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C n/ r 7J �: _ / _ � t� (I � <br />.. . . Li � . .• �-Y —lV t.,. . <br />N. D. Fonn 4 ISGO J�-1-17 G. P. . <br />GITY OF EVERETT==Water Departmetiet <br />Application for Water <br />All blanks mus[ be fillr.d in or crossed mi[ , <br />o /_%...___.____191 �____ <br />F,verel[�_'____'_'__'___"' <br />TO THE SUPIiRIN1'F.NDGN'1' OP THE �VATER DEPARTMENT, <br />CII'1' OP ti`/ERETT: <br />1 hereby apply fnr Ihe use ot wnler in accordance ��ilh [hi rules and regul:r <br />timu o( The W:�ler Depar[m mt. 6>r purposes :md li:tures s�nted 'oJoa�. <br />DurinK Ihe time Ihat an}' ��t Ihe �vaR�r mains may ba taken un by renson of <br />❑ny improvrmen[s atnhorized 6y the Ci1)' �d Everclt, in nr of �ny street ur allc}' in � <br />w•hich thry maY have heen laid. thc City ���iil nnt bc required tn lurnish water during <br />the Vroemss ��f 4uch improvements [n an3' ��nsemrr whn<e �upp�y maY �����s Ue cut <br />nff, ��n c� liablc for an)� dam�K�s ��'� ��` �0t1��re sn In du. <br />O <br />Applicntiun IM1a."--�0. -'-----'-'- <br />ct'__t .. __"Add"_" _"""'__'_'- <br />�s�„�k ..3-�— — -- � ------ <br />.�,. ---/�. o- l. _�a�'z--..s««� <br />- ------- -------�- --/ <br />- ------- --------------- <br />---- <br />y� ___ _ '______ ___'_ Plumber <br />'_",fhe work lu he csreuled b);l,! `1-1.. '_.- <br />Sta(c size of tap. <br />�� )��__Tap tn be inserteJ in the main. �..���'.�'.. <br />I i,� lJ....rtL�:�, <br />__.i_'_Warerdoset i. � . �� �, <br />. . � ✓ A� ��. � '� <br />--� ---_ �,�h �� ra ��� 1�\�� <br />_ _ � , �, <br />, <br />.Urinal � � � % � <br />- • . c� <br />'_""_'__Plainfaucetinside � .���p�`� j <br />� ~ <br />.__"'__'_Sidewalk�vasher ,``l�'j ���..• <br />,_tlnse bib outsidc <br />���eC: E� <br />__Hosc hib for buil:ling pw�p�,ecs � <br />-_--__-_--Hoseb'hiuside ���� "E/ <br />_' _ _ _" '�+.r. <br />'__l3ibforstablcrnntaining.---'----slall.__._-" ' <br />__" '_' Nuiubcr of pers��ns in family <br />-'_S""Num6cr u( roomb in huildin � . <br />9'hepremises:vetobcuseclasn_ � . _._.""'_'.'_ ___.____ '___. <br />'Che owner af Ihe premisrs is _'__"----- -""-�"� <br />._.._.-_'___'_______ <br />The aqent is . _ _' _ . ""_' . _ _ _ "". _ _ _ _ <br />1'his apPlication. although signcd, sh:Jl nut 6c binding upau tl�c CitS'� until ac- <br />cepced 6y'Che Superintendenj^n� thc Nnter Uc nrUucnL , <br />Signed _/--`����� - -w, -�1PPlicant <br />Q��/• , s.�t��'_____-_ <br />:\ccePlcd ..i/_�.__'__'I/���'� ___ty�'- . _"-__�--S�a���ime�dm / <br />t� - s <br />