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, J� F. �� 9—',°—�y�$. <br />�. <br />H'. D. Form i I 500 0-I.I T C. P. <br />Cl'fY OF EVERETTa=Water Department <br />Application for Water <br />All blanks must bc filled in or crossed uut <br />�l 2. �_'.____191 �____ <br />Everett,- ---- - <br />___'___"'___'_'__ <br />TO TFIR SUPERIN7'CNUI:NT OF'PHE WA7'ER l�F.PAR7'AtENT, <br />CPI'S OF E`1GRETT: <br />I herd�y :�pPlr fur [he use o( w•ater in ncmrdance M•ith the rules :md regula� <br />ti�.ms nt The Waler Uzpartm��nt, for purpases and SzWres stated below. <br />During the time that an)' of the water mainy mny be caAen up bY reason uf <br />any imprmements autho•ized by the Cih' of Everett, in nr u( any s�fccl n� nllcy in <br />whic6 they may have been laid. Uie City H�ill not bc rcquired lo lumrsh walcr durmg <br />the proqress of such improvcments to :mY «��sumer x�hnse supplp maY thus be cut <br />atf. or bc Iiable far an7' d:�maK�> (��r i[s f:�ilum vo to da. <br />Applicntiun No.__.7f_C."�""_" ' <br />ia�����: _--- I-7-b - � � ---naa._ �,s.�r , t <br />- -t.�,�-- 1-Q - Z- - - - - <br />No...i2�.��'---'---'--"' _ Street <br />----------_'__ ' --'------'------"----"_-'-`---------'-------- <br />'1'he �rork to Iuexecuted by......_______._ '__.__.._________._" Plumber <br />Slat/e size uf tap. � % <br />� ^ <br />�(��_. _T�p to 6c inserted in the main. <br />----J._-_Natcr do�et � <br />---./-.. __Hath <br />___.___ .Urinal /t1.7 �-� .•. <br />,/ "!� " <br />_.Plain faucet inside // � r .�, ,• <br />._ _' ' ___Side walk washer ! �� �• , .. <br />-__ l � � . �� J%f � ��� <br />"""_._Hn.cbi6nulside P �� � •/<i -� � ,�i <br />ry ,ir� <br />'_"_.. _Hose bib (nr 6uildinR P���poses [ f e� �� �vi 'i <br />__._'__Iloscbibinsidc ____stall�'\� �f .� %yir,� � <br />1 <br />_'Hih(:rtstablecontainin x� 7`�/ - <br />._"'_ B.""'_. _ �`.�'._' I'� <br />"_Numbcr af persuns in fnmily � ^ �.'� <br />r �t <br />- - �� ��", <br />-.�_'__Numbcr of rooms in building <br />'1'hePremisesaretobeusednsa__'_.__._'___.__'._...__"_"""___ ____.. <br />The owner of thc Premiscs ix .___'.._ _____.. ___. _______"___"'__'__'_". <br />Then6entis..___.._ ..__._._."_. _ _'_'-__"._'__."'___ .__._____'_ <br />This applicalion.:dthnuRh siKneJ, shnll not 1m.UindinK ��D���� !he City, imtil �o <br />crptcd by The Superintendent o( Ihe Nn�er I)epnrqnertL ., �� <br />Cigned_.__ . .__".-_..__:�__'.y%___�'_l.''_'_'Applicant/ <br />, .. , <br />� I <br />AcecVle. ��/�J_`_ _'lv / BY """"_'_"V"_"""" <br />� /"' .l �/ /).' ' Su �rmtenleni <br />� /% <br />