-__- �'�� ^� 1 p� •u'. ... <br /> __Side walk washer !,,� ' 1 l 1�, .'E.�.., <br /> .__'__'._Hosebibuu[side /u �� ��i� ll_;`', ,� � <br /> Z1 �__� <br /> ____"____Hosebib (orbuildingpur�uscs .S .. <br /> .II11. 1�1� ` . <br /> .________Flnsc bib inside ! <br /> . ___'____IlibforstaLlecon[aining..______.__.stall____. _'� �Q�_., --- ' <br /> � W r <br /> NumLer of persons in (amily L � ', � � ,,/. <br /> � :r <br /> .__(�'Nmnbcr nf raoms in building r ' <br /> "I'he premises are to be used as a_____________"_____"__"__'_'_'__'_ <br /> "1'hc owner o([he Premises is _____'__------.-----______'_________"' <br /> TheaBentis..________..._._____-'_____' '____.'__._'_'. <br /> 7'his application, al[hough signed,ehall not be bindinq upnn the City, until :�c� <br /> cep[cd by"fhe Superintenden_t of t e Wnter DeparUnenL <br /> f -/�J �/ ,1 <br /> _ / '`I � <br /> SiKntd.^__`J_1_.!__btl�L_�.'�r_��_ ._ ._'________Applicant <br /> ActcPted '��.� ,'_"_"_'19}�/ BY'ty -- -\-."____'._____'_"'_"" <br /> ��� <br /> � "� / Sui�erlmmneet C� <br /> � <br /> � <br />