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_ ry / /-i -. . ' r . <br />W. D, Form � I500 3-I-17 C. P. <br />CIfiY OF EVERETT==Water Department�` <br />Application for Water <br />All blanks must be filled in or crossed o <br />Ererett.._... __'_'___��."""___.191_� <br />TO THE SUPERINTENDF.N'1' O IIE WATER DEPARTMENT, <br />C Y OF E76RE7"f: <br />1 hereby aPPIY t�r the use n( water in n[cordance with Uie rules and reHula� <br />tinns'iit'Chc Water DeparUn ml, for purposes and fiz[ures s[atcd Selow. <br />During the timc ihat any ot ihc wa[er mains mny be txken up by reason ot <br />any improvements aulhorized by the Cily of Everett, in nr o( any strcet or alley in <br />which Ihey may have becn I�iid, the Ciq� �rill not be required to Nrnish water durin� <br />the prngress n( su[h improvements t�� any cansumer whose supply may thus be cut <br />n(f, ur 6c IiaAlc (or any dama res (ur i[s f��ilure so to do, <br />Applirntinn No.'_'__'�G_ � � � <br />"____ <br />/�-• r _ <br />Block.(�"�_`� ._-__L` _�' _' _'. \dd. --_._.._! __'-_. <br />'_._ <br />___. <br />. 2. � �_�— .5 <br />\o."'__"'_' ' ""_" ""'_'""""' ""_.. trect <br />_"_' _"'"_'."_'"_ ' '_" "__"_ _""""___"_"""'__""""""_'_"""" <br />'fhe urork to be execWed by.__.__ ____'____._.. __..._ ..___'_"'___." Plumber <br />Stale sjze nf inp. <br />�..ZJ_.Tap tn l�e inscrted in the main. <br />"_"�. _ _' W a[er doset <br />--'------Bat6 <br />-'-.---- .Urinal <br />_____.____Plain (nucetinside <br />__________Side walk washcr <br />---"---._Hosc bib outsiJc <br />� O <br />O <br />�� <br />v <br />----'---Hosc 6ib for6uilding pmpnsc. ,�,..i� 1� ` �-`�. <br />♦ <br />___"___Elosc bi6 inside lJ ,) l. ���.�1 I\i� <br />__"".'__1libforstabiccuntaining._..'_.___sCJ�._ __„ "'!\I. ��-�: <br />________'Numbcrutpersonsin(amily ��I �� -.. �� q <br />____'_"__Numbcr oi ranms in building .+ . . �. .. I � <br />'"' <br />ThePrcmisesamtobeusednsa..__-____'_.._._+1�'\.`:.e�f'_"__ � <br />The.owneruCthepremisrsie�_._"._____'..._...___\�C:t �-�->! <br />ThcaKenlis ___'.._ '- T'.-e-e�-��__"'_. <br />'1'his application. althougl. signed, shnll nnt bc binding upnn the CitY. ��ntil ;�o <br />...�_. cePMd by The Superinlendr(�t�� Ihe N(rEer D�q•yL �ent. / <br />' ,,,,.. .;' SiKned_'[,-.��__�"'__�. ._���"^�`�!/-"__"'Applicant <br />� "-��.. AcccPtcd.. '_'�---�:._.791� iip_ -- -_.------"-,;-'-'-'----- <br />• " - - i�� � � -� J Su.etlmm�dcm <br />