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�r-�-�a -;, . <br />, <br />_ - , , <br />N'. O. Fam � I5G0 J-I- V C. P. <br />GITY<OF EVERETT-=Water Department <br />'� � Application for VVater <br />`., 1 �. . - . All blanks nuist be filled in ur cro c mrt <br />. . �:... �. / <br />> ., . Ecerett,-��"."___.___.-_'19�_ <br />" .� �� 'PO TIIF. SUPIiRIN"CENUIiti9' OF THE MATER DF.PARTD1ENT, <br />� ' � - � CITY OP E`JERETT: <br />� ..� � . 1 herrhy apply !nr the use of water in �ecordance with the rules :md reR��la- <br />tinn: uf Th^ N�ner U:partmen[, tur pnrposes and fis[ures s�ated bclow. <br />UurinK ���e [ime Ihat any ot thc wa[cr mains mnp be tnken up by reason o( <br />Ir :mp improvemenL authorized by liie Cit7 o( Evercll. in r,r uf any strce[ or alley in <br />� � n•hieh [hey nnY have becn lai<I, the Ciq� u•ill not bc requimd to furnish water dnring <br />� , , the pmgress n( such improvements [n any consumer w•hose supply m:�y [hus be cut <br />�dL or be liable for arty datna�e�.(nr jts failure so to An. <br />Q � <br />� ��_::z.. . � . Applicntim�Y"�'J/�-lJ__/O / <br />, �';;' '' . Blcek ___'_"_ _-"' J "__"_'..AdJ.__' ___"""_"_ <br />`r�_ �_�._.��._�.__. _.'('!�alifiL..___..Strcct <br />.� � \n.. __ "'•"___ <br />""_ '_" _"__"_ ' __'_""_"_"__.""_"'_"'___'_"""'_""""_"" <br />'1'he o•ork to be executrd bY_-_.-._-___"_ '--__.__.__. _._____ Pl�mber <br />Stalc �izc n( tap. <br />� <br />__�. _!� __Tap to Ix inserted in �he main. � / J— �/ <br />--.---(... W�ter clnset �� <br />.__._�_.I3�th . � <br />_ .L-lrinal � <br />�.Pl�in faucel inside � <br />__"_ i <br />._'_.___'.Side_�ea114wTsher � !� � <br />. Hose bib outsidc / --��., <br />__',_.._ <br />._'___._..Uns�iLlos-building7mrpo�es / `�i <br />/ <br />.__.______W�u:e-bib�imicle--• 1� .� <br />. _ _ _' _ . _13ih1ncstaHFrrnnTdrttiSg :. _ _ . _ _ _ .. . . slnll _' _' I-- �/ <br />l. <br />__. L Nmnbrr of persnns in tamily <br />.__ L[--__Nmnber o( n�oms in huilding <br />'1'hc premises are to be used as a_ �� � <br />7'h�• ����'��er n( Ihc premises is /��(�- <br />. . <br />/"' ". __ ' . ..' '__""_' __'._._..."' <br />'PhcaAentis '___._..._.(-�. '._'___'__.___ ._.'__._"'_'.__'_'_'___._ <br />7'his :�pplicnlimi. althouKh signcd, shnii nnt 6c binding upon ihc City, imtil ao <br />ccptcd by "fhe SuPerintendent a( the 1Vnter Uepartment. f <br />i �; / <br />SiH��c�l �l__ LL-_L( L.• � LLf q Ap licant <br />- � J _--C- -L-` �`-- <br />--- � <br />/ 7�c.� �/ , /,i <br />AcccPted .-/��---�'----�-� Iiy� _'�.y� ���-./L-� `;..�Y� _ <br />/ Vj� /\% -- ✓ 3t�iltn�em}2n� <br />� <br />