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I�"`�j��; , _ <br />�f-�� N'. 0. Form 1 1500 J-I- I] C. P. <br />'� CITY OF EVERETr==Water Department <br />Appiication fe�r �atE�r <br />All blanks must lie filled in nr crossed nut <br />licerett. . __ �� -2� ._._191 �c_ <br />'PU THN. SUPERIN7'GNDIiT'C OP'P!!E WA'f1iR UIiPARTYiENT, <br />CPfy OP GVERE7'T: <br />I hereby apply fur the use of water fn uccurdance wi:h the rWrs and reF:uln- <br />tinns u( The 1Vater UeP�rUir.nt. fur purposec :,nd fixWres stateJ belna. <br />During [he Lime Ihal :mr of tiie w:uer m:�ins map br taken up by reason of <br />:my impruvements authnrized bp the City o( Everett, in or of any street �rt alley in <br />which thry ma>' have been laid. the CitY will mt be required lu (urnish water during <br />the pro�+ress nf such impru��emenls tu any consumer x�hnse supply n�ay thus br cct <br />o(f, nr Lc liable (nr any /damagcs fur ite (ailure su tu du. <br />APplicntior, No.'__1� �f ��-".1-'_' <br />Itlnck ...1'f"__. -�, �.�Lu�L_,_.��)�. .__ ___Add . . . ._ -. . .. <br />10._---E� �-�. . ��'�'a'ai�l--f--'-""-`^"`-+-.Streei <br />______"_' ' ____"' <br />""/___�_...__""_"_"__...'_"__"_"'_ _""' <br />'fhe work to be executed by_ ___L�� �-�' Z— .__ Plum6er <br />Sintc size nf tap. <br />��",� <br />.��1--'-.-Tap t�i be inserted in the main. �'Cj � . <br />�Y �. � i <br />� _N'ater dosrt G ���:��i � � � <br />__ �____..Na[h ,ri���+;�)�:,tf,�•, <br />.,, <br />"" '___ -Urinal <br />'_"__' "Plair faucel in�ide <br />_ "'."__Side �ealk �casher <br />_____" _Hosc bib outs'ide �-. �- '• <br />._'_'.__Iloae I.ib fv6uilding purpuses �� <br />_' _' _ _ _ Hase bib inside <br />� //�i, , <br />_"'_____13ib(orsla6lecontaining._.____- sLill._ ._.. <br />"_' ""Numher u( persuns in familp <br />r <br />' ' "_ _Num6er o( roomc in building <br />"Che;rtemisesarelnLeused-nsa..--- _____'._...__ <br />.... . ... . ...... <br />'f hc !nvner of the prem ises is ___ _ _ __ _ _ _ _ _ _ _ . _ . . . <br />_' <br />ThcaBentis _._ ... . ... . ............ .. .._.._._.___._ . ..... __-_ <br />This :�pplication.:��though signcd, siiall nut be b ding upon 1he City. unlil :n'. <br />cepted by The Superin��endent uf the \Ynlrr Dep:u'iment. <br />An <br />. _ __ .. . .. .... ..... � Applii�ant � <br />r . <br />/_ - <br /><��r_191 Iic �y-�/��"� /�\��� ��.� _ ' '_ ". <br />G� V �_ oi,�_o.«.. <br />