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f- .� , / - �!._2?� ( . En'r,b�-�4-z3-�. <br /> • �� � - . <br /> W. D. Fo�m � I SCD 0.1-17 G.P. <br /> CITY OF EVi:RETT==Water Department <br /> Application f��r W ter <br /> All blan� mst be fil d in or rossed m � {� <br /> Ercrclt.- __. -�"__'____/�_'. __.__'..__19Y.P` . <br /> TO 'I'HE SUPIiRINTENDEN7'OF I � \VATER UF.PARTn1CNT, <br /> CI )F EVERETT: <br /> I herehy�pply fnr t.he use o(water in acenrdance with tLe rules and reKula� <br /> tiun;�d'Che Wa[er D;partment, tur purposes :md fixhires sta�ed bclo�e. <br /> During the time ihat any nf the waler mains map he inken ap by reason o( <br /> .my iinprnvements autl�orizcd by thc City o(Ecerett,in or n( an}• street ��r alley in <br /> which Ihcy may have been laid, Uic Ciq' will not be required lo lurnish waler durinA <br /> the progresx n!auch improvements lo:�ny consumer whose =upply may thus 6e eut <br /> nf(, or bc linblc for any damaK�• !nr its (ailure so to dn. <br /> APPlirntian No._�� _�' � �� <br /> ""_' '__'__. <br /> � <br /> lilock .._____ .____ __ �.uL___,./________.____AdJ._._ _.._.-___.._- <br /> Vo._ �O O c� ��t,�(,(.�1._...Slreet <br /> _--'----------"' . ----'- '.-_--------------'-------'------- <br /> 'Phewrork �nbecxecutrdbS--____.____..__ __________________.._. Plum4cr <br /> Stalc sire uf lap. <br /> � � /� e c <br /> �_Tnp to be insrrted in the main. __ <br /> __. ..�._._�Valer do::et <br /> __._�._.E3ath <br /> _. __ .Urinal , <br /> .. . ._-._.Ylnin faucel insidc <br /> . .______Side walk washcr <br /> _.___...Hnse6ibnutside - <br /> _.____'_.Ilose bib fnr building purp�.�ses .� .. <br /> .. .__"_Hosebibinside � <br /> _._._'_"_Bibinrstnhlecontainin�-_'_'___-. -.st:JL_�/._. _ <br /> _ __ _Number ot pers��ns in tamily 1 <br /> ..__�_Number ut rooms in building <br /> 'Phepremisesarclnbcusedasa_____'__"___"'..__"__'_.._-_- _'_... <br /> 'fhe nwncr ot tlie premises is ___'_._____'___.. ._.____._..___'_-__ <br /> ThcaKentis.."_____'._____.__"_" "__-._.___.""_.. ..____..__' <br /> 'Phis applicalinn, althnugh signed.shall not bc 6inding uµm Ihe City, until ac� <br /> ccpted Ly'Phe SuperinlenJcnt o/f Jth'�c 1/Vnf�'r D��e/partme��t. <br /> S6;nr�{ ----,(%_Ll-_�_•`Y{�./DF`.fl/f�i-------APPlicant <br /> � ,� / , _,�.� / <br /> :\�,�epred___i _- : )' -_____""___- <br /> _r. "_. _. '._._______ <br /> �. ,-L9�, �_ <- . <br /> . s�,it•��,�enevn� <br />