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;•i> y_ <br />y= <br />W, D. Farm < <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks musL be filled in or crossed out <br />/- ` _ G . <br />F:verett�._....._......__....__.:.��,.�: r c,L.��..._ ............._._.19. .�/ <br />TO THE SUPERIN'CENDENCIOY OF EV�RETf DEYARTMENT: <br />7 hereby appiy tor the use o[ �vater in accordancc with the rules and regu- <br />lations ot thc �1'alcr Departmcnl, for pm�poscs and fixlures staled Uelow. <br />During thc timc that . n)' �� lhc watrr mains m�y bc taken up by rcason <br />ot any imProvements autho:iud Uy lhe Cilp ot EvcrMt, in or ot any strcet or <br />allcy in `ahich they may have been laid. Ore City will not Ue rcyuired to turnish <br />plv m2yuthus bc cut oft�o�bc liablc for an}•cdama6es f r ilsuf lurc�so to do. <br />Application No...._/�.�C'...���'����� �� <br />"':..:.. . . Add �1.... ' 55.... <br />IIlock.... . ......_...... .I.ot ....._.. . . - ��� <br /><- <br />���.....0 L'�o z�.�.t._.._ _��.� GSlrcet <br />No._. _ _...... . <br />_ <br />...... _........ _....... _ .............. _................................................................. _...... <br />The work to Ue execuled bv_. -..._....._ .__ .._. .. <br />.. .._._ ._ . _. Plumbcr <br />Stalc size of tao. <br />_._:�� <br />�.....Tap to be inscrted in thc mai� j■�' � <br />_ ....Walcr doscl 77 .� <br />.... �./V .B�t�, APR � G �64 � ,, � c� <br />__..Urinal a, <br />.,........,_...Plnin faucet insidc Qlly Of Ev � tk ��� �� <br />................Sidc walk washcr vrA�R pEPr { � <br />................Hose bib outsidc - � � .� �c <br />................liose biU for buildinF purposes <br />.._........._.Iiose bib inside <br />.,...,..__....BiU for si�blc containing......... <br />.__.Nwnbcr oC persons in Cami1S' <br />='....__.Numbcr ot rooms in Uuilding <br />'I'he premises are to be used as a..._.... <br />'Phc ok�ncr of lhc P�'emiscs is--._ ____.. <br />���� <br />_.... _. st a I I . . ...... _. . <br />. . ....___. ..__... ._._.. . .. . . . <br />_ ._.__.__ _....._ .. <br />'C;ic a�cnt is.. _.......__ ......_... _...... . . <br />This appl!catinn, alLhouph signed. �hall not be bindin� upon the City, until <br />;��reptc �1 h� tlac Supennlendent at thc �'1atF�Dr.partm°nl. <br />7 <br />' � ./ .. ..l �/ - ..•......__._._._Applican� <br />, ,. . <br />Si^ned r 1.:�."_ ... ........... .':. ...... ... <br />.19.. 8�.. _. ._..._ ... <br />A�crplr�- . .._ . _ . .... . S',i���l'�nt�ndont. <br />