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r-m �-�_ �.-�, r- ._. �i t E,_�-rri G- ii-�v 11f <br />+ W. D. Fnnn � I500 J-1-17 C. P. ' <br />CITY OF EVERETT-=Water Department <br />Application for Water <br />:111 blanks must be filled in or crosccd nut <br />� � / <br />Evcrett-- -- -----------------/'- ��---�------19#L_y_ <br />/ <br />"PO THF SUVh:RINTENUIi�T OF THF. WATER DEPARTMEN7', <br />' CITl' OF GYERETT: <br />, 1 hereby apply fur the use ut water in :�ceordance with the rules and re�ula� <br />� tiuns u( The Water Deparlment, for purposes and fixtures statcd bcloa�. <br />UurinR the time thal am• o( the water mains may be taken up by reason of <br />� any imprnvemen[s authorized 6r the Ci1y ot Everet[, in or o( any strcet nr alley in <br />+rhich thcy may havc been laid, the City wilt nnt be required to fumish water during <br />the pmR�r.ss of euch impmvements to am• consumer w�hose supply may ihus be rut <br />nf(, or be Iiabie (or any dnm,�ges for its vf�:�iQlure so t� dn. <br />, Applic9[innNo._.��___(_pc2/ <br />Hlxk -�-------' -----Lot------------�-----Add----------------- <br />� Xn._.___.__.'__ __ ________ __' _____ __...__....Strec� <br />-9� � <br />�� / i <br />-z �1., .'� -�,-- - - 6--.z8.-s--�- -- - - <br />� 'Pheworktubeesecut��y______________r_-__-._____________Plumber ' <br />� Stnlc size �if [ap. �"wv. .�3 �}— �7 . � � <br />�j �<-U <br />_p. �____Tap in tx insened in the main. <br />"___ __Wnterduset <br />-____"RaN� ' �� � �° <br />-- �ab , �-�S—�-L��.�. <br />'___ .Urinat -75!' ou..� �.�,.a� <br />_'_'_'_...Plain faucet�inside Q-{' �-�-�.P�% y,t��_ �u�-�{� <br />.-'_'__Sidc �valk wasFer' �-�-�- �f.-f1a . � /� 220 aoo 7�n.fd <br />�, p . . / _ ' 7 <br />'_'_' H��ib tsidc .�,,,_„�.c� vT' �G� a� 5�. <br />� 0 <br />.'_'_'.�se i rcbuilJinePurpnscs %iu� /ooa �.�G_t�,_�dJ. <br />_'_____Hos ibinaidc � <br />."____"_Hibfmstablecontaining.______.�_.stall._ ___. <br />_-__-__'_'Nmn6cruf penons in familv <br />___'___'__Num�r nf roams in buildiug <br />. The Attmiscs are ln bc usrd as a__. _"______. __'____ _ _ __. __ <br />/� __ " <br />'1'he owner nf thc pmmises is j --, _ ._ Qh�. (,U`_'A��JIt_ � <br />TheaNentis ___' ___..._ ______.____ � , <br />_ .. _.. _________.. _ .__..____ <br />This applicntion. alihuugh si�ned. shall nu� bc bindin�; upun thc CitY, unlil ao <br />ceptcd by The Superinlend nf Ihe �' ler ;; r� c{ii, /i� r� ,Q�I�� <br />$igned _ _' _ _ �� �y !f " %�!!f I / /f� <br />/ --- / --- Applicar.t <br />AccepledC!/ '/� _��' _' 191 Ii)' ��. _ .. �.,�/ / � <br />�._�.._���:,i.�i.:.-_ � <br />