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W. U. Fcnn � 1500 3-1-1]Q F. <br /> CITY OF EVERETT==Water Department <br /> � AppTication for Water <br /> . :111 blanks must be filled in or e�m,s�<.ed oul <br /> Everctt.--__'_____________'__L___� ___.__.._191 .�... <br /> 'PU THE SUPIiRINTENPIiN'f O�THE WATF.R UEPARTMENI', <br /> C[7'Y OF EVGRGTT: <br /> 1 hereby apply fnr tLe use o(w'�ter in accordance with the rWes and reRula� <br /> �,�,,,,�,i'i i�e lvater Departmen6 (or purposes and itxtures stated belnw�. <br /> Uurinq the [ime that an)'of the. water mxins map be taken up by rcasun o( <br /> any improvemen(s authorized by thr City nf Everett,in nr o( nny strcet or alley in <br /> �chich they may have been laid,thr Citp will not be required to lurnish water during <br /> the prngress of 5ech improvements to any cnnsurner whnse supply may thus be cut <br /> o(f, or be liable for a�iy dmnages for i1s failure so m do. <br /> � "� / /___.____ <br /> Applirn[ioyn No.____Ei_.,_. <br /> Hluck .-�,G�_�_. _. _Lut_._�_.____.__'___..Add-..__.____._____--- <br /> \n.___. .._._ .��"_ ' ___"_ _ .._L...Street <br /> �iz7 <br /> -- ----- ---------------- --- <br /> - - — --- ��,..�q� <br /> - ------ - __ <br /> 'I'hewurktubc�•xecWedby.__'___'_ � —. '2!.LC._x.�j1.-_'-'- Plumber <br /> Stn size uf tap. ✓ :� .-=� � ; <br /> , � . ,:-'�r.� <br /> —�i-, <br /> �.d:_.'fap tn be inseAed in the main. � �°�-' �.�. <br /> � '. -� � .�.:;.:. d <br /> . � _..Water clnxl �r-� '� �� ':\ U <br /> � - ,,:.�i, -,' �� 11�1 �/ry��'�-� <br /> — ,, .^�.i>- aj ', <br /> _ .u���,i <br /> _-- �r.•. , I� <br /> __._._.___Plain faucet inside , {, C� � I( �� <br /> . __'.____Sidea�alkwasher ��„`[>„� . , � . <br /> _._____._ilose bibautside � � ' '� ��. <br /> .____' ._Hosc bib far buildinA Purpnces ":�<--.� ' . . - <br /> . . _____Hosc 6ib insidc ... ... � <br /> _ ._ItibtorstTblecontaimuti___ __---.stall._____.__ <br /> "_ ____NumLrro(personsinfamil}' <br /> _.<<J_�____Numbrr ut roums in building <br /> '1'hepremisesnre[obeusedasa___ _-_.._._____._. __._____..-___ ..-__. <br /> Thc owncr o(Ihc premiscs is '___"-.___'--_."_'-'___'_."__.___"__.. <br /> 1'hc agent is ._____._..._..__._'_________ ______._______'__..___-____'__ <br /> This applitatlnu.alUtough siAned, r•hall n�l br Linding upun the City. until ao <br /> cep(ed by The Superinten</�vrt/1�(�( e �`ey��/•.par�inent./ <br /> Sil:ned__./�l_�ry:-'.�/yV.'.�/---.'_ _' _ '_ APPlica � <br /> , . _ L� �o <br /> � <br /> Accrpted_.�'_- /0__'_'..._191 � Hc. _ '____._- . __ .. <br /> / ��' sa:-rimrncent <br />