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r <br /> �,,,-� v ,s--z._,�;. <br /> _. w. i� eo��� a I500 J-1-17 G.P. ' • .• <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> All binnks must be filled in or crossed out <br /> � <br /> Everett.--.____"_'______'� '�_-S__"_____'19Y�-_�. <br /> TO THE SUPF.R WTENUIiN'1'OF 7'HE\VA7'ER DEPARTMEN7', <br /> CI"1'Y OP li`/Iii2E'1'T: <br /> 1 hereby apply (or the use n(water in accordance with the rules and regula- <br /> tiun;u(Thc Wa[er Drparlm�nt, (nr purposes nnd tizwres stated below. <br /> During Ihc[ime Uia[any u( the water mains may be taken up.by rcason of <br /> any impruvements authorized br thc Ciry•ut Evcrett,in or o( any sireet or alley in <br /> which they may have becn Iaid, the Citc w�ill nnt bc required ro (umish x�ater durin{� <br /> the prnFrcss o(such imprnvomenls to any consumer whose supply may thus be cut � <br /> nff, or 6c liablc(or any dam:�ges (ur i[s failure so to do. <br /> ApplicntionNo.__��-1--1.___".__.. r <br /> Iilock _a'_�_3___ ___._.Lnt./.0�//.'.���__.Add._'___ ._.._______ <br /> Vn..____�-O.�'Z- ._��.____.Strcet <br /> .__"'____._._._"' . _'_"_____'._.____"________"'__"_"__"""_ <br /> '1'hc work tu be execnted bY."___'._"'_"'..."___'___""___"____' Plumber <br /> S[ate size n(tap. � <br /> ��f__"Tap to be inserlcd in the main. �� �; i (.. '. !, a, � <br /> �5° � �. <br /> _.�.______Water closet . <br /> .�_._._._.Bath <br /> -._. .._' .Urinal <br /> ____'__'__Plain faucetinsidr � <br /> ._ -__"'_Sidc walk washcr <br /> ._..___'._Hosc bib nulside <br /> ..__"___Ilusebiblorbuildingpuiposes � <br /> __..__"__Hosc 6ib in�ide ' <br /> __"'.___F3ib fnr stable containing._____._.___s[all._'�C_ <br /> .___ ___"Num6cro(personsin (amily ' <br /> __�__'_Number of room�iu buildin�; . <br /> 'Phe premiaes aro to be uttd as a_ . _ .__.._. <br /> / // __-__" "_"' <br /> Th¢ owner uf the premisrs is -'�,---(�V.,.' - . _'_ <br /> _. ""'_ _. <br /> 'fheaHentis .______"..__._."_________ ._- <br /> This ,ppliralion, allhouFh signeJ. shail nal bc bindin�;upun the CiIY� until ac� <br /> eepted b5'Thc Superi:ucndent n([he Vnter ar n nt. <br /> ;� .� ,�-- <br /> siqnca ---_.-�---._,:�/f�<�.2?1'�:---------APnlic it <br /> �"�--�---- � ��%� �V ----- <br /> � � i '�� � Suz.rinlenner.t <br />