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%r.t��1' Y- Y�i. � � � w ._ „ , . , ry <br />W. D. Furm 4 I50p J-1-17 C, P. ._ ' , JI <br />CITY OF EVERETT�=Water Department <br />Application for Water <br />All blanks mus[ he filled in or cra � uut <br />Evere�t.-___"._._'__.������j/��_� Y_"_19� <br />TO THE SUFERINI'ENDENT OF'PHB WqTFR DC . ItTMENT, <br />CI7'1' OF E9ERE77; <br />1 hereby apply fnr the use u( n�ater in nccor<Iai.ee wiih Ihe rWes and regula� <br />tinn; uf The Water Departmrnt, (or purpuscs end fixtw ^ stnted nelow, <br />Dnring the time tlrr, nny o( Ihr wntcr mains may br fal.c.i up bv reason o( <br />nn>' improvrments amhorir.rd by 1he Cl�v o( E�•erett, in or o( any sircet or alley in <br />which they mav have been iaid, the City x�ill not be required l0 lurnish wa�rr during <br />the prngreas n( euch imprm�ements In an:� cnnsumer whase eupply may Ihus he cut <br />��ff, or be 1ia61e tor any damagcs �or i[s ( �lnre yu to do. <br />Applirn[imi No.._�7�1 �1� <br />-7 " ""_ . _" <br />dirk�k._�_/._�!_ _---Lot_ ,-./O—�! ' <br />._..._.""' <br />p 9, Add. -- --- --'-- — <br />w,... ��_Q_�../�-tL ea��� ------- � - --... st.cet <br />-__.'..'__" <br />. ___.__"___ _ <br />_ <br />�7 � _" _' _" <br />"_.___'___.-___'_'.'_'__ <br />The work tu be ex�•cutei� by.__.� __ (,(�(j/ / <br />-_- . --'-------_ Plumber <br />S[atg yz4 nf tap. ���• <br />-��/_�_Tap In d� inserted in lhe nmin. <br />.. . _ _ _ `_-µ'arer clu:;ct <br />___'__.1.13ath <br />----_._ .Urinal <br />-_--_.__Plain faucct inside <br />- - .. _ _ _ _ $ide x•:dk washer <br />--. - .-_.._Hnsc bib cu�side <br />----"_'_Hnse bi6 fnrbuildi�ig purposcs <br />----..-_".Hosc 6ib insidr <br />-"-'."_[3ib(orsta6leconlaining.____'__'..snll_.. '__'_ <br />____ "NumL�•rof per..uns in fnmil�. <br />_/_ <br />—_..LJ __Number nf rnnms in Uuilding <br />The premisrs are to Le used as n_.__..._ <br />_'__.__. - <br />. . +�l_"'_'"'_.._. <br />'Phe ow�nernt the premises is ____.. <br />.._____... _. <br />___.'__"_..__.'_""'__ <br />Thc agent i� _'_"____ <br />..'_._._'__._'__'_ <br />7'his appiic:uian. although signed, shall n m� upon thc City. until nc- <br />ccpted by The Superinlendent n( thc Nnter . ennt. <br />Sipnc2' '_� . ��S(� ` <br />'.'_r' o <br />_-__ <br />- _ ... "_' _"_'ApPlici4 <br />Accepted_�-_��/�___ y�� li� O <br />'!' """.____._'.__'____.'.___ <br />s�:..mi�narni <br />