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- <br />,�,,,;r,-.,_... _ ----- N��-��-��—�r. <br />r• <br />W. D. Form � I500 3-1-I] C. P. <br />CITY OF EVERETT�=Water Department <br />� <br />Application for Water <br />All blanks must be filled in or crossed nut � <br />�l�`� ._'__"'_']9S!?F-, <br />Everelt.._____ -- <br />TO THE SUPGRINTENDIiNT OF THii NATER UGP.4RTMENT, <br />Cfl'Y UP Ii7ER1iTT: <br />1 hercby appk• (or thc usc o( water in :�ceordaiue with lhc ru�es and regul�- <br />ti:ms a('Che �V�cer D�par[ment. G�r purposes and fistures stntcd below. <br />During [he tiinc that :my af the �cater m;+ins ma>• Uc taken up by roason �f <br />anv imPrnvemenls authurized hr the Cily of Everett. in ��r nf nne strce[ or alley in <br />which they •naY have been laid. Uic Ciry will nol bc mquired l� furnish wa[er during <br />the prnFrrss ��( such improvements tn any consumer ��'hove supply may thus he cut <br />uIL �r bc liablc for any damaKe� r i tailure so to do. <br />i <br />Applicnlion Na.""_� """"""" <br />�,��� -- �`� - --y�, �- �-9-__ 2_ �,�d�--- -- — ----- <br />� � ,2 E' ULdr.c��iti _... s«�<< <br />��,. -------- - -- ----- ---- -..._ <br />- - -�-- - -- --- ---- ---- ---------------------- --- <br />'I'he wark to he executed b�'__. __'____'_"'."_'.'_._____'_""_____ Plumber <br />Statc s� c uf L'�p. <br />. _ _ ��d_'Cap lo be inscrled in [he main. / Ll <! �� . ._ , <br />o� <br />.____�-_-\9ntcrclose[ ,.v- .....� <br />_ _.' _ _�. _ Bath . .. <br />______ _Urinal � <br />___ �Ylain (auccl insidc <br />_ _ _ _'. _"'Side walk w�ashc r <br />_______�._llo=r bibmrtsde � <br />__ ____. � liose bih for building p���p�>+e+ <br />i' �) <br />. ___.____�iHo�ehibinsidc �� <br />__'___�UibfurslahlecunlaininS-____.__._..slall_'_.._._ - <br />7.. <br />_ _ _ _ _ . _ _' Nwubcr uf Pcrsuns in f �mily <br />_ _ _. ��Num6erot roams in building <br />'1'he Prcinises arc tu bc used as a _." .- -.-.. , --- _-_ . ___'. <br />'_"'_ <br />___ <br />7'hcnwncro(thepremisesis ,_]__.'.-_.___-___!!u�"'�._'__ <br />Thca6entis__""'__'.___..__""'_'_"" .'-._._._.-__"""..________'__ <br />'1'his application. althougL signed. shall nut Uc binding upon thc City, until ac- <br />�ep�.,l b)''Che SuperiMcndcnt of the 1Vn(cr Deparuucnl. <br />/ <br />� LG�'�_ <br />"� �� F � A licant <br />' SiFneJ_'.'__J"'L__'�-:..�_.__._.__' _ ._ pjl <br />- <br />--- <br />_ <br />AccePted.._J...2�=�/ ;;y�_. ._ f�i�-� _ <br />rintemfent <br />0 <br />