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s <br /> -r;p <br /> •/—/� YI ';l .. . �. 1-NT-7J ro:2.'. -23�1,:. <br /> ` i <br /> N'. 0. Frm�. a I SCO J-:17 G P. <br /> CIT�' OF EVERETT==VVater De�artment � <br /> Application for Water <br /> All hlanks must bc filled or trossed out � <br /> ��v —ti4/` <br /> �VC�eI�. ._"""_"' <br /> ___ _ _"'.."'__.____'_.__19 '_ '_. <br /> TO 'CI IE SUPI{R .f�'TF.NDIiN'1'OF THE\VATER DIiP/.RTMENT, <br /> CITY OF EV�HETT: <br /> 1 hcreby apP�Y ����' the use of water in accordance with thr rules and requla� <br /> tionc n(The Water D:partmrnt, tor nnrposes and fixtures stated below. <br /> During the lime that an}•o( the wate� m:�?ns may be taken up by rea5on of <br /> an)• i�npmvements authorized by the Citp of Everett,in or nf any slreet or alley in <br /> wSich[hry m�y have 6een laid,the Ciq�will not 6e required tn lurnish watcr during <br /> the Prngress o(such impmvemen(s to any consumcr �vhnse supplp m,-,y thus bc a�t <br /> n((.or bc IiaLlc for:my dampages tur its failurc so to do. <br /> Applicntiun Ru�.7"' _'0 ��"""' <br /> 81ock ._�6_�__ .Ln[.�.�_'_"'___"_'_..Add_._'_._'._ <br /> _________ <br /> Nn.. __.__ __ _'____.__ ' ...SVicet <br /> .__ •.__""._._ ' <br /> U � <br /> _... v� ._ -�`� ----.v`_-"'�`� <br /> -- ---------- <br /> 'I'hewmkto6ee�ecut�•Abr __._._.�_ . _.___._,_ Plumber <br /> ' ___"_.__'___ <br /> Slalc ize o(lap. <br /> ..��_9'ap to be inseded in the main. � s��� ��/('��/�,'� <br /> ._ .__/._1V:nerdoset � �/� GT- �. <br /> ..__.L_13a1h <br /> r <br /> _'_ '___ .Urinal �) �•�.�• �- � <br /> ' '___"'/__Plain fauttt insidc <br /> � ."_"'__9idc-a�a�k��•ashcr <br /> I � ""'_'�_Husebi6outsidc <br /> . . -__._._ll�scl�ihlorl�uildiuK-{wapuses <br /> ;� ._______..-ik+acbib"tnsi�iF' <br /> i <br /> """_'13ih.[oc-stal�lecoMnirtiMt..__'___.._.stalL'___"___ i . <br /> � .'_ ___"Numbcrof persnns in family <br /> _ �—_ <br /> ___�.__A'umbcr o;�omne in building .. •-"- <br /> 7'hepremisesarelobcuseJnsa_ .� __ ..____.__�.;_ <br /> - . __ <br /> ; The owner n(Ihe premi�rs is __. ..____ �'u�+^-"✓*�'�-++�, <br /> __ '_'." <br /> " __ "_""' _"""__'1""_'_" <br /> Thc aKr.nt is .___.___. .__. '________'__._' '.__.._.'_'_..""'. <br /> . , . . � � 7'his :ipplicatinn.altliough signcd.shall nnt bc binding upon tlic City, unlii ao <br /> . �. � :ted by ThoSuperin�endent ot tl�c Nntcr Uepartment. <br /> /� J/i �//�,�> <br /> Signed .__(/�:��L.I-'�-�-C.•y-/s�_Q.`-t�:-_._'_-___nPPlicant � <br /> A.ceplcd.'��__��.____-�3 Ry� f �r�_ <br /> � � Superin•endev <br />