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... � ,--,� <br />_ , C r7-r-]� .5� ��-�z3-r-r <br />.. . �� . <br />A'. D. Fonn I I500 J-1-17 C, p, � � <br />CITY OF E1'ERETT==Water Department <br />Application for Water <br />�\II blanks must be filled in or crnssed rt <br />Evcrell.--- // `-. <br />�-------------'�- �_�__-------1s1��. ` <br />'Pci 7'HF. SUPERINTENUGN7 Of THE NATER DEPqItTyENT, <br />Ci7'Y OF GVERE7'T: <br />1 herebY aPPly (or the use n( water in :iccnrdance with the rules and regula� <br />tam� of The \Vater Deparlmen[, (nr purFoscs anJ iixwres stated 6e1u�r, <br />Uuring [he lime that anr ui lhi• wafrr mains may he taken up by reason of <br />:my impruvemenls authorized Ly ihr Ci[c a( Evereit, in n� o( any strcet nr alley in <br />�vLich Ihey may h.�vc bcen I:iid. the Citp w•ill nut bc requircd lo furnish water during <br />the pmGress o( such impravements in any consumer w•hose eupply mag thus be cut <br />nf(. or bc liablc for any d:nnaGcs fnr its tailure so tn <In. <br />APplicntion No.._ J_ j� �._"'_'__ <br />rii����: _--!=� 1-3- - — 3�-=�- � <br />v� ---- —.�aa -- -- — -- -- <br />Ko.._.d_ e2._U_(�. Q1 _,_ , �__.. Ctree; <br />_. __"_ <br />`� .c'sL.. <br />�I'he wi�rk I,� be excrute<I bp. �._ _���-'���.��--"-...____'__"_'.'__"_.'_"_'. <br />----'----' -_ Plumber ' <br />------------------ <br />Stat/G sise uf tap, <br />-- /�,�---Tap to bc inscrtc<I in U�c main. ^ e <br />/ �� <br />___! <br />_____lL'�terdasct Z � 's <br />—" �' _.. RaUr <br />"-"-__ .Urinal <br />"-"__.__Plain faucet insidc <br />-----.___Sidc n•alk washcr <br />"-'__'.._Hnsr6iboWsiAe . . � �. <br />'--'-'.__'Hu�c bib (ur building purposes ' . <br />- _'_"__Hosc bib insidc �r^' �. � .` �.�' � <br />� �,'�, . <br />-._'_'._"iiibfnrstablecunlaining.____.___..stall._ -,i,%,, <br />'- ____'Numbrrof persons in tamily �� .. / . <br />'-3._"'Nunlbef u( ronnts in 6uilding ' ,� 1� <br />The prcmises arc tn 6c used as a _.._ . _ ' ... � : '_� � � . <br />.. '__"__..'._..__."' <br />._"""_' """' <br />The ntvner n( lhe premises is _' ___ _ ^•... . � <br />_"___ <br />- _' _ _"_'_ __""" "' _" "_"' <br />The agent is . _____,___, _ <br />_. ___""__"'_ ' __." <br />'fhis applitatinn, al[hough signcd. shall no� be binding upnn Ihe Cit3'. until no <br />..ited by The Superimm�dent uf the \Ynte Depar nt. <br />•• Signed _____"EC���G/ ���PPlicant <br />Accepled��".`_�l�'__'___-1'A7-3 Il>'-�" .�'! / <br />-r� _.' _______'. <br />� f- ...----'- - <br />. �Sur�nmeneem <br />