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.i i fl _ /- a.i .. .. : . . � ��-. . _ <br /> W. D. Form � L'�OJ YI-17 C.P. <br /> C1TY OF cVERETT==Water Department <br /> Application for Water <br /> All blanAs must 1 Iled in or cra�c nu[ <br /> Everett. � �` -�--- <br /> .__' _____ .__""."__.."______1 <br /> TO 9'NE SUPC•.RIN'I'ENUIiNI'qP" IIL•' R'ATER llGPAN"f\IGNT, <br /> (,1 '1'OF G`/GRETT: <br /> I hereb>�apply(or Uie use o(water in accordm�ce with �he rules;md regula- <br /> tinm u(The 1Vatcr U�D�r[ment. (ur purp��scs anJ fixtiu�es slate<I below. <br /> Divin.l'the lime that nny of the water mains mar be taken up bY reasnn of <br /> :my improvements authorized by the Cin�of EvcrMt,in or ot any strcet or allel' in <br /> �vhich diey m:�y �mre heen laid, the City w'�II nu[Ue required tn furnish water during <br /> the prngre�s o(such improvements to any ca�sumer x�hnse supplp mny thas be cut <br /> af(,nr 6e liable tor any sdam:�ges tor ils L•�ilure sn tn do. <br /> Applirnliun No.'__'/_!-s- "-'-' <br /> ���![� '' "_" Add__'__"" <br /> �si���: .-----� SS^ „i---�L-_._.�7 ----- — <br /> .__�_.9 �' u.iL"'_.'.. _-_'Strce[ <br /> i�n.._� g _.V._""' <br /> -'___'__'_"__'__ ' _'_""_'_'___-"_"""___'_"""'_'_"""__""""' . <br /> 'I'he ���ork in 6e executrd b>'_____"__'_""____'___.._'___.'______" Plumber <br /> Slatc�si/zS�uf L•�p. ( O� <br /> .._._J_�'Cap tu Lc inserted in Ihc main. � /.�7 . <br /> ______�___R'atcr dnscl <br /> _..__�_._I3alh <br /> ` --_ .--- -tlrimt- <br /> �"'.PJ�Iii t�u�nl indd�� • . . <br /> _ .'.____.�i(�P-WR�k"1G15�1� : . . <br /> J__.Hose bib uutsidc �=1�'��� r <br /> ._.__..__liu�-Hilrixrbnikl uscs . <br /> .__.___'_'Fixse-liil�-i+u:idr- <br /> ___'_'__'JiihL�istalilau+wt.�itif�tg--�-�-sTlr.'._ �__"' <br /> ____._"_Numbcrofperumsintamily . <br /> -_�_"Numbcr nf rooms in building <br /> '1'hePremisesnrelabeuseclasa _ ._ - - . . . .__---'_- -- ---.-. <br /> / <br /> 'fheowncro(tliePremisesis '___ .___�_' ___ _- _--___._.'_._ __.____. <br /> 'PheaPent is ...---'--------"- ------ --- -'--"---- <br /> � .his appiica[ion. althuugh signed,shall not bc binding upun thc CiIY. �»>til nc� <br /> '-y Thc Superinien<lent of t ic \Vntcr UcparlmenL / � <br /> Si�ned���2�-C���/�."4�,�__ApPlicant <br /> . �ed..""_.__ ""_'__191 By_._-_.- _--___.'__._`. __'_'.___ <br /> � � :erinlem:ent <br />