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- . �/I'T'fl- 7-. �.T..z3 � � . .Y-r-�7��. -. .=r-= �5 � /� <br /> • W. D. Fonn � I500 J-I-i 7 C.P. " • ' <br /> ` CI�'Y OF EVERETT-=Water Department <br /> Application for Water . <br /> All blanks must filled in or crossed�t <br /> Everett.-.-� -L'-�y---�-1-/.�"_.-----"--191J_d: <br /> i <br /> TO THE SUPF.RITITENDENT F HE WATER DEPARTMENT, <br /> C Y OF E`IGRETT: <br /> t hereby apply tor the use�! �vater in �crnrdance with the rules and regula� <br /> tiuns of The Warer Departm-nt, tor purposes and fixtures stated below. <br /> DurinR[he time lhat any of[he w•a[er mains may be taken up by reason of <br /> any improvements au[horized by the Ci[y ot Everett,in or of any strcet or alley in <br /> which they may have becn laid,the City will not be required to lurnish water during <br /> the progress of euch improvements[o any consumer w•hnse supply may lhus be cul <br /> oit,nr bc 1ia61e for any damages for its tnilure so m do. <br /> i �y �7 <br /> Applirntion No."Q"�"'/-'/-" '--"- <br /> Bicek _-'a--C_�"---Lot---/�`"�-.'�_'--'Add---'-------'---'-' . <br /> No.___��_�Z.�'N�t=-o'__"__."""...Streel <br /> ---' <br /> . --"-"-' --- ---� - --'-- '--_ • <br /> '1'he work to be executed b ___.. _---�-- --------------- plumber <br /> State ize n([np. <br /> ..��__Tap to be inserled in the main. � �/ �� d <br /> ./-�-Water closet / 'I � <br /> '__""'_Eatlr' <br /> -- ---- 'Uitf»at � <br /> _.__�___Flain taucc[inside , <br /> - -------SideZGa was <br /> �.._Has'c bib nutside <br /> _ ""__tloxbib-forb��dhMFf>��+i��• - �,�!/� �� / <br /> _""'_'_ <br /> �e-6ib-i*�sidC— <br /> _"""'_$i8-fxF-nlRbFrconlaininF-_---- _-n .'_ "_"' <br /> � __ __.Numbcr of persons in h�mily . <br /> ___�"_Numbcr o(rnoms in building . <br /> The premises are tn be used ns a__ _��----�- C� -- - ---•� <br /> ___._____ <br /> Theownc. � thepremisesis .____.-___f�G '�'Z�"�' <br /> TheaRentis.._" __"'_._.'__""_"__"'___"""_._""_...._"____. <br /> This appiication,althouKh signed,shall mt be binding upnn the Cit�, until :�o <br /> ceptcd by The SuperiNendent nf thc \V�'ter Uep:+rtment. p <br /> Signed_�TlJ."�-'-(`JJT"""!"=^'-�=�APPlicant <br /> Accepced.__j.� �y `�� Il -- '--.\9. ._________.___________ <br /> / '"�`�c�.��L�7 C� sm�.�mmnd<m <br /> � <br /> � <br />