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d <br /> f � <br /> " /' �i - , } �� � <br /> �'�; i <br /> �r;-'I� i. , . <br /> W. D. Form � I500 J-I-17 C.P. ' _ <br /> CITY OF EyERETT-=Water Department <br /> APplication for Water <br /> All 6lanks must be fili in or crossed uw <br /> Everelt._._'_ ` _"�'tti. � C <br /> _ U � <br /> TO THE SUpEfi1NTENDF.NT OF T <br /> ' " -- ]sy.—�_. <br /> • WATER DEPARThtENT, <br /> CIT1'OF EYERETT: <br /> I hereby;pp��' (or the use o(water in accordance wi[h the rules and reguln. <br /> tiuns u;7•he �.y��er Uepartm_nt, (ur purpoyes nnd fixtures stated below, <br /> Duri�ig the time ihat nm•uf the w�ter m�ins may be t�ken u <br /> any impraver.ients authorized Ay lhr Ci�y o(Everett.ir nr of any strcet or alley in <br /> which thry i��Y hace 6een I�iid. thr City will not tx requirrd[n furnislK ter d�ring <br /> �I((, or�bc I ablc fnr anv dnmaAesn(or��ts�taihrc�}o to du.h�`e su I• <br /> �S VP 5 may thus bc cct <br /> APP�icnHon No.'_��-.0 �- ... , <br /> Nlcek .__'�_ '.-' . __ , <br /> "' // LoL' '_c_.___ � <br /> Nn._�i! Q �i __' ' Add._� ' . � . ' , <br /> - � �_.� �-�Z�2L- _ � "�''_"'_- . . . <br /> --- <br /> - --- <br /> �----� � - <br /> � ---...Street <br /> ------- --. <br /> The work to Ae executed 6y.____ __ _.___ _ <br /> ___'_'._"'_' <br /> Sta�e izeuftap. ---�--"--'-'--'------'_ Plumber <br /> -/�-��-TaP M br. inserled in the main. \ � <br /> -- ----K'ater clnset / X� <br /> -_/--"-Ifath � �� /�o�> <br /> ------' .Urinal <br /> ---'-"'_Plain (�ucct insidc , <br /> -.-""'_Sidc walk washer � <br /> ----"'-'Hose bib nutside =u 15� , <br /> ---"'-_Hase bib for huiiJing purposes . , <br /> -----'.--Hosebibinside ..��.. . _ <br /> --'-"'__Bib(orstable containin � (�J . <br /> x.'_.___.__.shll____.___• . . <br /> --"/�--"'Numberuf pers��ns in family <br /> ---'b�'-Number of moms m huilding�., <br /> The premises are to bc used n.a.. �J <br /> V L-fqc-�LC�t <br /> 'Phe owne.r af thc premises is _ <br /> ��r,�4e,� `�- -- <br /> 'Phe agent is --L='--'-'-„_-- , <br /> This application, nlihough siKned,shall not be bind�up��n Ihe Cit `_'�---- <br /> cepted by The Supenmendent n(�����y,a�er bepartment. Y• ntil a�. <br /> Signed__�(/ . <br /> '_":(- - �Z�CLs-.�. <br /> Accepted.__ ��-- "'�lpplicant <br /> ��-/ ----- -�.�•--iei3 A � /` - <br /> _ <...����— - —___..__ . <br /> . \' :erintentleri <br />