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. 9 .� <br /> ,. W. D. Po�m � I500 d.1-17 C.P. \i�� 11� � .. <br /> CITY OF EVERETT==Vltater Department !i�'' <br /> Application for Water <br /> All blanks mus[be filleJ in ar crnssed nu[ <br /> /^�.1 r <br /> Everett..- ___'___ _""__ ___._'-__1917__.. <br /> TO TH6 SUPF.RINTL'NDIiN7'Of THE WATF.R UL•'PARTA7tiN'f, <br /> CITY OF G7ERCTT: <br /> 1 hereb•:apPly fnr the u�c n(water in :�ccordance�cith the ruies nnd regiila� <br /> ti�m;u!7'he �V:ner Ucp:vtm^_nt.(or purpnses and lixl�ves stated below. <br /> Um�inK�hc tinre ihat any of ihc�vatcr mNns may be takrn up by rcason of <br /> :�ny impmvemcnls amhorized 6r the Ci�y nf G�•eret[,in nr nf any strcel �r alley in <br /> o•hich thry may hnve been laid,the Clty aili nol 6c required to(urni�h waler dunn�! <br /> :�prngress o(such improrement,tn an)'consmner w'h�,se s�,nr�y may thus Ue cut <br /> o(f. ur be hable Inr any daQnm�;es{�m rts iailnre so to dn. <br /> Applicntion No.__�Y._.. �---'--- � <br /> �___ <br /> lilack ._.�.f�-- �-----Lnt_��---�`-'------�-----AdJ. . ._ .��f[.U' <br /> \o.""'."_..�Q _�.�---�-�_'..Strec <br /> .._'.__"""" �n ���,,,///��- ��n��� ��� <br /> ' '_'__"_"'. ..__."'_ <br /> "__�_^_"""'_'__"__"_""'""_" <br /> -���"i'he wnrk to be executcd by____C:�..-�-��-�-�r------------' Plumber <br /> Stntc sizc uf tap. � <br /> / <br /> _. .,1:.__'fap tu bc inscrted in thc main. O , <br /> � ' __\Vatcr clnset ��A1 p�� <br /> ---�►---t3,�h �I� Y1� _ . <br /> _ <br /> '__... .Urinal //����� \�`�'���: <br /> -.____ __F'luin (aucct inside !�/ ';� ' � - �a��.0 <br /> ---- �c ' Ce",J <br /> ___Side walk washcr '\��� <br /> __Nnse bib outsidc / ����'�' � <br /> I � / <br /> _._11asc bi6 tor buiiding p���p��«s � <br /> ___.._'__-Nnsebihinside ���' :�.aNnr .,���'�� /� <br /> __'_'.._.ISibfnrstablcrnntaining._-_----....stall._?,':'• � - � <br /> • \: .� <br /> _.._ __.Numbcr o(Pcrsnns in familY �` I`�L�� <br /> __e . _Numbcr uf mnms in buildin � �� <br /> Thc Pre�.�.i,es are to be used as:�_.. . ._ .- _ - . ._'. __._._"' '__"' <br /> 'I'hc ow�nernfthepremiscsis _____'-_____.___.-...._____ _______ _.____ <br /> TheaRentis_'__'____..._.___'_______.'__ . _... _'_.._"'..._ <br /> This :�npG.aiion.,IihouFh s��ned.shall nut bc 6inding upnn tl�c Ciq'. ❑ il ac <br /> cepted by Thc Superintend t7 th• Vn�er ) artmrn�. .; <br /> �' t�- . 'ti <br /> _.G�����/ �pp�icani��, <br /> SiRneB-----'-�----' -------�---' -- <br /> , �.., • ., :. <br /> AcceplcA. ��.:�' ""'"_"'_191 .' I5; _. y�.^.--�-��- _' <br /> . . ��3�,i ml^mndeni <br /> � a�. u � - � ' � . _ 7 -���-�� � <br />