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�N� � i—_ .—�-' . <br />R'. D. Fcri� ♦ I SGG 3-I-I ] C. P. <br />C[TV OF EVERETT==WaYer De�artment <br />Ap}�liz�ataan for Water <br />All blanks nmst b� filled in or crossed imt <br />= G -.. <br />r•.�«�u..-- �%� � � <br />._______._ _.__ . ._.__.._._19�'�._. <br />TO 'fHG SUPIiRIN7'GNDEN'I' OF fN6 WA"CGR UBPAItTM1iK'C. <br />' 'CS O� 67ERCTT: <br />1 herehy apply fnr the use o( �vater in atmrtlence wich the rules and regula- <br />ti�,ns o( The 1Vnter D�partm �n4 Cnr purposes and fixn�res stated bclo�r. <br />Duriny� Ute time 16at any n( the water mains may be Ciken up by reas»n of <br />:m5' improvements au:norized iip tne City o( Gverett. in or of any s[rect or allcy in <br />which tliey m:�y have br.en laid, [he City will nol be required Iu (urnish water durinR <br />the proGress o( suth improvemrnts- tn any cuns-umer whnse supply rn;�y thus be cu[ <br />ui(, nr be liable (or any dant3Fes for ils fiiilure sc ln do. <br />Applicnlinn Na. �� � �✓ J — <br />_'_"__"' <br />�- � . <br />�ai<,��: ��� — — — toc -� —7 — --naa;: r_L�/�_ GLa/�CC�{i <br />Nn._/1...�i!_��GLG:/j.Gli__�'__Strcet -.. <br />_"_..__'__'.____ .'_'___________"_"_'_'_-"______'_"_'_"_. <br />'fhe �snrk to be executed bv ___ ...._ ... Plum6er <br />. _____ . _ ' ___"__-___' <br />S�a�e sj/.e nf �:�p. <br />.-. ��2.Tap tu 6e inserted in Ihe nmin. /`' f <br />'____�_'_\Vaterclnset l / <br />--_'_�'..11a[h <br />"_'_' _Urinal <br />- _ _Plain (aucet m=idc <br />_ - _Side �ealk washer <br />. .Jiose bifi nuts�dc <br />-_ __ _. __ _Hos� bib (nr 6uii. �ng Purpnses <br />._.._..Ilosc bib inside <br />� <br />� � 7.� � <br />,�/�, <br />� � 1 <br />�' I � r 1 �� ; �� <br />� "iil% �/� i . �R�' <br />' �, <br />���Z'����_ � �yc..� I <br />____'___I3ib(arstab!econtaininF.__.__.._..sn C� C . <br />t` __'_ ` .{p. <br />___�-� __'�'__"__'_ _�h �'�'• <br />_ NumLcr n[ crsons in famil � _ <br />. ..U_".Numbcr u( rnoms in building <br />/ <br />C: i <br />'1'he prcmises are tu bc used as a_ ._ ____'_" _____ _"_" <br />The owner u( [hr premises is '__""_ _ _"'_. _' _ _ _. _ _"_'__ __""' _""_"' <br />"Che.iKent is .___.____.._..._._.__._ <br />This :�pplication. allhou}�h sipncd, sha!I nul be bindiny; upun thc City. tmtil ao <br />r�rtrd b>' 7'he Superir�en��eff�) (� the Wnler Ueparlment. <br />� /// ,�� �i��p �� //.q � � . o <br />Sil:ned _ _ /C.f.✓`�(/.�-�'-�--'%. (/�.`_T �•.-.:. ___APPlicant <br />Accepted ;.'' �� "_ 1��� g � / <br />� i�� Gurerlmm�dcm <br />��.�Z7..-� �.. .-�C .-. <br />