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w'. 0. Form t I500 J-1-1] C. P. <br />CITY OF EVERETTa=Water Department <br />Application for Water <br />All binnks must b� Iled in ur crassed ai t <br />Evcrett...--- -�-'fL�/—__".-- .--------19�_ <br />i <br />TO THE SUPERINTtiNUliN1' QF HE NATER DEPARTMCNT, <br />CI S' nF GVERETT: <br />1 hrreby apply (ar the use n( water in :�ecnrdance �rith ihe rules and •eH�����' <br />tiona n('1'he \Vater n,�,r�m.�„�. r��r �,ur���.e. and fistures siatcd belnw. <br />Uuring the timc tha[ :mp ot the waler ntains may be taken up by reason o! <br />:uq� imprnvements authorized by the Ciq� o( Ercrett, in nr of any strect ar allcy in <br />�rhich they maY have bren laid. thc City will not bc requireJ a� lurnish water during <br />�he pra�ress of such impraveinents to an>' eonsumer ahnse .iq�piy maY thus be cut <br />uff. nr bc liahlc fnr any damages for its L�ilure so to dn. <br />rlpplirntinn No..J _%�_'_ _" <br />Rluck ___�:.t-.__ ...-�.I �L' '�'_""_ \dd___'._'_'_'___'_' <br />____.___. <br />� <br />No._�.o.�._'�`f —__ _""""'_�_—____..Strccl <br />--__"_ ' """_'_....'_'__ '_' ___"_' <br />'1'hc aork ta hc exccu�cd bp__- _""' "_'__'_"""__'_"" Plumbcr <br />Stale .s' .e af tap. <br />i <br />. _ "c�'_Tnp In bc inceried in lhe main. . � � n �" �� � � �� � i <br />� � ' 1 <br />. _ _ _ _ _ _ �. _ W:nrr do�M � <br />. _ _'_�_. f3ath <br />___..__.. .tlifrtaT— <br />..""'(_.Plain f:mcei insidc <br />. __'_""5:..��„�as:.rr— <br />' _ _ _' /" . _ 11ase bib nutside <br />�.__"__ . . . . s . <br />_'___'_JI«. ' .0 `' �' <br />__"""'_ . . . .___._.__..stall__.__F. <br />.___ -."'NumLcraf nersons in fnmil�• <br />__� Numbcr ot ramns in building�l i/��'C=�//���� !� % <br />'I'lit-pTemiyrs-arr�l<r-#revsPd :Ts n _ �.C.' '�"� 'A <br />'_'_"'._._'..__.__._..._ __... <br />i <br />'1'he u�� ner o( the prem isrs is'" _"' """"_ _ _ "' _' _ _ " _ _ _ _ _' _ """" _ _.. <br />'fhcaKentis. ___'___._ .._ .__""" ...... ........'______'_' <br />-_._________ <br />This applicatian.:Jthough signcd. sLall nut be bindinK ��P���� thc Cilri until ao <br />ted bc The Superintendent of the Nnter Department. <br />� �� � /�� � <br />Signed �.,Ck�:�G _. . . _'CLt�-"`�L.!(' � -1=Applitant <br />AccrPled. _ __"__'_'.191 Rr__-_.- ___"_ <br />� 5nr•rlm<n,'.em �- <br />