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- ;,,. ._ <br /> • ,• . <br /> \4. D. Form I I500 3-I-17 C.P. <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> All blanks must be filled in or crn�ased/out � <br /> Evercll.._ '___".___.__"_.J_�_9'___"___19Y�Q, <br /> . 'PO THE SUPERINTENDEN'P OF THE WATER UEPARTMENT, �� <br /> CI'I'Y OF EYERETT: <br /> 1 herehy apply tor the use nf�v�ter in acmrdance with Ihe rules and regul�- <br /> tiuns uf The Wa[er Uzpartmenl, fur purposes nnd fizwres xtaced below. <br /> During the time that any of thc wan,.r mains map be taken up hy reasun o( <br /> any improvements authorized bp the Citp of Eeerett,in or of ar.y street or alley in <br /> �vhich they may have been laid, the City will not be required lo furni�h water during <br /> the prozress o(euch improvements In any consueier whose suppiy mny thus he cut <br /> n(f,or bc liablc(or�ny dam�Rcs(or it;L•�ilure so 10 do. <br /> � �7 <br /> APPlicntinn Nn.__'���. f"_.____' . ./�. <br /> Blotk .___��� 2_ -- / <br /> - -d'*�l.ot---- b-7-+--4'--8+.-�'--Add����'-� <br /> Nu.-----' ---"'�N�R�- ��(1 4�.0 ., <br /> -------------a --•..""..Street <br /> "'_ . .___'_'_'.._.___._.__'_"'___'_____'_"______'._"___ <br /> "Phe work to be rxecuted bv.____'__'_'�___________' Plum6er <br /> Sta�le./sial•nftnp. �g�� -' ��'__�� � D. � <br /> ---l�"-Tap tn be inserled in the main. . --/��/ <br /> /-I -2 �+ v . . ' <br /> --_______SVater clnset ] , <br /> "_""' Rath �,�5-�J�. f C.�-r�,Q�,� <br /> _. _ ___— <br /> --'..___ .Urinal � <br /> --______Plain fauret insidc <br /> --________Sidc walk washcr � <br /> ________.11ose biboulside �: <br /> --'__'._._llose bib for huilding pw pnsr. <br /> ---_.___Hnst bih insidc <br /> -""'.___Bibforstablccontaining.._.. . .. . tall. <br /> ____"'_Nmubrrotpersunsiu (amily \ .. �� <br /> ---"____'NumGcr of romno- in huilding <br /> The p�amises nre[n be used as a_.____'_ <br /> _'__'_'__._ <br /> '_"'__'_"_' _'... <br /> The u�vner u(thc premises is _._._..___ <br /> -___._'.__.____._____.__ <br /> 7'hc Tgent is_""____"___. <br /> __"" <br /> __'_._'_'____ ' <br /> 7'hia applicalion. although ;igned, shall nut Ue binding upon Ihc CiIY. until ac <br /> cepled by Thc Superimendent a!thc 1Vntcr Ocpariment. <br /> Si�ned ._"_ �._'--._.._. _ .__'_'__'Applican[ <br /> Acccpted-.-'--'---'-"----�`�� By-"•-"-'--- <br /> ..__ .._ _____'_.'__'_. <br /> �,/ , l Snperintenaem <br /> "c �` ' _ � Y ^rl ' <br />