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w. n Fo���� �soo z.i-i�c.r. � <br /> CITY OF EVERETT�=Water Department <br /> Application for Water <br /> All blanks must bc fillecl iu nr crnssed nut <br /> Everett.____'__'_"'___'___'.' � y� , <br /> _ _ . 9______..191"'__ <br /> TO THE SUPIiRIN7'ENDFN'1'OF THE WATER DEPARTTIENT, <br /> Cl7'Y OF GYERF.TT: <br /> I herebY�PPIy for the use of water in accordauce with the rules and rrqulm <br /> ti�.�a¢u(Thc Nater Departmonl, for purposrs and fixtures stated belnw�. <br /> DurinH�he time Ihat any o(the waier mains mny 6e ta4en up bY rea=on of <br /> any improvements au[horized by thc Ci�7 nf Evemtt,in or o( any sircet ur alle7 in <br /> ���hich thcy may havc been IniJ,Ihe City w�ill not be rcquired to lurnish water during <br /> tlie pmgress oC aucM improvrments[o any consumer whose supply may thus be cut <br /> n(f,nr Lc liablc tar any JnmaKes (orpits fnilurc w to du. <br /> Applicn[inn Nn."'�Z.�..J."-" • <br /> �— <br /> Hluck . _._.I.ot___________________.AJd_._. , <br /> � _/�___,�____._ . _..'._'_____._ <br /> No.-u-a--C.�-k"-i.------��-�6---�..0�.Street <br /> .____.._.._____.___�'.._.��_'_____...____"_"'_ <br /> 'fhe work lo be executed by________________ ._.._.__ Ylumber f <br /> '.___�__'-_- _ <br /> S�ate sizc of lap. , <br /> _�I���_'Tap lo be insri�cd in lhc main. �—/�� � � (7 <br /> '__'_._R'atrr closct � <br /> I.� <br /> .__"____.Rath <br /> _._..__ .Urinal . <br /> . ..'_'___Plein faucet inside <br /> i' <br /> ..__._.___Side walk u:�shcr <br /> '__""_"Nase bib oulside <br /> ---------Hose 6ib G�r b�cld�nr umposes <br /> _..____..ffose bib insidc <br /> _.""."'[3ib fur stable cnntnining.____....-_-stall_.. .-__.. <br /> ._________Number o(pennns in (amiiy <br /> _._____.._NumLer nt runms in building <br /> '1'hepremiscsaretn6eusedasn..._ ___._._. - . ._.. .. _ . .__ ..__.. <br /> , 1'henwncrofthepremisrsis _.___'.____ . _ . .-. -- .. <br /> ThenKemis .'__'______. ....___'___.' .-_.. _.-_ ___. <br /> ..___.____._ <br /> This applicatinn.although signed.shall not 6c 6inding upnn Ihe Ciry, until ao <br /> �'epled by'Che SuperiNendent of Ihe Nntcr Departmenl. <br /> Siqned .'_'__'_""'_'_'_.""_______"_ -'_'-___'Applicant <br /> Accep�cd-. --__.___'_'__191 13y________._-____'_..."____'_ <br /> sr�:e:imenaem <br /> . . � [!( ' '� _. . � <br />