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- :En�2'�*�- �� � -- , E , <br /> - -� :�.7� � .. <br /> _ ."- ».. I <br /> W. D. Form a I 500 8-b�7 C.F. <br /> ' CITY OF EVERETT-=Water Department , <br /> Application for Water <br /> All blanks must be filled in or crnssed nut <br /> Eeerelt. .___ _�-�r—.�O_-191�_��--" , <br /> TO '1'HE SUPF.RINTENUF.�'P CI 7 1'E N'A'PER DEPARTMENT, <br /> G'f� )F E7ERETT: <br /> f herehy apply (or the ase uf water in:�ceordance with the rulrs and rlgula� <br /> tinns nf'Phe Water D;parUn:nt, fnr purpoacs and fix[ures stated below. <br /> UurinK the time thal anp ot tho water nrnins m�y bc tnken up by reason uf <br /> :my imprnvements au[horizrd by thr Cit>'nf E��cret[,in or ot any stree[ ur alley in <br /> �vhich they may have�een laid, the City will not Ue required tu furnish water during <br /> the progre�s nf such improvemrnts lo nny consumer e•hose suVP�Y m�)' [hus 6e cut <br /> nif,or be liable(ur any dam,�ues fl�r its failurc so ro do. <br /> Applicntinn No:_���_-G�------- �. ! . <br /> I31ock C'_..__-Lot"__'._.",_.__n�_...Add_�r"-.'-.__._._____ <br /> __"_ _ , 1 <br /> \o.���.�-LL/cL�i...t!�--`'----"------Street <br /> __"_'...__...__'__ <br /> . ___'_____'_._____"___'_'."'____'____ <br /> 'Phe�eork ln bc cxecuted b�� ___.__"_'__ '---_'____.. ._______ Plumber <br /> S/ta/ttt�ee suo nC tap. � . <br /> j.�_•, 7'ap to bc ina�rted in th�.� ciain. / � ��_ /� ��' <br /> '__'�_"'1Varer dns'et <br /> ___�'___.Bath <br /> __---- -Urinal <br /> ___"___.Plain (aucet insidc � <br /> _._"_'___Side walk washer <br /> "_"_"._Hosc bib mrtsidc <br /> '___"_'__Hose bib tar building purposes <br /> __._._____Husc Uib inside <br /> .__"."'Rib(or slable cmi�ainine._.-..-'....stnll.__.__..__ <br /> .__._"_Numbcr o(persnns in famil�. <br /> - Numixr of mnms in building n . <br /> 'Phe Premises am tn be used ns a,_D �Q -'—. �-----------' "-"- <br /> __'___"_ <br /> "fheuwnerofthepremisrsis __N.�<S--�l !_._______.._'_'_________'.. <br /> TheaKent is ._"'___._. __. _._"'__"_�.__.'____'_"'__....__"_"___ <br /> 'Phis applicatiun.althuugh signed, shall nut be binding upnn �he City, until :�o- � <br /> captcd by 'Phe Superiiucnden uf the Nnter Urpanment. <br /> Signed�C --�-�'tY�._� ' �^-.'^ __ .Applic:mt <br /> :\ccepl..d.� 'J.. 2w"_'l�r By-� " "'"""' . " <br /> 7Y � �S�me�i�nen,.em <br />