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�2.i �' � ' - h i�; _ . �� f:r. . , -_ . - � . <br /> , .. r <br /> C'. p. Form 4 I SCO J-I-17 G.P. • � . � <br /> CITY OF EVERETT==1Vater Department <br /> Application for Water , <br /> All blanks must b�ur cro��x�[ <br /> -- \ <br /> Everrtt.----`----'-'----�' -----� --'-- ---19�_- <br /> :O 7'l1E SUPIiRINTCNDIiN'f OF 1'flti NA'I'FR llF.PARTMIiN7', <br /> CI7'1'OF E`lIiRE7'"P: <br /> 1 hereby apply !nr the use o(�ea[er in accorJance wi:h lhe rules and regula� <br /> tiuns o('Che Nater Uep;vhn�nt. (ur purposes :md fixlures statecl below. <br /> Uuring the tinte thnt anc oi lhc wale� mains may hc taken up by rcason o( � <br /> :mp improvernenls authnrizecl br Ihc City of Everelt.in or of any strcet or alle)' in <br /> �rhich they m�iy have been laid. the City will not Uc required tn lurnish water during <br /> the prnFress uf such improvements to any consumer �rhnse supply may ihus be nrt <br /> nl(.or Ue Ii:�ble(ur any dam:�ges for its 6iilure so to dn. . <br /> Applicntio`n No.'"���� "'.y ' <br /> Rlntk .0-��_' ._._LuL'_J�� .3 �1/ Add_._.. .....__.__._.__ <br /> \u..___. ._._•3L�0�___y� �SVicet <br /> -____'____..____.__' . _________.-_'__'..._'_______'__________""""'_"'. <br /> 'Phe wurk to be rxecutcd by_____"__"""' '-.____--______________ Plumber � <br /> Slnte -z/r uf tap. <br /> _3�Y'Cap lo Im.inserted in the mein. � / � O G ., <br /> __"�"_'1Vatcr clnse[ � <br /> , o u IGt-{�.�••.,� <br /> __'.�.._.Balh ��� <br /> _._. .._ .Urinal � S' U V <br /> .._______Plainfauretinsidc '����:". <br /> r ..\ <br /> ._Sidc aaik aasher �}�� 1'1 � � � , �-'�'� ' <br /> ---'— - i <br /> h,• '� 1 <br /> _._____.._Hosc6ibeutside 1t. d ` <br /> ,;v •�I , , <br /> j� � '�\ <br /> _._____,.11osc bib (ar buildin� Pwpases i! f ` . �—'1.\'.�'�J 1 �I ,1 e <br /> tI �� i <br /> _____"_Iluscbibinside {� _-�i1 � 1�1'Z� ' . <br /> ___'_'_" BIb(orstablecontniuing________slnll�,_�a�._ � � ! <br /> �\ C. Y eY_ _ ,c�. <br /> ___ _.Numbcrofperrunsinfamil>' 4 � � iFx4�,� <br /> _ , <br /> i �. ' i. , <br /> _�__Num6cr nt roums in buildinR � +z s;:C ` ;I <br /> - \�r - r� <br /> 'fhe Premiaes are to he used as a_.__..._'._""'_""""'_�'qea.�t"`_�.. <br /> '1'he nwnern([heprr•uises is .____ ____'.._."-__.__.-_"'__. __'___'_._'__ <br /> � 7��IL•AF1'OI IS .___...___. ............__.__._ .__. ... ._.._...___.. .___"__'_.___ <br /> Thi:: appli[ation, al[hough signed.shall nut be binding upnn the Ciiy�. until ac• <br /> crpted by'fhc Superimendent o tl�e 1Vnter DA+p:irlmi•pt. <br /> i J ///_ % <br /> s;a„«�--,1 �-j--- ��c.'_ _ _ ._ _ _ ______Applicant <br /> �:�`u'�-._ � <br /> ���,�c�� �'-------��� �Y-i� = " <br /> ---^-". . ----� - <br /> , . � . .� -------5•n,�im��dem� <br />