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_ . . . �n.z�S—^rr-9. �. <br />" W. D. Form 4 ISDO 3-I-V C. P. <br />C[TV QF f1'CRCTT==Water Depart�nent <br />t�pplication for �JVater <br />All Llunks must b� led in or crosed out � <br />_ — �/!� 5 <br />Everett.-.__ ___�.L�_ .._.19}��. <br />'PO 'PI IE SUI9tRIN1'ENDIi;:'1' OP T11E �VATL•R DEPAR7'A1EN7'. <br />CI'fY OF G`/ERET"C: <br />I herebp nppiy tnr thr use u: watrr in accordance wnh �he rules and regula- <br />�in�r ,�C The Nater Ga�artmeut. (nr D��rpnse; and fi�!w�cs �tated below. <br />Durin�; Ihc [ime �ha: ,mq af the wa�cr m:iine m. �: '.. v.' en up bY reasun uf <br />;�oy impruvements aulhurized by �he Ci�y ��f Gceretl, in rv.'�( : n y street ur aliey in <br />�chich UIeY ��' �l' hove Leen IaiJ. [he Ci[y will nnt 6e requind lr �.urnish H�ater during <br />the prnGress of such imprmeulenic In :ury [oneume� �ehose su;�ply ma7 Ihns hr cul <br />nif, nr bc liable [or anY/��m'�iFes for its fnilure sn to d�•. <br />ApplicntiunNo.__F_�.�/ / <br />'_____'___ <br />� ^ <br />Rlntk . l/--___ __' '.Lot__�_ _ y'.___'Add_.._. __._ .- . .. <br />::u�G%!%G_ �-{l!�!�bt�_�"Y___..3trect <br />_.—�----..._..----- � ----' -- <br />'fheworktobe�xecutedbY--_---."""'__ ____ _____.-.________ Plumber <br />5[atc sIZC of tap. <br />/.7J___'1'ap to bc in=crted in the m:rn. � <br />�.__1M1'a�crdo.cl ..../1J JC� � <br />/ <br />___. �__'.liath � <br />_. _ .__ .Urinal <br />_ ._____Plain faurct inside s ` � <br />._SiJc walk �eash:r � � �'��� <br />r�'�l� �,< <br />. _Ilnsc bib oulvdc � � � ��' <br />� . J I ',�.'. <br />_ ____'_Ilose bi6 (or building purpuses I � �i �� <br />_____. __Iloscbibinside �i. . '^• 4_� ��� ;I <br />_..IaIL�, ,r ).,�.(�. i' <br />Iiib(nrstablecontaining_._____.-- ` �c'--1-CLf � �' <br />___""-_'Nmnbcro(Drrxansin(amily e�.,:' I' _"_� �.� <br />_ __. _ ,.__Numbcr u( rooms in buildin• ,•,��• •• � '�' <br />��q��, r �" <br />'Pltf prcinis�.s are tu be used as a_ �s'b�� <br />A � u <br />/ . _._________________________..____ '... _ <br />'fhe na•ner o( [he premises is ____ ...___'_. _..____._____'_______._ <br />"Che aFent is .'__""""-'. "__'_"_'___' ".___'__"_'_'_'__ ' ______"__ <br />7'his applicaliun, altliough signed, shall noi bc bindin.q upon thc Ciiy, until a:.� <br />rcpteJ by The Superimendent o�ie \\h�ter Departmen[. <br />Signed____""_1"�i2t�t� '_'_'_'Applicant <br />Accc�tciL_ _ . � I3 �/_ �_�_ i.� ' ft <br />T <br />F .._or,.�_"__� � Y S ..._.._ __ <br />- -_ . � _ _. _�..0 r:i�-: __"�„iu,;en <br />G'. ' ,1 <br />6 <br />