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�.-.il� / ,� , . . _ .. ,���.%f7:o—�%-23 � <br />�;,;y:..� <br />W. D. Fnnn 4 I500 d-1-i 7 C. P, <br />CITY OF EVERETT�=Water Department <br />Application �'or W/a�ter <br />All blanks mu�st be fiQJed ��'n� r crosved �yV <br />F.veretL______"_ -.lL__��'(�._'__'___'1�__ <br />7'U THE SUPF.RINTENUGN'1' OF TNE WATER DEPARTMENT, <br />CI7'Y OF E`lERETT: <br />1 hereby apply fur the use nf �vater in accordance with the rules and regula� <br />trms uf The Narer 0.parunent, (nr pnrposes and fixtures stated below. <br />Uurinq the time ihat any of [he water mains map be taken ��p by reasan af <br />:mc impruvemen(s authnrized by the Cit>• o( Everett, in or ot any street nr alley in <br />�vnich thry nny have bren laid, the City wiil not be required lo fu �nish water during <br />the prnFress u( such impmvements [o anp consume� whnse supply may [hue be cnt <br />� n((, or bc IiaMc (nr nm� /d�atnv:tK� �ki/�r,rt' s Gilure so to do. � <br />� APPlicntion Nn..= /__( -. '_7 . . <br />__ ._" <br />��L /� // . ��_ <br />� Nlcek ---��-f — Lot-- ".'--- A -- /U.!-! .-.�""--'- <br />— <br />I No.. �?�� � , i <br />-- -- -- ----- ------ --------.StreeF <br />I - ---' -- _ — - - --------- ---'--- ------- <br />---- <br />-------------- <br />'fhe work to Ae executed bY---_' .-' '--" __"--"-'--'-, -'-- _' Plumber <br />� State .s' c of tap. <br />� _ / i n <br />--_ �-�.Tap m be insrrted in the main. � � -� <br />._..__.'__Water closet <br />' ._.""_.Bath <br />__..___ .Urinal <br />I -__..�_Plain faucet inside <br />�i .._.__Side w•alk washer <br />. _ _ _ _ _ . . _ Hose 6ib outside <br />._______Hosebib(orbuildingpurpnses ' <br />.... _ _ _ _ _ Hose bib insidc <br />._____ _..14ibtnrstablecontaining_____.__.__staL_____., <br />.___ �.Number o( persuns in family <br />.___.____Number of rooms in buildi <br />'fhepremiscsnre«�bcused. .__. __ _ __ __ ' <br />. __ `'_ __ _"!. - <br />_ _" <br />The ownern(thepremisesis __ _'..____"'___ .___'_ _ ' : . <br />'.___' _."". <br />TheaKentis ___.___ <br />..__..__._"___ .___.__._'__._"'_ <br />Thls appliration, although signed, shall not Ae binding upun the City, until ac� <br />'pted by 1�ac Superimcn�t o( the Wntcr epartmenL ' <br />/ <br />Signed_'_�wy'-' c_n�j�+ �' Applicant <br />� �7�/��5 !� � _'-" <br />Acccplyd.%/��_�S-j_�C� RY-�� �/ � __ _' ` <br />�c �'-' - <br />��.�ErTnl<ndent <br />! <br />