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F �.rTp 3- i���=' •- ' <br /> - �' <br /> �► .. _ <br /> W. �. Form � i5U0 ]-i-17 C.R . . . - ,. . <br /> � C17'Y OF EVERETT==Water Department <br /> Application for Water <br /> All hlanks must bc fillcd in or crosscd nut <br /> 2�1"-S"___191�q-- . . <br /> � Eveictt._-__._-___'_"__'_". <br /> TO THL SUYFRINTENUh:NT OF 7'11ii WATER DEPARTMENT, ' <br /> C17'Y OF E`1ERETT: <br /> 1 hereby app�Y ��r the use n(waler in �rcordance with the m�es and requla- <br /> tinos of The Waler Uepartm ent,fnr purposes and fiztures statcd 6elow. <br /> During the time iha[any of thc water mains mey be taken up by reason of <br /> any improvemcots authorizcd by the Citp of F•�ereit,in or of any strcet ��r ailey in <br /> wh�ch they may have becn Inid,ihe City w�ill nnt bc required in lomish w'ater during <br /> the proKress nf euch impmveinents tu nny consumrr whnse supplp may thus be cut <br /> o(t,nr be liable for anY damaKes fur its failure so to do• <br /> ApPlirntion Nn._..__. <br /> 7Z.!�-2' --q- s�'.x`� �o b S -1-'13 . <br /> � Hlock __'---.___' ___Lot__'d_'-_._.____. i�d---P-.`�+--�-._._.-- <br /> No.�/ �,.yk�.(,�.�,(l,t,.�- r�tf��[ � , <br /> .s __ '_ ._ _'__ <br /> g � �_' _ ._ "" <br /> "_"' _" <br /> ' '_ '__'_'_"___'___" <br /> 'fhc xnrk lo be esecutcd by-------"--' - -�---- <br /> _______...-_ Plumber � <br /> r <br /> Stnle sizr uf tap. - ' ! <br /> . � Tap m be inserted in the main.3�� <br /> I 7 <br /> �'__ <br /> Watcr doset <br /> - _"_____Aath <br /> � � <br /> -'_.._._ .Urinal <br /> i _ <br /> .'_____Plainfav._clinside .� '���� r , . .. . . . . <br /> ' _.._""_"Sidc walk rvashcr � � ' <br /> ' �V) '__'_"'_Hose bib outside <br /> ' � ___"""_'HosebibinrbuildingPwpmes <br /> a� <br /> ___..____.Hnsc bib insidc <br /> '� '__.I3ibforsta6lecnntaininK-----...-stall._ ---- <br /> � �-'"' '_"'Nombcro(per��msin (amily <br /> _..__.__"Number�d mom�in buildinK <br /> ' __...__'_.___" '_"" <br /> "fhc Premises.rc t�Le used as a'-'- "-----"'----"' <br /> . . __._"''_""_'_ <br /> The o�vnerof l ePrenusrsis __'_'--'-----' <br /> '____ '_'_'_ <br /> • __..____ ____________ <br /> 7'hcaKent is .__.._-_._. ._..__'___.__ ..-____ <br /> 7'his apPliralimi.although siHned.shall not be bindiug upon tkc City. un�il:�o <br /> cepted by 'I'hc Superintendcnt of the R'nler Ueparbnen:• <br /> � �� /' -��_.A hiant <br /> SiRned __:_ '_ %�,cr_-�,z�sL�L-G.�I_ ._____ �P'. <br /> __.191 li)'___.__"_'_""_"__""""_"_ <br /> Arceo'�d_ -"-. "'_"_- 5nrermi�nCeri <br /> . f� <�/�/���D � �. �-i�i.. -. �rP' <br />