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� <br />�/YTD 7-3_-� � � , , <br />r ,y�� ?, 6' i5-�:-'3—/11 <br />�► ' <br />W. D. Form � I500 ]-I-17 C. P. � <br />CITY OF EVERETT==Water Department <br />Application for Water <br />All blank:; must bc fill in or crovsed nul � <br />—_ % q <br />Evcrett.-._' - '�1�-��/{,� _ /•)-. -___.__19i"�__' <br />TO THE SUPIiRIN7'IiNDEN'P 0/ T�� W�� RETTF''n�TN1iR7'. <br />( hereby applY (��r the use. of water in accordance with the rules and reguln- <br />ti�.me nt The Nater U:Par[nr�nl. (or purPos-es �mJ fixtw�es sCrted 6efon�. <br />Durin� [hc time that any o( thr w:uer m:�ins m:q• br taken up bY reax�n of <br />:my impruvements authorized by the City o( Everett, in or o( anY sVicel or alley in <br />which they may have becn laid. thc City ��'ill nu[ bc mquired to furnish water during <br />uff, or�be liahle for ai Y �� �`���sn(or ils failure so�[o doh�'se suppl)' maY lhus be cut <br />APPlirntion No._.��-�-�--'-- <br />__. <br />• \dd--_'- <br />---------- — <br />� lilock _" t'__" ._--.• <br />___"__ <br />__ <br />� ' � !�-f�i%.. Street <br />�.$ /rJ-. :./_eC_..c� �_ - <br />.,,..---- <br />� - ------- -- <br />- <br />- - -- -- ---- <br />---- ----- <br />� ______. Plum cr <br />' "_"".""_ �V <br />'fhc Work lo be rxecuted by-'--"-'----- - <br />�Sla Zr o( lap. /) / , ' <br />%J �Tap to 6e inserted in the main. '(� <br />� W�tc�'dosct <br />._ .�.. _i3ath <br />--...--- �Slrin:J <br />.. _.�_. __Plain f�ucet insidc <br />. . _ _ _ _SiclrwaNr�v:rsfic�' <br />-� _ _ _I�lose bih uut�idc <br />. _ _' _ _ _ . Nuxe-yib-H.r-lmiMini'T�nTfn^�"" 1� � <br />IHlnrtsid � <br />.___'_'___8nse- c- :,���... <br />�g'___'__ _ -sLdl � <br />_ _ _ Numbcr o( persuns in (amily. <br />-__ �'_Number u( rnnms in building <br />2_...__ __.'_ <br />'1'he premises are to bc u�ed as a_ _ _ <br />' _'. . <br />_' ' <br />�.�... ,�/�((G� _ �2C._,.__.'_.__. <br />Thc mvncr u( Uic Premises is __--'--------- <br />1'hc.Fenlis "____.._-.'_._'________'._...__.___'__...-_________' <br />This apPlication.:�IthouFh signrd. shall nut be bindinp upon tlic l.ity. until ac� <br />=d by'fhe Superiulenden/t of ihe Nntvw' D m mrnL . <br />SienrJ v-.✓ -�V � fil�fil�.-�f�-____A�Plic�nt <br />-_ _ __ .. / <br />-- � . .______ _ ______________'__ <br />tepted_-�4.'"J�._"__._.IJ] .: 1;7."--. �a:erimen�ent <br />/ � <br />