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,E,v'?D—c_• z-2., •• - - �,,, .,�J s �r-%„-;'( <br /> W. O. Fonn� ,co a-!-i i c.r. � . <br /> CITY OF EVERETTa=Water Department <br /> Application for W�pater <br /> All binnks nmst bc filled in or crove�!nu[ / <br /> F.verelt.-l�y / `/ L � ----------'�+"-7---- <br /> -'_"_""_'L""__' <br /> 'PO THE 5UPERINTENDIiN'P OF 1'NE WATF.R UEPAKTnfENT. <br /> CI"iY OP E`IERETT: ' <br /> I hereby apply fur the use uf waler in ncrnrdani�o with the rules and regula- � <br /> tinn;n(The Wa[er Uepartm�.ent, (nr purposes and fix[ures staced helow. <br /> During[he[ime lhat any oi the a•a[er mains may be laken up 6y reason of <br /> any improvemen[s authnrized br thr Ci�q nf Everett,in•�r o( any sVicet nr allep in <br /> which they may have been laid, the Ciq� will not be reqoired to lurnish water dm'in�! <br /> the pro-gress n(euch impro�em�nls tn an••r.ansumer whnse supply mny thus be cut <br /> nfi.or be liablc fnr an�•damages km�its faiiure so to do. <br /> �f�J�f <br /> ApplirntionNo.�„/._'_' _""""__ <br /> i/ <br /> Block�-_Zb__ `] _Lu "' _. Add.��___J.. _... <br /> \n.__..���_�_. 6P��•..__ Strecl <br /> 1 . �'�"'_'.. <br /> \ <br /> ..""."""".'_"_' ' '"'.`"'_"' '_'_""'"'_"_"'""""_""_"'_'""""""' <br /> 'fhe n'urk to be cxecuteel by- .""-_- <br /> ____.' '_____________.__.____' Plumbcr <br /> Stal� ixc nf tap. <br /> � � / / 3 O <br /> _ �''_fnp tn be inserted in the main. l ' <br /> ._'___.�.Nnter dosel �J <br /> ._"_�_-Rath <br /> .._.___ .Urinal <br /> _____�vPlain fauttt inside <br /> ..._'."__Siele-mik-Fnsher � <br /> .._'.-/._Hnsc bib nutsidc <br /> _""_.'._H�� 'r(nrhvifdinFpurpases - <br /> . ___._. mudc � \ <br /> r' • <br /> __"'___RibforstablecnnlaininF.____.____.xtalli.'<' .___ <br /> _ Numbcr of persons in (amil)• <br /> _- _LL_'Num6cr uf rnnms in building <br /> 7'hc prcmiscs arc tn bc u.ed as n_. ' <br /> - _ __ — �j' � <br /> '_'JWC- <br /> 'Pheca�ncrn(Ihepremisesis .'_/. ' • • �. .'-"__._�_"'_"" "" <br /> Thcakentis .,'------"--- -- -/-..-"--- �------"-----"-...-----"-'_- � <br /> 7'his appliraliun. although si{mcd. sh:�li not bc binJing upon Ihc CiIY. ��ntil ac- <br /> ceplecl by The Superinle�enl uf he \ iter lrp�.}t ent. <br /> Si4ned____ .' . "�_V�yy.[./•✓f-7' _.__._Applicant /�� <br /> � ` .�/��//j/( <br /> , ".cept tP�_-�I-�-:�� �3)<_S�3>'?/ ���endrn� � <br /> .� � <br />