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W. D. Fam � ISOD J-I-I ] G. P. <br />CITY OF EVERETTa=Water Department <br />Application for Wate�r <br />All blanks must bc fillcd in or crossed nul <br />Everett ............. wi_G�! -�-------19i%Q-- <br />TO THE SUPCRINTBNDIiNT OF THE WATER DF.PARTb1ENT, <br />�I7'Y UF EYF.RLTT: <br />I hereby apply for the usc nf water in aceordance wiUi the rulcs and regnla� <br />unn; nf l'he Water Dzpartm �ut, for purposes and fixtures stated beloa•. <br />UnrinR the timc �hat anp nf the waecr mains may be tnkcn up by rcason of <br />anp improvements authurixcd bc the Ciq• of Iivereil, in or n( any sVicet ��� alley in <br />which they may havc becn I��id, the City will not be required to lurnish water du:ing <br />iLe pragress nf auch imprnvements to any consumer whose supply mac Ihus br cut <br />nif. nr Ue liable tor anny dRamnges fo/r its failure su to do. <br />Applicnlinn No.'!-_V'�('_"_" <br />Blnck __�..�-_' ._. Lnl =_`.� �.�.__..__..Ad�L-_.. <br />/ .._..__..__.. <br />No.. �D - Q �'-. ��. Strcet <br />.___...___....___'_ . ______". . ___.__._....._._.._'__..___.'________ <br />"fhewnrkto6cexecutrdb}• _..__'_."'__ _ ._.____'.____...__' Flumber <br />r l� �� �J <br />$ta�e vize of �ap. �1 __� � � <br />-�/q � �- � 4 <br />�r .__.Tap to be insc:lyd in lhc main. ��� . � <br />__,__Nalercluxt .y �' I <br />t / <br />_ ISath /�,.��I� � � 1 � F � <br />.______ .Urinal i.l -' JJ�_� ��%1 � <br />___ ___ � /)r��l. , i <br />__._.___.Plain(nucetinsidc �5,` �'� °f.l'�(' �i <br />. Sidc walk washcr `�\( F�'-�i(�_, <br />. .Hosc bib nutside 1 <br />__._'___Hose bib farbuilding pmposes �rlr 6 � <br />" _ _' _' Hnsc bib insidc <br />_""_.._Rib(nr�lablccuntainin�.___...._- slall__.____.' <br />_' _/._". Nmnbcr of persuns in f�mil>, <br />___r____Number of rnnms in building <br />:'hepremisesaretn�L`IIiC(Id9A____________________________"'_._..___ _._'_' <br />The nwner u( [he prentims is _ _ _ _ _ _ """. .. _ <br />________________ <br />_' _ _"". <br />Thea�ent is ._'_.____.__.._____________ <br />.__ ._ _._.._"__..___________ <br />This application. ailhou�h signcd, sliall nul bc hindinu upnn the CitY� ❑ntil ao <br />cepted by The $uperiNendent a( ihc lVnter Ueparlmenl. <br />^��'�,����i4-- ----------APPlicant <br />, <br />Aceepled � `. � I�f9i� H'. . . � <br />_�'-- ff� ------- - <br />�,,.�-��� . , . . _ � :: . � s�,�-,����� .�, <br />