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'. /':.'; "�"' . <br />. I� <br />�N. �. Form 4'.50a ].I-17 C. P. <br />..,.. Y r" � .—. .v.l <br />CITY OF EVERETT-=Water Department <br />Application for W�ater <br />All 61anAs must be in or crossed �jft `�, <br />Everett.-..__ -�.---d�_'_1--..``--,___'____.lgi�__-_. <br />TO THE SUPEFINTENDENT OF THE WATER DEPARTMENT, <br />CITY OF EVERETT: <br />I hereby apply (or the use of water in aaordance with the rules and regula� <br />tinns uf The Warer Department, fnr purpusrs and fixtures sta[ed below. <br />During [he time that any of thc waiec mains may be taken up by reason of <br />;my impmvements authorizeA b>' the City of Everet[, in or of any street or alley in <br />�chich lhey may have been laid, Ihe City will nM be requireJ to fumish water during <br />�he progress nf such improvements to any consamer whose supply may thus be cut <br />nH, or be liable for any amages (or ts (ailure so [o dn. <br />Applicntinn Nn... _ �_�' ---"'�-' �]/ <br />HI<xk .__e� .'. �___Ln _'__L.'_____________Add____..-_._.___'__.__ <br />Nn.__'.'__._ __.".__. _ ".i"'____"."___'.Street <br />i q <br />/. ..�"�` "'__"_"_"' _"'__'_'""___""_"_'" <br />. _ "'_"_"'_ <br />___',fheworktobeceecu�edby____".__'______-___.-....______-_.__ Plumber <br />Stale �izc nf tap. <br />. / <br />_�_�Tap to be inscrted in die ma�n. <br />"_"_�/_". Natcr close[ <br />'__'J __'_Bath <br />_._..___ .Urinal <br />________-Plain faucelinsidc <br />. ______.Side walk washer <br />_ _ _ _ _ _ _ _ .. Hnse bib oulside <br />___"___Hose bib torbuilding purposes <br />_ . _ _ _ _. _. Hose bib inside <br />. """"F)ib for sm61c contain�og. _ _"--- - - - -�tall.. _ - <br />_______ . Numberof persons in (au il)' <br />_.___.__Numbcr of rooms in building <br />The prcmises are lo bc useii as a _ _ _ . _' _." ' - _ _ . ""_ _ " '"' <br />_ <br />Theownero(thcPremisesis "___'-_ _ ..... . .......'___""__".____' <br />TheaKemis.._"__._ '_- '_".__"_'___'______ <br />7'his applicatinn. althauRli siK��«I, shnll not be bin mF uUon the City, until ao <br />cepted by Thc Superinren ent ��f Ihe Nnter Urpnrtmeul. <br />i <br />� Signed > _ . .. _ _ __ .____'__'..ApPlicant <br />� <br />Accepted- �'_- "- 19�'l� By' _ "._ . ___'_ _____"_'__'__ <br />"" - Suro�intenaem <br />