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(Sl•.���r�1' /�-2-/'I- ��. <br />W. D. For�n ! I 500 J-L 17 C. P. <br />CITY OF EVERETT--Water Department <br />Application for Water <br />All blanka must be filled in or crossed out <br />Everett.-___"_""'____'_"g-(_2 b""'_'191 �_: __ <br />TO THE SUFF,RINTENDI?N'f OF THE WA'1'ER DEPARTMENT, <br />CITY OF EVERETT: <br />1 hcre �,�� ��ply (nr [he use ot water in :�ccordancc with the rules and requla• <br />cinn, uf 1'he \{'a:er Uapar[imant, (or purpuses and fixwres stated bebw. <br />DurinK the time that arq• of the w�[er mains may be tnkcn up by renson of <br />am improvements authorized by thr City of Everet[, in or of �ny strcet or ailey in <br />wh�cL they m�y have been Iaid, the City will not be requimd to furnrsh water during <br />the pmgress ot such improvements to any cansumer whose supply may thus be cut <br />n(L or be IiaLle fnr any damy;es for its failure sa ro do. <br />ApPlirnlion No.' "__'!1 �1-�-- , <br />' _' <br />Rlock ...�.Q- —' -'--_Lot_� ' �-3-`}-S—"Add--'------ <br />e--"--"'--" <br />\o..'.".'__.32_'�_p_"" ' "__..Street <br />""_'_....'_..'_"" . "_'__"'_'._.___"_"'___"__'_____"'_'_.. . <br />"' _"' . <br />:.� .` _� The wo�k m 4e executed bY--'--'-'---"' ' -----"----'-- Plumber <br />•.::� State sizr nf tap. � -'���� <br />'• n M <br />_.4 c__. Tap to be inscrtrd in the main. <br />I' -. —'�--__Waterclosct <br />"""--_. Bath <br />--'..._. .Urinai <br />--"'___Plain (aucet insidc <br />-_.______Sidc w•alk washer <br />---_.__.._Hosc bib uutside <br />_-______Husc bib (nrbuilding purpnses <br />-. ---- _. _. Hose bi6 inside <br />--""""Bibforstablecontaining __'_'__.__.swll.______ <br />______..Numbcrotpersonsin family <br />'-"'--_"Number o( ronms in building <br />'1'he premitts are tu be used as a_.__. ""'____'__'.. _..__ <br />_'_'.""_"' <br />"".. <br />The owner uf the premises is .___ <br />The agent is . _-. _ _-. - <br />__- <br />—. -.-'-"'----' '------'---'... <br />This application, althou gned, shall not bc binding upon thc City, until aa <br />cepted by The Superinlc c; if the Nqter Departn�r7� � . � <br />�,/ , , <br />, � /."� r �� �F-.�'C!.' L. <br />SiKnrd .�'Z: (if _ /�L�L , ; . .. � � <br />""" """_'S"'- L_"!'Applica� <br />. .. .__'_'_ <br />n«�,��� -- � is� p <br />� 2 � <br />� <br />---- -- ---- ----- — <br />� _ �.� ������.� <br />