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d-/I I V I�- I-/ - � v ' �,. <br />� "� �/%�%V p_t�. _ _ , , <br />M'. D. Fc�m � I500 3-I- � <br />I 7 C. P. <br />CITY OF EVERETTa=Water Depai�tment <br />Application for Water <br />All 6lanks must be filled in or crnssed out <br />Ereretl..._._. __ <br />- -- ------ - - �`-f - -re,�. � <br />TU 7':'E SUPFRI.�'7'EYDF,N"P OF'1'l1E WATF.R DEPAkTMEN7', � <br />CI1'1' UF E9GRETT: <br />1 here6y app�y (�q ���� ��se of water in :icmrdance with the rules nnd regul:�� <br />tinn; nf Thc Water Department, (or purposes and fix[ures stated below, <br />DurinK U.e timc Ihat nm• o( thc watcr mains may be taken up 6y reasnn of <br />�my improvements authorized bp [he Cily u( Everrlt, jn or o( any street nr aliry in <br />which [hey m�y hnve bcen laid, the Ciry' will not be required tn (urnish wnter during <br />the propress o( such impmvements to any consumer e�hnse supply may thus br cut <br />ntf. nr he Iiable for any clamages (or i(, failure su tn do, <br />Applirn[ian No."_"�'S'E"9 <br />'_"" <br />Rlock .._�(�- ut _ . . .' � , <br />-__ .._. _ �"_.________ _Add..__..' . .,. . � <br />, . ...___.'____. <br />\n.. �_.0 O /- - — � <br />.. - " '_'.Strer! � <br />__ <br />. '._'__._._.__._._________ <br />. _______'.__" <br />_.'_'_'_ <br />Che �eori: to be esecu�rd bv_ _.""""' _" <br />. .. _.._____ .'_____________ Plumber <br />SL�tc sir.c nf tap. <br />-��..�""Tap to Ue inserted in Ihe main. � S> O <br />� �� <br />--�--____1Vatcrcl��mt � I <br />"f.'___.13nth <br />-_-___ .Urinal <br />'--""__Plain Lmcet insidc <br />---""..tiide �ealk �vashcr <br />-""_,.._NosrbibnWside .. `. <br />'-""-__.Ilose bib fnr 6uilding pw�pos-es <br />_'_"_'_'Hose6ibinsidc •. •,.,.,s,y„ . <br />"_ Hib tor stable containin � � � . .� � <br />'_"" g.'__.'.._stall._.____"' <br />' _ _ _ .. _' _. Numbcr � �( persuns in fnmily <br />--4--"Number nf rnoms iu building . <br />1'he premises a•c tu be used as a____ <br />._'_____'__"".""'_""'_"' <br />""" <br />he owner o! thc premises is ___'_' _ <br />_.__'._... <br />..-_"'_"'_'___ <br />"'_"""" <br />The aKent is . _ _, _ - <br />"1'his applicaiion. :dthough signcd, shall nut be Linding upun ihc City, un�il ac� <br />ccP�cd b)' 7'hc Superimendent Ihc N'nter DeparlmcnJt / <br />SiQne<I ___ �/.��Qr./Y_': "� 6�i y <br />.-- APPlicant <br />���/ <br />.l:cc�,�r„4 � � . , . , • <br />`/_—/�' "'__1!1� ,it <br />___'_- <br />-��,�:,��,�����, -I <br />