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' . Fs7/7"o',_�.-�a,S e _ � H • ,- . .��:;.:�.---:t .� . <br /> . W. D.Form� I500 3-I-17 C.P. I �f�, <br /> CITY OF EVERETT-=Water Departmt ` ` : <br /> Application for Water � ' ' <br /> All blanks must be in o rossed nut_ // ` � <br /> v <br /> f�u�.. y�y 3 <br /> Evcrett.'__'_____ '_____"""_' ___"""'1 'S'_' <br /> TO THE SUPF.RINTEND6NT OF TtiE ATER DEYARTMENT, <br /> CI1'1'OF E`�ERETT: <br /> I hereby apply for[he use ot water in accotxlance with the rules and rcgula• <br /> tiun,uf The Wa[er Dapar[m�nt, tur purposes and fizWres atated below. <br /> During the time tha[�ny of[he water mains may 6e txken up by reaaan of <br /> any improvemen[s authorized by the Cih•af Everet[,in or ot any strcet or alley in <br /> ��hich they may have been IaiA, the City will not be required to furnish water during <br /> the pmgress o(auch improvements to anv rnnsumer whose supp!y may thus be cut <br /> o(f,or be liable for any damaqes tor its(ailure so ro da. <br /> Applice[inn No."'��' �7 . <br /> �"__"'___ <br /> Blixk/�.-'�_ �_' __._'_Lot.'_[a"______."__.Add___"_ .____-____'___ <br /> '_' No...CCrY. �t'���-.-..Street <br /> "": <br /> ----- -----/—�l `1--�'"'s3/_----------------- ----- <br /> The wark to be exewte/d hY_.___'_"""'.'--"'--"'---"----" Plumber <br /> Statc size ot tap. �j' /��" ,",��) .3�t� - .f�,a..�� <br /> "Z �- <br /> . ._ __Tap to be inserted in th mai�y <br /> ____�Waterdoset �Q � � <br /> '-'-"'�.IIath ,�,,p/ �D�. ' y� <br /> __._-`- .Urinal " .. � <br /> ____.!�__Plain fTucetinside � <br /> ___ Sa '- ti <br /> __ ___"._ u si e . <br /> ,._�Tia�e-biti-tdl'DURdIR�SUTB��se� . <br /> '.. <br /> _ "bi�i�k, <br /> --'__.---8itrtorstabt amroR.-"----.-.-stall--_--'--'_ <br /> .__—�-Mvmbernf-per_�ms-in-txn+ih" <br /> __�___Number nf rooms in building Cy��K <br /> The premises are to bc used as a_. _. . .- - ----�-��-� -----� <br /> Thc nwncr ot thc premises is � -'='-'�------------� <br /> ThcaHent is..'_""_'."'._'_""__'__' '_..-"_.._'_""''__-"____" <br /> This :ipp��cation,although signeJ,shall nol be binding upon the Cily, until ao <br /> � o:pted by The Superimendent of the Wa[er Dc�c�-`7�tmenl. <br /> SiHned_��1L-y----- -�-- -- - "----APPlicanc <br /> �.;..cVtcd_.__.-...__.__"___191 liy__ - . _� _ '_'__""'_"_ <br /> superlmenarni <br />