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�=,f"T%- � ' � F,v r v l: —n—.z y <br /> W. D. Form a �500 YI-t7 C.P. <br /> C1TV OF EVL�RETT==Water Department <br /> Applica�ion for Water <br /> .411 blanks s e filled in or cro��ut _ <br /> Everelt..- _____'��"—�.. _'____._.19�-G'--- <br /> TO 7'He SUPGRINTENDIiN7' THE WATER DF.PARTMFNT. <br /> 97 OP F7GRF.TT: <br /> i nr���,s,nn�r <<�r the use n(aater in acmrdance w•ith the nJes and rey,ul�� <br /> �ions nf 7'he 1Vater Depnrtmzn6 fnr purpnscs and fizlures stated brlow�. <br /> Uuring thc time �hat anq n(the watcr mains mAp be taken up 6y reason of <br /> ang impmvemenls aulhorized bp LLc City uf F:verclt,in nr n( any sircet nr alley in <br /> �rhich they may have been laid, thc Ciq�will nnt be mquired tn furnish water during , <br /> the progrrss of euch impmvements to any consumrr w�hn:r supply may thus be art <br /> n((,nr bc liablc for an��damaKes fnr�tailure so ta du , <br /> ) ^ 'l= J <br /> �pplicxlinnNu."/___�_" __--'7--' ' / � <br /> , 111ock � "'_I.ot_�'P-'-�'Y'""_Add(_l.^.��-�rth,_CGClG�. • <br /> .__ _�_____' <br /> �,�. -��—�'�- �-� .L7, s�«�� <br /> - - — — ----- - -- --- ---- ---- <br /> 'fhe wark ln be executed by....__._.------- <br /> ______.____ Plumber <br /> Statc si.z.e, �1�f tap. <br /> _._ �/r�'�lap tu bc inserled in the main. /� . <br /> _=---�:aler closet <br /> -�--1�Alh <br /> ��-inal <br /> ___—�lain faucet insidc <br /> _..______�idc walk washer � <br /> _--.-��ose bib aulside <br /> �ITose bib fnr building purposes '��'.��.+�-.. <br /> : . �.,. <br /> , ��Hose bi6 insidc � � �- �, - <br /> ._"""'_I3ih for stahle containinK____.-.,._-stall.:i.-__' <br /> . <br /> __ Numhero(perFons in (amily � � <br /> ___��_.Number n(ronms in building � <br /> The premiscs are to bc ueeA as a__ - ----� <br /> ���__.'____ _ <br /> Thenwnero(lhepremisesis __._��'. �-_�? �---.-- <br /> _ ._. ___"___ <br /> ThcaNeNis ."_..-.__ _____—__ _�. ____.._ <br /> This apPlicatinn.althxugh siKned,shall not be binding upon the Ciry. until ac <br /> ��epted hy The Superinlc�ent o the N cr D rtment. <br /> SiQned_.� _.��--+�-5-���-/- -- ----'--APDlicant <br /> AccePted..__._.-_._'_:.._]91 . . BY._-...../"__'_ "'__'_"'_ <br /> � . �sue•emmnceni <br /> r <br /> :�r. <br />