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. . ._ , ., ._- ,� Cn�-�7 Si 2.6�9 �..U.� <br /> W. D. Fcrm I I500 ]-1-17 C.R � <br /> CITY OF EVERETT�=Water Department <br /> Application for Water <br /> .ali blanks must be filled in or crossed�.nit <br /> ���'� _.19T r_� -� <br /> F:cerett. _____.________""__ . ...._. <br /> TU 7'IIE SUPF.RINTE.�'UGNT OF 7'HG WATF.R DF.PAHTAIF:NT, <br /> CIl'Y OF E`/ERF.TT: <br /> 1 hrreby applY (��r the use of�rater iu :¢cnrdance wi�h ihe rtde�:md rtgul:r <br /> tium nf'Che lVater Departm mt, for purposes and fixture stateL bclaw. <br /> During the time �ha[an)'of Ihc water mains m�v be takcn up by rcasun of <br /> ' any improvements authorizeJ bp the Citp ot Everett,in nr of a��) strect or alle}' in <br /> �a��ich they maY have been I:�id, the l'ity�.�•ill not Ix requi•rd :o furnish water durin�; <br /> the ProQress of such improvrments tu any consumer ahu;e supply mny ihus be cut <br /> idf,or bc liable(or any dam:�K�� for its f:�ihvc su to do. <br /> Applicn[iun No.__�!'rs..� �"'_"_' /�Q� _ <br /> Rt�xk _--�----- --�J�j oc---�i-^�7-----------Aai�.�'1�-------- -- <br /> \o..--�..�l�L. _. ./--.�`'-'-�-�-------------._S�rect <br /> __.._ _....._..._"_ . _'_.____'._._.. _'_'__""__"'_"'_'________.___.__ <br /> 'fhe wurA to be rxccuted bY---_-__.__"'__ '_______ ____________ _' Plumber <br /> Slatc sizr of tap, <br /> / <br /> . .'L._"__'fap to be insened in the mein.� , , � r `_._, <br /> __�______Naterdnsct � <br /> ._/.'___.I3ath <br /> __ .__ .Urinnl <br /> _____...-Plain faucetinsidc <br /> . .. .___'Side walk washcr <br /> ____.__...Iluse bib nutsidc <br /> ____'_._Hosebibfnrbuildingpw�pnses � . <br /> _____.____Hose bib inside <br /> .___"___Hibforslablecuntainin{�_. .._ _ slall . . ___ <br /> .__..__"Number o(penuns in familr <br /> ._.____'__Nmnberufroomsinbuildin�; . <br /> '1'he premises:ue ta 6c uved as a_,��_.n,cl.re_�'_r . � ,� r' <br /> .._.. .._.._. ._ ..._. <br /> 'Phe nwnerof thePremisesis _____'_.____._._'__..._______._._....__... <br /> "Lhcagentis ."__""_'..._ '__"""'_"" '_'. " "'_"_""""""'_"" <br /> "Phis applicatinn.althnugh signed,shall uot bc binding upon thc City, until ac- <br /> crpted L��The SuperintenJent of�h`, Vn�er UtPa��mci <br /> • �- <br /> , � ���" q r <br /> i ., � _..,._ . <br /> $i�;ned"___' -'.-5':.. �<<.�,�_�jc? ...''_c._ Applicant <br /> __.__ <br /> Accepled..�S -j/.s".i__14'� " .�. . . . .___'__'__'_./ <br /> (/ �/1�� 5�,�;-rm�.ncer.i <br />