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L - . <br /> �_.- .- . , - ... . - r "// � <br /> � � r ' <br /> M'. D. Form 4 I500 �-i-17 L.P. <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> pll blan)cs mus[be (11ed in nr crosxd�mt <br /> e,���«.. -- - -- - ------9�z q----- "� �- <br /> 'fU THE SUPERINTF.NUIiN'I'OF'Pf1G WATER UEPARTA1L•'NT, <br /> Ci7'Y OP E'�ERETT: <br /> 1 hereby apply tnr the use uf water in accordance with the mles and regulA- <br /> t6m;u(The 1Vater Depar[m-�nt, fur purposes mid �x[ures st�ted bclow•. <br /> During the[ime thnt any of the��•�ler mains may be taken up by rcason oi <br /> :my imUmvements authorized bp the City nf Everett,in nr nf any s�rcct or alley in <br /> �ehich Uiey m,�Y havc 6ecn laid, thc City ��'iil nnt 6c required to lurnish watcr durin{C <br /> ntf, or be liable(or anq�d/i�n1�g,�1�(ur��i[s�(aiiuressontn dnh°sc supply may Ihus be cut <br /> Applicntion No.___/--L-Z--`,-----' � Q � '� <br /> Nlock .____ � � Add_ CS[�t-�ro.___'.__ <br /> /--- _•'_' '______ _._._' <br /> --' __.._ _ _ <br /> f2 �t.t_[_.�---- -----..Strect <br /> N�,.---�� - — — -----'-- <br /> -- -' -- -- ----- <br /> -- ------ <br /> - - -------- - ------------ <br /> .'.____-._'_"___'__" Plumber <br /> 'Phe worA tn be e�ecuted b5'--'---'---'----- � <br /> $tnlc size of lap. � o <br /> ' C, .!�_ <br /> yy�_Tnp to be inscrted in thc main. <br /> -- - ---tv,i��d„s�� <br /> %-�� <br /> --------- n,�t� <br /> --- ---- .ur��„t <br /> ___'___...Plain fm�ret inside <br /> _______._Sidc«'��k washer � ' <br /> ___ _..'Hosebiboutside � �\. <br /> ___"_.'_Ilasc bib forbuilding purposes <br /> ___.__Hosc bib insidc <br /> _ '_llib(orstahlccontaininR.-'-_"-.--.stall._.. --.__' <br /> __"_ ____Num6erutpersunsintnmily <br /> -___'__'_'N�mbcr of rooms in building <br /> 'I'he premises are to be use< as:+----"----'----'— <br /> . ._..'.._._____ .____' <br /> 7'he nwner of the Prcmises is _'-"'---------�" <br /> __.________'_.._'___"___.__. <br /> ThcaHentis. _'_'._._.______'_'_________ <br /> .____'._'___"'__..____'___'__ <br /> 'Chis apPlication, .Jihough signed, shall not 6c binding upnn Ihc Cit)'. until ae� <br /> cepted by The Superintenden[af ll'e Wn G�Uepar�nenl. <br /> t ��. ; e,�;, <br /> �ill'��' �� ' - � <br /> SiKned -----��__.'G-J_-:�'._____-__ __ � ApPlicant <br /> ���f IiY� - / <br /> ✓ _ ��_�_yy�j ' _ .____ <br /> AcccPled- - ' ve. ' _"""S�.i:erlmencem � <br />