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Gri��: —�—:i�- --Z(. <br />• W. D. Form 4 I500 J•1-17 C. P. � <br />CITY OF EVERETT-=Water Department <br />Application for Water <br />All blanks musc be filled in or crosscd nut <br />Everelt,____' _""_______' �'-/ _3 _.. "' _"""1�.3 _: <br />'CO TIi6 SUPI3RINTENDENT OF THB WATER DEPARTMENT, <br />Cf7'Y O� EVERETT: <br />1 hereby npply for the use of water in nccordance with the rules and regula• <br />tinns uf The Water Uepartm^nt, for purposes and fixmres s[ated below. <br />During the time that any of the watcr mains may be taken up by reason ot <br />anq impmvements authorized by the City of Everett, in or of any street or alley in <br />which they may have been laid, the City will not bc required to furnish water during <br />the progress of such improvements to any consumer whose supply may thus be ��ut <br />nR, or be liable fur any dapmages for its taiWre so to do. <br />Applitetion No..' 7'P_ �' ____ . . <br />�'__ r/ `�,, � � <br />Block .' �/A--- -----Lot_�_ae��^ -�-� .a _ "----Add.�•.l4(-L�?�-u��(_,�% <br />No. _ _.e2.0. '� 1 �-G-q.�s.-at-'-e� - -. Street <br />Q <br />The worA to be executcd by________________.__ <br />Stace sizc ��( tap. � <br />_��___.Tap to be inserted in lhe main. <br />JWater doset <br />-----'---'-----' Plumber <br />i <br />i�__ ___ - - i <br />--'--�"..Bath � 0 � � <br />_ _ _- _--Jrinal <br />___�.__Plain faucet inside �-��'"�� •`-'`r'�'�J�"`' ' <br />...�___Side v:alk washer <br />_ _. _� _ Hase bi � outslde <br />..:___.__ 'ios. hib farbuilding pur�ses <br />__.__`�-Nose bib inside <br />_ _- _ _—Hib for stable wntaining. --- - -- - ---stall _ _ _ _ _ _. <br />___. Numberotpersonsinfamily <br />-S- --.-Number of rooms in 6uilding �] �/.�,,� � <br />The premises are [n be used as a_. �-/-'--=='= -1-�. <br />The owner o[ the premises is��" .6�-- ��-�-�.�•�-L-� <br />TheaRentis."-'----"--�---'-'--"--- -----' -'-""'-----""---- <br />"Phis applicatinn, althuuN�� signed, shall not be binding upon the City, until ac- <br />���1 by The Superintendmyt �of ihe Wotcr Departmrnt. �� <br />SiRned./_\_ _ fi���-%.� �l_+�J^�._' __ � <br />'_"___' I �f� <br />- /�ai�/ " <br />A�cepted.-,- -------'-----19� KY-----"------------------'--'----- <br />sucetlntenaem <br />