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� eNvv. y-z_ r9 S <br /> - � �. �.\ .. ..1. _ .. <br /> ��. D. Ferm a isco a-i-n a P. <br /> C!TY OF EVERETT==Water Department <br /> ��pplication for Water <br /> All blanAs mua! be filled in or crossed nut <br /> Evcrett.-- -----"'--.- --/.__ o.'---191 �-f..�-- <br /> TO 'I'HE iUPIiRINTENDENI'OF TIIE WATER Df P �RTh1EN'f, / <br /> CPI'Y OF GVERET7': <br /> I herehy apuly (nr[he use nf u�ater in accordance wi[h the rules and regtd:r <br /> tinns nf l'he Water Departman[, !or purpnses nnd fiztures stated bciow. <br /> UnrinK the[ime that nnr nf the watcr mains may Le taken up by reason o( <br /> :my improvements authorized Ly the Cit��o!Everett,in or of any strcet nr alley in <br /> �rhich they may havc Seen laid, the Ciq� wi11 not bc required to lurnish w•ater during <br /> the prngcecs n!such imprmemenls lo any consumer whase supply may thus be cut <br /> nff, or be liable(or any dam/ag/es !�o/r i�s (ailure so to du. <br /> Applirn[inn No.._�J'_[_fj_ <br /> '___" <br /> Block _--'- 1dJ------.---- <br /> __"_" ____'1�.___"'_."__'____'_'.. <br /> " y '-'--.... . <br /> .�'n._.���_ ."'l..N?"?-�' "_"'..Strecl <br /> .__'_._._.___.__.'__ . ____""_._..____."'_ <br /> �PIIC. N'OIIt IO be execWed b}�.._��. _____ __,__ ___.___ Plumber <br /> sta��izc ot�np. <br /> -./.Z-��_•r,� co b-�ns«cEd in thc main. � �'. �-.O <br /> ____�'__Water cL se[ <br /> ._"','_.l3nth �,;`����-�r';� <br /> l-: <br /> ---� --'- .Urinal .�` �i j\.-.\\�..��. <br /> '7 <br /> _ ___"__Ylaintaucetinside � ,�j���D\� \�'.�� `�`� <br /> }/ � � i <br /> . _-____Sidc waik washer {I � �"'1� 1 I <br /> � <br /> ._.._._"Hose �i�uWsidc s,\ 'i1:.,,• �_,' � / <br /> -----__Hose bib far building purpnses � '�` � / <br /> " �� upt <br /> -----__'Hosc Lib insidc �•, h�'y� <br /> ��v�=�--. .�:>'w'4�..; <br /> ._'_____'Bi6(orsta6lerontaininq...'____'___stalL.'_'-\`C..rr .-.. <br /> _._ /'___NumLcro(persnnsinfamiiy "..�..._'r_-. <br /> __(�__"Number uf runms in buildinq <br /> The premises are tu be used as a____.._.............. <br /> ._'_'_'_"'_"_' _"-. <br /> 'Phe owner o!lhc prcmises is '____'____'___ <br /> _... <br /> ____'""'_"'_"""_"' <br /> Thc agent is ."_'._.__._._. .'_._"__ <br /> '_'__ ...._"_."._'__ <br /> Th�: npplication. although signed, shall ml bc binding upon thc City, until ao <br /> cepled by The Superinlendent n///f���ihe Nnter Department. <br /> SiRncd �.__�. ��/.. ._ V� <br /> . �-�_�.'_Applir.�nt <br /> Accepted ,�j �_�"___'/19i� R>'�1.�_ <br /> � _ ____________su'rrrlmenceri ' <br />