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; y`.;,s . -, r <br /> ��'. 0. Prnn a 1500 �-617 G.P. <br /> CITY OF EVERETT-=Water Department <br /> Application for Water <br /> All blanks must Ae filled in nr crosced nut <br /> Evcrclt� -�--- -------------�T""�� �'---�--.191 --1--- <br /> / <br /> TO THE SUPERINTENUF:NT OF THE WA'PER UEPARTMERT, <br /> CI'I'1'OF EVERETT: <br /> 1 hereby npply fnr the use uf waler in acmrdana a'ith the rules and re�uln� <br /> tiu;�..of The Water Departm�nt,fnr purposes and fixtures stated below. <br /> Durinq the lime that Anv of thc w�atcr mains may be teken up by reasnn of . <br /> :mp imprnvemen[s authorized br the Cily nt Everett,in or of any strce[ or allrp in <br /> which they may have bcen laid,the City will nnt bc required[n Pornish w:tter durin4 <br /> the prngress n!auch improvemenis tn any consnmer �ehcKe suppl)� may thue be cut <br /> ntl.on c�Iiablc inr any AamaKcs forp its(ailure sn tu du. <br /> Applicntion Nu.'_'�I�.I Q <br /> "'_ "_" <br /> Hlock ._6.y.�__ ___.._Lol.�'S_7 .'__ oS.�.Add ._____.__.._._. __ <br /> Q^ �. . ,_ , �, <br /> \n.___.c�_�_�l_. /. `'�__`"�. /) .___ ` _.._.Slre^'. <br /> ""'"""" '"'.__"'__ ' """"_--..�_l�.����. �.. <br /> __._"_"__"' """"_'_"""""" <br /> 'Phe work to be exrnned by. .__..._.___.' ._____"_."_'.._"'__' Plumhr <br /> Statc size u(tap. , <br /> .---__'_"Tzp to be inserted in ihe main <br /> _____.___Waterdacet <br /> "_.._.._[iath ,/ v,.-::.i <br /> ._....-_ .Urinal �°�.� •��. <br /> � , ' . <br /> __"'____Plein faucet insidc '� ; ','� '�" <br /> S _ \ <br /> . ___'___Sidc walk w�asher �.i �'� . .. . <br /> .. _ ._Il��sebi6nutside ' `! ��>.�6; � <br /> �-- � i, ;•� 1 . <br /> _.._______H�.se bib forbuildinH Pmpoxs �\ '�,y. ,.r ' I . . . <br /> ( t <br /> _____....HoseUibinsiJe � � -�, � ' � <br /> . �'��- �.. . � <br /> ___"_____I3ibforstnblecontaining___.____._slall�t«�.;.. � ..i � <br /> .�._ <br /> .._'.____Numbrrufpereonsinfamilp � � <br /> .._..-.__.Numbcr uf ronms in building <br /> The premises are tn bc useA�s a _. .. ............... <br /> . _'.._'."___' .__'-' <br /> 'I'henwneroftheVremisesis _.__..__ .__.__.__ <br /> ____-_-_____'.__. <br /> Thca�entis _____._.... _._'____- ._ • <br /> . .._...._""__ ' <br /> "fhis application. althouuh signed.rl"iall not bc binAinq upnn the City� until ao <br /> cepted by'Phc Superin�en��t�lfi /Y��c )eparlmenl ` . <br /> //� � . i�] <br /> Si{!neil __" """_'"�f/�lG�I._ ' �'. ��.i�/, <br /> �./ -_ '.--�- :�G._".'_Applirant <br /> AcrePtcd� - ,y�.._.19C� Iic,G �� . <br /> v / <br /> ._�- �_ �- �.� - - ------- <br /> � S�,erinlen?e.� <br />