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F— ..� - -p --- - - - - � —' <br />� ,y - � i _ 3r_ . _ _ .' � <br />N'.D.Form♦ IG(Od-1-IiG.P. <br />CITY OF EVERETT-=Water Department <br />Application for Water <br />All blanks must bc fillecl in or croaced oul <br />Everet4 ---�---'----' '-�--/ �"------19}�..�. <br />TO THE SUPIiRINTENDIiN9' OF THF. W =N DEPARTMENT, <br />C17'Y OF E` �RETT: <br />1 hereby aFp1Y bir the use o( water in accordance with the rules and regula- <br />tinn: ut The Wacer Departmant, tor purposcs and fixlures s[ated bclow. <br />During the time ihat any nf the a�ater mains may be taken up by reasm of <br />:mq improvements autho:izeA by lhP City n( Everett, in or of any strcel ��r alliy in <br />which tLry may hnve been laid, thc Ciry• will not be required lo furnish water dm�mg <br />the pnigmss nt suc6 improvements to any consumer whnse supplr may Ihus be cut <br />uff, ur bc liablc fnr any dama cs for i� failure su in do. . <br />� / �AppliCnlinn N���_�- . '<-'�'-- I <br />Rlock.---1-�C_-�--_..LoL---'-�:�. Add <br />__ ____.'...__.'__ <br />v�,: ? .S'Z � �J'J- e'. ����`"-`--� - <br />--- -- - ----- ---------- - <br />- --f------ /------ - - ----- <br />'fhe work to be executeA by__'__._""--- --------'----------- Plu�iber <br />Stat ixe o( tap. _ / <br />� � Tap tn be inserled in [he main. ' —�7� <br />/ �� I D C� <br />.___.�__ _Waterclnsct ,� _ /� __.. <br />____/___.Bath <br />__. -Urinal ir... <br />___. _ . �. �>.t.• <br />..____.-__Plain faucclinside <br />� ��'�. ,��:... . .. <br />_ . <br />_ ---.----Side w�alk washrr . .. . . �'. <br />__._..Hrecbiboutside . � . _ . <br />______...-Ilusebibfurbuildingpurpnses . ���-:�i�`. �:',�� . <br />________._Hosc bib inside ..... � . <br />. __'_'.___flib for stablc containinF�-----------stall_-_ ____' <br />___ .�__�__Numbcro(persunsintamily <br />_.. J� <br />�_..Numbcr u( rooms in building <br />The premises arc to be used as a-_-- ����i' =-�"'^"���--�-/-- � <br />�.'r__.._ _..__._ <br />The awner o( lhe premisrs is ��<i-- `--iQ Lc� "�;j`� /'- `� /"—'�' '--- <br />TheaKentis -'---�---�---��--�--'-�'- ..--�--.L'----------------------- <br />7'his applicatinn. altNouRh signcd. Shall not be bindinq upnn lhe City. tmtil ao <br />L repted by Thc Superintendenl n( �hc 1Vnter�epartment. <br />RP . /i . <br />s,R^��' S�",t_"�iC •_.`"=-- -'--------Arvucnnl <br />Atrr... , ._ _"L_'r� I ,1��' _ /_ .____'_"."'_'_ <br />� ./ � Sin.�lmem.v.i <br />• ' : i � _ " <br />