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�,—�.-_ ; � �,.., ,% r._.� sv �'; <br />.rTDr _. ` <br />w. �. Form a I500 J•1-17 C. P: <br />CITY OF EVERETT-=Water Department <br />Application for Water <br />All binnks mus filled in or crossed nut �% / <br />Evemtt..._ ' _ -"'_ �"� �__"'__'1`JY.T-- <br />TO THF. SUPERINTE dUEN ' F HE WATER DEPARTMF.NT, <br />'S' OF E'�ERETT: <br />t hereby appty fnr the use of aater in acmrdance with the rules and regula� <br />tiuns of The Water Departm_nt, for purposes anJ Fzmres stated below. <br />Durinq the time that any of thc wnter mains may� be taken up by reason ot <br />:iny improvements authorized by the City ot Everett, in or of any atreet nr alley in <br />which they may have been Inid, the City aill nr.t be rcquired to fumish az[er durinR <br />the proQrcss of euth improvements to any consumer whose aupply may thua be art <br />�d(, or be liable [or any damaKes for its fnilure eo tn dm � <br />Applicntion No._7��'. �'-""" <br />Block.--------'-- --- --"- --'---- --'--AdJ-'----�---'---'---"' <br />No.�3�'.1._'______" ""'_"'__.'_'_..Street <br />-'_"'__'.__..'__"' ' _'_"'__'_.--____'__'_.'_______'___"'__" <br />'Che work to be executed bY-____--'-"' _--'---.-'-'----"----' Piumber <br />State si n( lap• <br />__�_Tap to be inserted in the main. ���—��`� �+� <br />____' �__Watercbset <br />_ -' -' -' -. Aath <br />__ .. .Urinal ' <br />. __�.Plain (aucet inside <br />..._._____S�dc walk wa4her <br />__..__._._Ilose bib autside <br />___"__'_ dose bib [orbuildinK P��rposes <br />_ _. _ _ _ _ _ _ Hosc bib inside <br />---'-""Rib for stable containing _ -- _' _ -- -stall. _ _ . - _ _ <br />__.'._""Numberof Persuus in (nmily <br />___� "Number n( rnoms in buildinq <br />'fhepremisesarclobcusedasa_'_.________"__"""__"___________ ___"' <br />Thenwnerotthepremisesis ______________-.- - ------ <br />_ .._ _._____.___'__ <br />TheaKentia ________ "____."_"__'__..______'____ <br />'Chis application, although signed, shall not bc bindinq upon the City, until �c- <br />ccptcd by The Superin�endent ot lhe Wnter ileparlment. <br />Si ned _��/.siv -' '- -'------/ � Plicant <br />_ _ """"_ / � <br />' ___ � <br />�rV � E;>• - - ✓-iP�.O�.- -' ----' <br />�d� ----- �- _ �,�meoa�nl ' <br />l � <br />