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. '. I�N i:D - 6-z5�,2.0 � . <br /> W. �j,Form 4 I500 3-I-17 C.P. � <br /> C[TY OF EVERETT==Water Department ' <br /> � <br /> Application for Water <br /> All tl�mks mun�be�fille ' or crossed out , <br /> Eot����tt.-- -�---'- ' --�1--�`--191 y0 <br /> TO THE SUPERINTENDEN"I' OF THE ER DEPARTMErT, � <br /> r��7'Y OF E`IERETT: <br /> ' 1 hereby apply fnr the use of wnter in :�cwrdance with the rules and regula- ., <br /> �ti:>ns nf 7'he Wa[er Dapartm�n[,f��r purposes and fix[cres s[ated below. <br /> During the time that any of the wa[er mains may be taken up by reason of <br /> any improvements authorized by tne City nf Everett,in or of any sveet or ailey in <br /> which[hey may have been laid,[he City will not be required to lu'uisnhaY thus be cus <br /> ti�e prugress of such improvzments tn any consumer whose supp y <br /> oH,or he liable for any damaqes(or i[s failure so [o do. <br /> ApplicetionNo._��� - <br /> ��'---" _ Add_----�---" <br /> -- --- <br /> BlacJ�/-,�/�,"-�--� �-�-,/�/LoL'-�-�--�---�--�-y'-�-1-' <br /> No..!-r.�`"?/-�v.F'fQiE�-r-fa'r�."ti.Stieet <br /> . _..___'_'_" ' '_-"__".______.'______"_'___""_"'_' <br /> 'Che work to be executed by____--_---..---- �7�.��}� <br /> .'------------'-'-,�--' Plumber � <br /> �t�e size of tap. / p.�-� "- � <br /> �'� 71 <br /> ._ �____Tap b�Ix inserted in the main. � <br /> ' , ______.Wa[erdose[ �- �� V�C�y, � <br /> � __Bath '�J <br /> . '---"' .Urinal �, m �`��� . <br /> ' __'-- u \ <br /> '� .__Plain fauce[inside u `�lJt <br /> � + <br /> "-'-'----Side walk washer . � � � ��Q;i�� <br /> �.:�, <br /> .._Hose 6ib au[side �'� ��� �- ,,,�� . <br /> � <br /> ._____----Hose bib for building pm�poses `� ?yC� � ' <br /> �� fjr L <br /> __.____..Iiosu bib inside \ � : <br /> _"'__Bib forstable containing."__----s[all_._.��r'?_ti"'' <br /> ____.____.Ni�mber o(persons in (amily <br /> _.__._____Number o(rooms in building <br /> __"'________ ___.' <br /> The p�emises are to be used as a-----------------�- , <br /> ThcownerofthePrcmisesis ___"..______'_..._____.____"___'______'_'___.. <br /> The aHen[is_""_____ ____"'_"___________ <br /> This :ipp���a[ion,although signed,shall no[be bindinH upnn [hc Ci[y, un[il ar- <br /> cepted by The Superinten,'en[o(tche Ne[er Department. <br /> � +_G._'_�-.F�""-.__�_ .""'__"'APPlicant <br /> Signed__--� � . <br /> / .-`"� �1'l BK--�J <br /> �cce tedJ/ ��_-----'-"-'-------"--' <br /> P '-"-----'""'-' ,. SuOerimendem <br /> f�... 7;� � � �-�?- -3-c� -�O <br /> N . -..._.._. . ......_. .. . - <br />