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,r � En�-�j /,2-�i—.Z[ �-i�. <br /> W. D. Fcrn 1 I500 YL 17 C.P. <br /> CITI' OF EVERETT==Water Department . <br /> Application for Water <br /> All bL-mks must bc filled in nr crnsscd aut <br /> Ererett...___._.�_Y.�=_.____.d:�.__.191�- , <br /> 90 'PHE SUPGRINTIiNUF,\T OF TIIE WATGR DEPAFTTIIdNT, <br /> C17'Y OF E`/L•'RE7'T: <br /> 1 hereby apply (or the use of water in :�ccnrdance wilh the rules and regula� <br /> tinn:nf Thc 1Vatcr U:partm:nt. (ur pmposes 0111I (1%NfCS Sl'AIL'(I I)fION'. <br /> Dm inK Ihe time ihat :my nf the�+'�ter mains may be taken up Ly reasnn o( <br /> nnr imPrnv,�ment.authorized bc the l'.ity uf ii��crclt.in or o( an}• streM nr alley in <br /> �vliich thry mvv h;�ve been laid. the Citv will not bc requircd to furnish wnler Jurin� <br /> the prn�resr ul a�ich improecments tn any consumer u•huse supply map thus be cut <br /> of(.or bc li:iale for auy 7damnqcs.fj�nr ils Lidure w lo do. <br /> APPlirntion�N/o.__/._�_5/.1."""' q <br /> Bloch ....._/��"_ . __LoL.�`'�/-�JS_./�.Ad:!...... .. ............. <br /> � 9-3..1_ -- 4� --- -- - � . .s�,��� <br /> hn._. _ <br /> 'fheworklobcexecutedby_____'_._____' __'___________ _ ____ Piumber <br /> Slatc sizr nf tap. . ,, <br /> '}/ �� � I <br /> _ l.(� _Tao !o be insertcd in lhe main. ���� 97� � `�''. . . r jv` f �r <br /> ._ /.� _tVatcrdoset v '/,i�f i._y�.b � � � ,�� y..5�-,� 'i. <br /> . �__.��:Il�l i1 �"*^ � � ~�\ � � � � �� ' � .I <br /> . ._ .Urinal i� � �� rP�i . ' . � � . , u s,' t . ,�, <br /> _ _ _ ///�� ��-L� �� �� V � . . .. � . �� �,� �. <br /> ' ___Plain laucel.insidc � 1 . ,. ' <br /> .________Side walk washer � � �� <br /> ���q.� � t <br /> ilnsc bib nutsiJc � <br /> � <br /> ����'�_Hose biL for building purposes ` (� NEr""""" .�4� <br /> ____ _ <br /> ____Hnsebibinsidc � f'r- � <br /> _____ � �_ ' �' <br /> `���� :• . <br /> .______ISibfnrstablecontaining -.. ..__._..slall___ �+---.�� <br /> ___' .-"__Numbcro!persons in (amil�. <br /> � <br /> ._J-____Numbernfroomsinbuilding . . -.. � -� .-.,:.!�- '♦�� ' :;� <br /> . . .. , �4 7 y�_�• <br /> 7'nePremisesaretobeusrdnsa___. . "'____. ' ..____' ___' _'__ � . - . .��.�,�� q � ,�,L.., <br /> 7'he mrner of Ihe premises i� ""_ � � i �r ..4` ' <br /> ..__.__..._.____._____..._'_.____..__ . . . . .,•:.� .:�� :.si„�. <br /> 'fhcaHentis --'---."-.-._----�------_ _...._..-----"'--��----- <br /> "fhis appli:ation,althouqh signed, sLall nnl Le binJing upun the City. until ao � <br /> o_ptcd by The Superimendenl of Ihc 1Vatcr Depailment. � <br /> H` � � � <br /> � Signed__C_/"�p��.(:_.�"r�iLt_'___ .��___.ApPlicant /. <br /> Arecpted. __ i, � - 'l � , <br /> . �L�_ ,..._I___.1�'!]�',:' BY .lyt_.'',____._..._. . _ ._.______ <br /> �/ �'. .�i. .�.. ��.. ... <br /> �y' �— �� ' l'� ' �—�� . . <br />