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� /�-.y>-D 7-/s-i9sJ(, <br />` W. C. r�rm b 150n �-1-17 C. P. .. � 1.. �) "' � <br />GI1'1' OF EVERE'CT�=Water Department <br />Application for Water <br />All bianks must be filled in or crossed out <br />��J r�, <br />Evereu�-.'--'.'-'-'--'---'-'- 7 '__ 7-'--'---'191 �-'- <br />'PO THL•' SUPERINI'ENDGN'f OR THE WATER DEPARTMENT, <br />CIT1' OF EVERE7'T: <br />I herehy appl;: Ior the use of w�ater in nccordance wit:i the rules and reguln- <br />tiun; n('1'hc Warer Ucpartm.nt, fur purposes nnd fix[ures stated below. <br />Uurin¢ the time ihat any oi the water mains may br riken up by rensnn of <br />any improvemen[s authorized by [ne Cit>• ot Everett, in or of nny strcet ar alley in <br />which thry m�.�y have been Inid, thn Ciq� will not be requircd to lurnish earer durinF <br />the progress o( such impro��ements tn any consumer whnse supply may thus be cut <br />nff, or bc IiaLle fnr any/d�amaK�s (o� its (ailure so lo do. <br />Applicntion Na."'"_f_.�-''_' /"' <br />___'_- ' f,� <br />I31uck ._.�_""' __-___Lotr__ � — �_ Add �!c��_°_ °4L�+e� <br />� "_"' �___ <br />No..'__..�. �%��Q..���'-=ti".'�'..____..Stree[ 2 u��� <br />'-'--"--�'JTl-i��"---�---'-----------"" --_ . ----� <br />'fhewark[o6eexecutedby.______�.p�l��..e�__ ___Plumber <br />S[nte sir.r n( tap. <br />� Tap tn bc inserted in the main. tl <br />�� --- °/ <br />----f---wacer claset <br />•� �`a <br />"---� -..6ath � : �.i ._ r� <br />---' --_ .Urinal /'y :-' ...__C <br />__"_""'Pl:.in taucet insidc „ , -, � � � <br />/'� � � � �. <br />"-'--"Sidc �valk �vnshcr v n �� . <br />______'.'HoscLiboulside �(��`'J�,� l'� <br />._____.___Hosebibfn�buildingpurpnscs ' � �- "�� <br />l ..� y\` " s i !'li <br />"_""'_ Hose bib insidc � T�"q s" 2y y <br />_.""_"'Uibforsta6lecontaining.___.____ � C�� �-" .� <br />IL <br />_. <br />____.____.A�umbero(personsintamily �� .' ' <br />_._L_____Numher nf ronms in building <br />'Che pmmises are lo bc used as n____' ____'_'_"____. ____ _...___'.__' '_." <br />Thc ownero(IhePremiscsis .'_"._"""_'."____ ___"_'________"___ _ <br />�Pheagcntis.."".___'..._ ""'_'_""'_ ..__._'.'___."_.___"___'______' <br />7'his anplicatiun. although sikmed, sh/al7l not hc binding upon tlic CitY. until ac• <br />cepted by The Superintendent o! t tN' r nen[. <br />� <br />Signrd.------ --- " ---------�-- - - Ap icant <br />_"'`" <br />Aacple<�_-�.`�'I y� '_______'".''"__"' ' <br />� / .`+��r.rlmnnLem — <br />