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. -.,.�_> >. .�.l. fNT�t3/vePNar 6-7--YT <br /> / <br /> - . - ,. <br /> W. D. Fori� � IL00 J-I-17 C.P. <br /> CITY OF EVERETT==Water Department <br /> Appiication for Water <br /> Atl blanks must Le fillcJ in or crossed out <br /> Evcretl._.-_'___"" _'_"'6/7'__'__191 Z_� <br /> TO 7'HE SUPF.RINTENDIi\'1'OF'PHE WATI3R DEI'AhTnllif�T, <br /> CI'I'Y OF' G7ERIiTT: <br /> I hereby applY (��r�he use uf aater in :iccurdance wilh lhe rules and regul:r <br /> livas uf Thc Water Deparlmen�. (ur purDnses and fisU�res stated 6clow. <br /> DurinK���c lime thnt �mp ot the w�ater mains iroay be taken up by reason of <br /> any intp�nvemen�s autliurized b� the Cile of Evcrnl�.in or n( anp sh'cel ur alley in <br /> �vhich the�m;�)' havr been laid, Ihe l'ity�cill nnt he required In furnish water during <br /> tl�e prngress nl such i�nprovements ln an)'rnnsumrr u�ho« .upply may �hus be cut <br /> nf(.ar bc 1ia51e(nr nnY-�7�m;igi�s fur its(ailure su In dn. <br /> ApplicnLian Nn.'__"/_Sr`.-_�'__' <br /> i�i�,�k � 'L� -- .t.o� --3=`-f _ -- nad.__— — — -- <br /> �lo._'_"�ds �t.�C_�no�il..,"'_S�rce� <br /> "'_""'_'_""'__ ' ""___"'______'_..._"____"".'_"'__"'_"'._"""_. <br /> 'fhe�corktuheesecutecl6c.__"________. __..___.___.___._._ Plumber <br /> Slatc si).0��(tap. <br /> �//�""Cap lo Uc inserled in Ihe main. <br /> 1Vater ducet <br /> _�._____ .� r� . ` ! <br /> .�_.'__'__B�th �� Q�`T,�� � O `-� <br /> Urinal <br /> _'_'_'_Plain L•mtcl insidc ( .m-3�-•••."`1 <br /> . '___"Sidewalkwashcr <br /> -'.'__._Hnsc bib uut;idc <br /> '_"'.._Ilosc bib fur bailding purpnses <br /> ___'__Hose bib insidc <br /> ✓ <br /> .13ibfor�t�ylemnlaining._."__'___slall_' """ j`� <br /> _""" ^ <br /> - __'_Numbe:of persuns in fantily 4 � <br /> .�.r_..Numher uf runms in building <br /> 'fnePremisesaretnbeusrd ��sa...-._____ ."--_""_"-_"'_'_"' <br /> � 'Tieo.rneruf:iicprcmisc::in ..__. --__-._____.____..___._____'..___ <br /> 'hea�cntis _._'____. __.____..___ . ..-__ _____"'_ <br /> -_..____.___. . <br /> i hiy applicatinn, allhough signed.shall not hc binding upnn Wc Ci�y, unlil ae� <br /> ..d by The Superin�cndeqqqt o(Ihe 1Vntcr Uep�arl)nxnt. <br /> SiKned __.�.0 iJ G3_a�. �/�l�� �.,e_��lii�ant <br /> _ .'. .____^��, <br /> A<tePtrd :.�.__ " _"__'1� I1�j77.��_ \.. <br /> � '� Svrer�mont.er "' <br />