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� �. �R-6A'TY-4�/3e��-fC_ � � . � ' �j <br />y . <br />W. D. Fmm ♦ 1 S00 J-i-17 C. P.. <br />CITY OF EVERETT-�Water Department <br />Application for W�}ter <br />All blanka muat be filled in or mssed nu � <br />Everet4-=!�/'�`'"�`^�-.�l/ —'_.______.__'191� <br />TO THE SUPERINTENUENT OF TNE NATER DEPARTMENT, <br />Cl7'1' OF E`lERETT: <br />1 here6y apply (nr thc usc o( walcr in accordancc wilh the rules and rcgula� <br />tiuns u( The �Vnter Uepartm^n4 (ur purposes and fixWres stated below. <br />During thc time thal any of the watrr mains may be taken up by reaeon ot <br />any improvements authurized by thc City u( E�•crelt, in or of any sireet ar alley in <br />which thcy may have been laid, the City will not be requircd to fumish watcr durinq <br />the prnKress ot such improvements to any consumer whose supply may thus be cut <br />nff, nr Lc liable tor any danqugcs fo iU fnilure so to Ao. <br />ApPlicnlion Nn.'_'�l .�.�'""" <br />Ulcek _ -_--'__ - LoL------ ' --- - Add-----_---"-"_--'-- <br />____ <br />N�.. ����—� � � , � . Slrecl <br />_ '_."_____'_""""""". <br />'___"_'"" ' _' "_ ' ' <br />����,fhework tobeexenrtrd b>'____"_____"'_:____'._"_'_______'-' Plumber <br />Stale�e nf tap• u� <br />__.��. ,�7-� , <br />"__Tap lo be inserted in the main. <br />' _ _ _ _' _' W aier doset <br />._-__'__Rath <br />___ .Urinal <br />_.__�.___Ylnin (auccl insidc <br />. _ _ _ _. _ _. Side walk washcr <br />. _ _ _ _ _ .. _ Ilosc bib aulsiAe <br />.""_ ____ liosc bib for building purposcs <br />__________Ilose hib inside <br />'_"".'__13ibforsta6lecontaininR-�------'--stail.'__'.-- %. <br />__' <br />__.Numberof persons in (amily <br />__'___'___Numbcr of r�mms in building <br />The premises are to be uscd as a__. ._' '_"_ �� ____'___"_ _""' <br />Thenwnerntthepremisesis___ -�1�"'____ <br />ThcaRcnt is . "_'._._.___ __._.______"_ ____________'__"_.._________'_ <br />This applicalion, allhough signed, �hall mt be bindinR upon the Cily, until ac- <br />cepteJ by The Superimendent ot ih� ater Depar ent. <br />� �/�r �1 ��,(� <br />Signed_/__l,l�d�' l- �... _ __C`��". _'_ "_____A licant <br />lf / <br />ed,�.+.�.�___]D�i� Uy_ _ _. __ _ _ �__, (__/ '__ __ <br />�✓ ./C f�/ ��iZ%/��j( ntendem <br />.� / _ <br />✓ r <br />