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r' <br /> --„ : _ . -� �.,.� t� ��'�G'-2j ,f�' <br /> . , <br /> W, D. Fnrm 1 I500 J-I-17 0.P. <br /> CITY OF EVERETT-=Water Department <br /> �.,.� <br /> � Application for Water <br /> All blanks muet be filled in or crossrd ul <br /> F.��rrett._-- - —� —'��-------�' <br /> � <br /> TO 7'HE SUPERIN'CENUEN'C OF THti WATER DE ARTMtiNT, <br /> CITY OF EVERETT: <br /> I herehy apply fnr the use of e'ater in acmrdance with the rules and reRu�a� <br /> tinns uf The Water Depar[ment,tnr purposes xnd fixtures stated below. <br /> During the time ihat nny uf the water mnins mny be taken up hy reaann of <br /> an>• impruvements authorized by the City nf Eveiett,in or of any strrel nr alley in <br /> which thry may have been laid, the City wiil mt be re4uired to furnish water dunng <br /> the prngress nt su[h improvements tn any con:umer whnse supply may thus be cut <br /> n(f,nr be liablc(or any damaR/es for rts �ai�ure so to do. <br /> Applirntinn N/o."q_.[.�"p'I"__'_ ,L <br /> Bl�xk _�._J .bQ /- -_'__Lut.__�_�� _i7-_'_ Add_____.__'__'_'_____ <br /> No..__K_�__ U _.S_-__ _ _-- '_..S�reet <br /> .__"_-_.__.____ ' ___' __...-___..-___'_"'_____"'__'____"_" <br /> 'Phe work to be executcd by..-.-_-_.-__'___ '__.'__.._'. __.-'-___" Plumber <br /> S[atr size+f tap. ,n _ _ /. <br /> iz _TaP to tx inserteA in the main. // �� ^ 2 0° �l/p 4J�i'�' <br /> _•. 70 � <br /> __"�._._Waterclnse[ �� <br /> -----�--.aacn , <br /> __.__ .Urinal � <br /> ..__'____Plain (aucet inside <br /> ._______Side walk washer ' <br /> ____._..'Hose bib nutaide - �, <br /> !-t <br /> ____"_._ilosebibf�rbuildingPurMises � . � <br /> � -: . <br /> _.__._-.1losebibinside � � �,� <br /> __'_"'__Uib for stable tuntaininK-----�-----�tall._..-__". . <br /> ___. --___'Numbero(Pcr�msintamily � �_ <br /> _.__�,_.Numbernt rooms in building w <br /> Thepremisesarttr�beusedasa---_ --�--------- <br /> __"'_.'______' .__." <br /> 'Phe uwner of[he Premises is __""_.___.-. _.-.... ..-____'____..__.'_. <br /> '_ <br /> ThcuHentis .'_______ --.-.____.._".' <br /> ._____._____ <br /> 1'his application, allhough signed,shail no� be hinding upmi the City, unlil no <br /> by'F�Superin�end if Weter e artmenCs�� � <br /> V <br /> Signed -. '- . .- - -�pPlican� <br /> ._. '_ _ _ _'_ <br /> . �`+~ I <br /> ' 91 By'__- _ ._"`__""""' <br /> >led. " -"�'— r -"J � '""- Su�erintendem <br /> � J 3 �/i <br />