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/i✓Ly �...�y . 7. y. - i . . <br /> w W. D. Farm ♦ IS00 :-I-17C.?. w <br /> � C(TY OF EVERETT�=Water Department <br /> � <br /> Application for Water <br /> All btanks mast 6c filled in or crossed out - <br /> - Everett�--' ----'-----'-�z���"--'19��_. � <br /> TO THE SUPERINTENDGNT OF THE WATEX UEPART�fENT, <br /> CPI'Y OF F.YER[iTT: <br /> I hereby apply for the use of water in accordance with [he rules and regula� � <br /> tinny of The Wa[er Papartm�n[, for purposes anA fix[ures stated below. � <br /> During the time that any of the water mains may be taken up by reason of ' <br /> any improvements authorized by [he City uf Evere[l,in or of any s[rcet or alley in <br /> which they may have been laid,the City w•ill nnt ie reyuired to(urnish water during - <br /> the progress of sucn imprpvements to any consu r.er whose supply may[hus be cut <br /> o(f,or be liable for any�d-a/m�ngLes/for its failure so to do. <br /> � ApplicationNo.____.L_7 b_�____. � � <br /> � Rlock _"' '___" <br /> ? ,n "----LoL�'`'-�'-�--..—.I_—__--I-.-�-----Add---'----'-'-'-----'- <br /> No._I-L.�'_Nl. '�>':':2___�=�'_�7___;`�?�c..S[rec[ �Z-�.�''-/�3�+ . <br /> -'-� . o r�-::"_0 .ze1t••_c_� �'. • - <br /> _ . _ .' _ "P-"^^T_"'__"__'__'.'_""_ <br /> � 'fhe work tn be execu[ed by_________________..__..______________.___ Plumber � . <br /> S[a[e size of tap. <br /> � __/� <br /> 2c__Tap to be inser[ed in the main. o a <br /> , _---'__Watercioset /� � . <br /> . --_"---Bath . . <br /> ,�. '__'____ .Urinal � <br /> -, ______. Plain favice[inside ,�, n �� � � <br /> "' <br /> .________Side walk �vasher <br /> �o-��--Qh . <br /> �. _______)losebiboutside - <br /> ._________8ose bi6 for building purpases � �� <br /> , <br /> �� _____.__.Hosebibinside ill <br /> _______.__Bib tor stable containin I <br /> g'_"_"_.__s[all_'___.__. . i <br /> � _.__.___._Number of persuns in family � <br /> __._______Number nf rooms in building <br /> The p�emises arr.to be usPd as a_.__ ____ _�_�dT"�"'�°_ �._.. <br /> ----'/j -�- '-__'-�- <br /> The owner of[he premises is __ ,__ _ _ _ _ __P���4 .h��____ <br /> TheaHent is..-------'._..----'----"- �-----------"'---'-"---'- <br /> � This appliCa[inn,elthov6h 5�gned, shall not be binding upon the Ci[y, until ao <br /> � cepted 6y 1'he Superinlenden[of the Wxter Departmen[. / <br /> I Signcd_��',,;,.1.`�""C_L�'_c__�'r!�� �>-. I1.C�.Applicant . � <br /> , <br /> Acc�pted�S�..IJ_-�;/ BY- ' � . <br /> _ ' _ ""___"_"__"__"' <br /> sncerlmenaent <br />