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/-` r�'- 3 — � � .. <br /> W. D. Fcrm � 1500 J.1-1]G.P. <br /> CITY OF EVERETTe=Water Department <br /> Application for Wa�ter - <br /> • All blanks must bc filled in or�russed nui\� <br /> Evere�b''-__.�i�il�i/_'_`-"`�__'_'.19Yp_- <br /> 'PO THE SU}'F.RINTENUEN7'OF THE WATER I71iPAR7'MENT, <br /> CI7'1'ON E`JERETT: <br /> 1 hereby apply for the usc ot water in eaordancc with [he rules and reµula� <br /> tinns uf'Phe Wa[er UeP.vinunt. tur purposes and itztures stated bclow. <br /> Uurim;the timc that any n(thc wa[er mains may be taken up hY reasun n( <br /> anp impmvements authorized br the Citr nf Gverett.in or nf any sircet nr alley in <br /> which lhey ma)'havc bcen Iaid,�he City will not bc rcquired to lurnish water during <br /> the prnpress nf such improvements tn nny consumer whose s����iy may Ihus be cut <br /> off,or bc liable for any damaK��<<�r its tailurc,o to do. <br /> � 2 �3 �/ <br /> AppliCnlinn I3o.'_ '_. '_" '_""'_""' <br /> ' _ <br /> Rlxk . �:��' Z''� _' nt__'- �•3"�_'__'.Add_____ _-_ -_"__" <br /> w,.._/1_u J- _���/C��tJ ---.s�.«� <br /> - - -------------- - <br /> --- - -- --- ------ -- - --- -_--- --- ---- --------- , . <br /> '1'heworktubcesecutedby.--_-_._"_____' _____..____...____.. PIumF�r <br /> Slate ite nf tnp. <br /> __��'__'Pap to be inserleA in the main. . <br /> ____�.___\Vater clasrt � . <br /> __�____Bath �9 :j„'� <br /> ._.. ___ .Urinnl � <br /> !,�'___"'__Ylainfaucetinside �: ; � . � �' .'' <br /> . _.____.Side�valkwasher � �. . <br /> /��_ _____'._Hosc bib outsidc '�.� � <br /> "_""_"'Hosc bib forbuilding purposes � � � <br /> �?����� ;� <br /> ..____.'_.liosc bib insidc \. <br /> .. <br /> ..'__'."_13ibforstnblccoNaining.___.____ st .�_ .;.. _-.��. �i; <br /> _. / Numbcr o(Pcrsans in fnmil>' � j Q . ri <br /> _'4�'_'Numbcr o(ronms in building I <br /> , <br /> 7'hcpremisesarctobcusedasa_ __ _._._ F1 ._ G� __ _ ___.. <br /> � 'I'hcoa�nerofthepremiscsis _'_'_____-._'._ _ ' 0 __'___ <br /> TheflRo�tis ____.__._.._.. '__ __ ____ _____""-._._____--"_ <br /> 7'his appliinlinn.allhouKh sign�d, sh:dl nut be 6inAii g upon lhc Cily. trotil ac- <br /> cepted by The Siq.erintendenl of`ic^Valer Uepal'tmenL • <br /> " r � ��/� <br /> `iqned.�_ �' � - 61_� Y`�5.._.- pplicant <br /> -!�"__ � . -..— . .� . <br /> ''epted�._'_"/'_'_" P pt�?�—� ' _' "'_"_ "'_ <br /> .J / r'f- �-"' 'Surerimm nt <br /> ,y i <br /> � ,C.�� !=; /i . _ - i . <br /> 0 <br />