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G.,-/�_.f :i . . - .— ' � r'.. _ . FN � �% i / 5� � 1� >��. <br />W. D. Fvm . I500 �-I-17 G. P. , <br />CITY OF EVEitETT-=Water Department <br />Application for W/�/1ater <br />All blanks mus� e filled 'n or cm9a�//'ou[ <br />______ � !/j., <br />Evcrett.---------' �-- ----.. .19�- <br />'PO 'CHE SUPIiR1YTENDIiN'I' OF THIi W.�^.'ER DEPARTMENT, <br />CITY OP E`1GRETT: <br />1 hereby apply for the use nt wn[er in accordance wi[h the rules and regula- <br />tions u( Yhe Water Daparlment, for pnrposes and fixtures stated below. <br />During the time thnt any n( thc a•ater mains m�y be taken i p by reason o( <br />an5' ��»Provements aulhurized by thc City of Everett, in nr ot any strcet or alley in <br />which they may have been l�id, the City wiil mt be required tn fumish water during <br />the prngress ot such improvements tn any consumer who�e supply may thuv be cut <br />u(4 ur be liable for any �dJamaQges/ Lfor 'it/s (ailure so to do. <br />Applicntiun No..__.,(_.0. =!_-Y."' <br />�ii��ck3��3--� s _ nda -- - ---- - <br />— -- - --- -- ---- <br />Nn..._�6Q'9--[._. _�.��....'__ . Strcct <br />_ .......... ....."_ . _'_._____--____'__'__'_"._'__.._'________"___.'___". <br />��.__.___________' Plumber <br />'Phc work to be executed 6�• _ _ _ _ _ _ . _ _' _ _' _' ' _ <br />Stale si of tnp. <br />(� u r� <br />__. /_Z_Tap to be inscrted in the main. � /c) -- <br />.. ____..� -H':�Ierduscl � <br />".'`_ . Flath <br />_._. __._ .Urinal <br />._.._I__.Plain faucet insidc - <br />.. _'__"__Side-waik-tvH5t1A� <br />_.._'__" s¢ <br />---- -� � . . . , _1 <br />--------t ��s�« � � <br />_.""."_Aih(orstablecont�inina_____-.__�t�II_'�"...__ <br />1...- <br />___: _.Nwnbcrof Pcrsnns in (:miily . <br />__ <br />.___�"Number of rooms in huilding <br />� l'he premises are lo Le used as a __ . _ ' - — . f- /�n � �-�_�-�-«�Lf <br />Thc mcntr nl [hc prcmises is ". _'._ ��"�"�---�^�Q____""'_.. <br />�______. __ <br />� The agcnt is <br />_'_'_ ___.._____________'____ .____.._'__.___'_'..__._"__"__ <br />, This applicatian, although signed, shall nut be binding uP���� the City, until ac- <br />cepted by'Che Superiniendrnt ot th � Nx��rpaQrtmcn�t. <br />Signed _.`r-_�____ ✓S/�1.'d.-/-'.__'__ApPlicant <br />Accrpled_._!�/—v . N11� By-_l/%�'.__ __ <br />� � � � �5ur�rlmendem <br />