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En�ra �l-zs-��; ��T <br />�:. , <br />. D. Fanp f 1500 J-I- V C. P. ' " � <br />CITY OF EVEI�ETT-=Water Department <br />Application for Wa/t�er <br />All blanks musl Iled in or crossed uut 1 <br />Everelt.._.' . "_'_��'_.�__'.__191 �__ <br />TO 7'HE SUPERINYENDF.N'I' OF T WATGR DEPARTMEN7', <br />CPfY OF EYERF.TT: <br />1 hereby apply (or the use of water in accordxnce wi[h the �vles and regula� <br />[ions of The 1Yater Dspar.ment, (ur purposes :md fix[ures stated bcloa�. <br />UurinK the time tha[ any oi the water mains may be t�ken up 6y reason of <br />eny impmvemenG authorized by thc City n( Evemtt. in nr o( any street nr alley in <br />�vhich they may have been laid, the City will pot be requirrd to lurnish water during <br />�he proQmss nf such improvrmente. ro any consumer x•hnse supply inay lhus 6e cut <br />��f(. ��r be liable (nr :�ny damages for i;s k�ilure so [o do. <br />�-� <br />Applicntinn No."'`'-- �' <br />0_. _""".___ <br />llhxk _ /�� ---- ��--[L-. 7 Add-'--�-�-'-------- <br />�No..__ ..�� f-_ ._ "' _"___ _ _ Street '' <br />�'_ _ ._" ' <br />.___'.___'_..__"' . __-'___'. _.________'__-____"___'_"___"_______ <br />'Che xrork In be executed by________________ ___. Plumber <br />'__"_'__'___'___ <br />Stat s.r.e uf �ap. <br />3�'�7`' -'fap to bc inscrtcA in thc tnain. <br />_ _' �_ _ _' W atcr closrt <br />---- /--.. [3ath , % v�`'F^�' ��� <br />'_.'__ .Urinal C' ""1 i I ,\ <br />i <br />. .____.._Plain taucet inside � �i. <br />_ _______Side walk wnshcr �� � �'i f <br />J�i <br />_, <br />'___'__"Hnsebiboutside i��,;: <br />, ` �1 <br />..___._.NosebibforbuilJingp �x> s��.. �\\ �� <br />_""""Hnse bib inside t �7c�" <br />_________Uib fnr stable conlaininq..� <br />._. ._.Number ot perums in tamily <br />._�___Number o( rooms in building <br />.1 <br />a <br />ThePremisesare[obcuxdasa'..-_.__""'_'___"_' __'_____.___' __"" <br />The owner af [he premises is __ ____ __ ____ ___ _ . _ <br />...______'_____._"__"_ <br />Thc aBent is ---"----"-- --'-'--------- ' <br />This npplica[ion, although signrd, shall not bc binding upou Ihe City, un[il no <br />cepted by The Superinlcndem of the 1Vnle/r1 Depar ment. <br />SiKned.____A.�:.tJ..._CJ_____��- �.__._'._'_'Applicant <br />_.'. <br />ACCCPte1i�'__�_-? "_'"19} � 9)''L7l""�_' "_'"'_""""_""_'" <br />� �/ Suprimm.:em <br />