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C !I 1 ;�i " <br />� ' , Jliri . <br />_w.�.F�..�,,. icoo„i�c.r. � . <br />CtTV aF EVE!�ETT �=Wat�r Department <br />�. <br />� Application for Water <br />All blanks must bc f:lled in cr ttosced uu[ ' <br />Everetl.._.__.____'______"'CU-_ _�__'_191-/__. <br />/ <br />'PO THE SUPERINTENUIiNP OF THF. WATER DF.PARTbiEN7', <br />CITS OF EVERE7'T: <br />t hereby apply (or the use of a�ater in accardance wich the rules and regui:i� <br />tiuns nf The Water Uapar[m_•nt, (nr purposes and fixtures state<I bclo�:. <br />Durinq the time tha[ any o( the water mains may 6e [aken up by rcason ot <br />any impruvemen[s authorizecl by Ihc Cily of Everc�t, in ur o( any strcet nr alley in <br />which lhey may havr becn IaiA, Ihe Ci[y will nn[ Ue requircd to (urnish waler during <br />thc proRress ot such itnprovemrnts tn any consumcr x•hnsc supply may ihus bc cut <br />rdf, or bc liablc fcr any damages for its tailure so lo do. <br />n��r���i�y�,n No.. a� G_2-�----- "p � � <br />Bloc .23-�/ _. ..Lut�n'_ _��.____.AdJ.�I._.___'_..._'_.- <br />Y`_ .---- <br />No.. _.3�.__ ��_ _..____..Strect - <br />__._..__.._._..____"_ ________""__'_'.'_____ <br />'fhewnrktobeexecutedby__________________ _________._________ Plumber <br />Stnle siv y( tap. <br />/ <br />--�� -Tap to bc inserted in �he main. 6 0 e-�-<: . <br />.._._____.W:uerdoset ��--���",'��:�;... <br />--- --- o�u, <br />_____._ .Urinal <br />- ______Plxin faucet insidc <br />. .__..___Side walk washcr <br />_ _ _ _ _ _.Hosc bib outsidc <br />_. ___ -_ _. Ho:;e hib fnr building purpnses <br />..__.____.Hosebibinsidc � `��T��� <br />- _"_""_ Uih for stable containing . _ _ .. _ _ ... . stall. _ . _ . _. _.. <br />_. __.� __—.Numboro( persuns in family. <br />._ � ___Numbcr of roains in builJin � <br />'Phe premises are lo be used �_. � y�. <br />Thc nwner a( thc r � . .� . <br />j __'___' ____ <br />SCS IS _ _ � � <br />-- - ��.:�t�--- - - - <br />---,. <br />rnc naenl is _ . _ _CQ/. ��J�,��%P�+-�- <br />t- - -- � -------- <br />'�his apPlicatian, althouRh signcd, shall nol be binding upnn Ihc f.iq�, �mtil aa <br />cepled bq'Plie Superinicndent o"the 1Vnl�r Dcpartment� / <br />SiFn��i_----(�"'-`�I-'�-=��---' —�-`�_._::.:-�Z�cf'iL-(_-�--Arnlic c <br />Ai�reptcty�..._�\.._ .. 19 � Ry ' " '_'__' _'_'_"' <br />(� � � ��' ' - Snr•rintennem <br />