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�-'-. '/-- .. <br />W. D. Form 4 1500 J-I-17 C. P• <br />C1TY OF EVERETT==Water Department <br />Applicatiozi for W�ater <br />pll blanks mus[ 6e fillc•1 in or cros_ed nt�t'� '/ <br />���'.�� -------:9�"�` <br />Everett�._._'. __ ""_'_ ' <br />'f0 'I'HG SUI'IiRIN7'GNUii�'I' Or'1'HG�1'A'I'BR DGPARTb1ENT. <br />CI'1'Y OP E91iR6TT: <br />1 hereby apply (�u the use o( �vater in accnrdance �cilh the rulrs and reFuln- <br />tin�s u('Phe Water D:P�rlinonl, fnr purposes and fistures sla�e<I Ddow. <br />Uuring the time Ihat any o( lhe a•ater mains may be tnken up by renson o( <br />any imPrnvements authorized by the City a( Evcrett, in or of any strcet ��r alleY in <br />�rhich they nc�y ha^c becn laid, tlie Ciq' o•ill not be required tn furnish ��'ater during <br />the Pmgress o( such impmvements tu �my rnnsumer w'hwe suPnly ma)• ihus 6e cut <br />nfL ur be !iaLle [or any dam�ages k�r �ts tailure w tu do. <br />CJ <br />Applicntinn No.'_ "_/-p-' """,/ <br />Blnck _�.�J`"�. �•7/--Lo,�t- j---�Y ^_ �J,�_AJd------�---�'---------- <br />Nn.__.J.-.., e:7 — "�"'='-%—o------..Street <br />________________'_ . ____"___-.'__._'__'____'_"'_____'_"___'____' <br />'I'Le �cark «i be c�ecutecl bY--�---' -------'---' �lumber <br />'_._'__'.. __'_. <br />Stalc � zr uf lap• � / � � <br />"��� Tap to bc inscrted in tlic main. <br />1Yatcr closet <br />_'_____Bath <br />___.____ .Urinal <br />__._.____'Plain fnucet insidc �� <br />__Sidc rralk w•ashcr `,1 <br />, ___.�.'Hasebi6uutsidc ' <br />. _ _ _ _' -' _ _ Husc bib Cor building purposes � / <br />'_Flnsr bib insidc � <br />__'__'."_13ib (nr stablc containing.___--------stall_._.._--'- <br />__' ___Numberof persons in (nmil�• <br />._._�_"Kum6cr n( rooms in building. � . <br />'Phepremisesaretobeusedasa__ �..'-'_ ..• _..-______._.__. <br />___. __._ <br />�'�� � N��_ ,(.LL.-�'LIZ�_�_._____ <br />'1'he nwncr nC Ilic premises is __..' _.'__"_ -.-_--'-- <br />'Chc agent is . """"'""""_ " """._""'_'"___'-_ <br />This apPlicatiun. althnugh signed. shall nat be binding np��n tl�c Ci15'� until ac� <br />;.cn u bv Thc Superintcndcnt �d t e W ter artulfpL � <br />Si6ned'_y'_� . ' ��J .'_ _'_'___Applicant <br />'_ '____'___._'_..__._ <br />...�LLerl..'/ _ /l _19 Ify../ � - ' " ��'_"" <br />.i GY '-�_-�-'Y_.� � _ _ _ _. �,�;ienAen� <br />// !/ / <br />V <br />