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_ . �. . - <br /> ' R'.b. Form � �500 J-1-I Y C.P. � <br /> CITY OF EVERETT-=Water Department <br /> Application for Water ' <br /> All blenks must be fiiled in or crossed nut <br /> Ererclt�_"_'.'_""'_"""��.I_____191�_ <br /> 'PO THE$UPERINI'HNDEN7'OF THE W:1TER DEPAHTMENT, <br /> l'Ii'Y OF i:VER6TT: <br /> 1 herrhy appiy fnr the use uf water in ncrnrdance with the nJes and reguln- <br /> tiuns of The Water Departm�n4<<x pur�ises and lixtures stated belaw. <br /> Uuring the time ihat any o(thc water mains may 6e taken up by reason of <br /> any improvements authorized bc the Cita nf Everett,in nr n( any st�cet or allcy in <br /> which they may hnve been laid, the City will nM hc required in furnish a•ater during <br /> the proqress of euch improvements to nny connumer whnse supply may thus 6e cut <br /> nff,or tx liable for anp damaRes for i[s f;�ilure so lo dn. <br /> � Applicatian No.-_-7�9 � . <br /> __.".___ �1 ��� � <br /> Bloc .-._'_-'___' Lot__ _"_'_"___'."__AdJri-�!-:rX-e-�'t � <br /> _' <br /> 1' ._._._____-_ <br /> No.___' _" ' .____ ��.�'�'T'S'_"'.Street <br /> ..__.............. . ...__ �' . __._.__l( ] ll. ': t- . <br /> _. <br /> -- � - - � -- --•----�--"'-'^ <br /> � 'Fhe-wwrk-tTISl-ezecetrtt'bY____.________ __ _ .__.._.__ Plumber <br /> State cizr nf tnp. <br /> _��'_Tap tn be inxcrled in thc main. /—I—2 0 <br /> .._'_'___W�eselneet <br /> ___'_-YM1r ' <br /> ''7�' '__ .1i.trttl <br /> �ae�l�kk-➢�i..h�eec y�.d� <br /> . .___'___Siie�wilr�waRher <br /> �L`.0----Nw bib�wte.le <br /> """"__Nuarbila.fer-�bviM' pmpo, s <br /> _'_""'Ii�esliA.irolMe <br /> _"'"'.'_Nihd�x+�ble-eow�wi�Iee.'____'__ stall_._ .__' <br /> '_yy""'Numher o(persnns in famil). <br /> .__�/.___'Number n(ruonn in building Z� <br /> "PheVremisesaretnbcusrdns:�_....._l-Y�.6Oy'Y�Y.L��.p�-.__--..._.____ _._-. <br /> The nwner nf Ihe premisrs is '_'_'"__.-'� J."'d�i.J:�:[_L._"'_""__ <br /> 'CheaHcntis..___'_____.'_..____._.__ ' . _"_._ <br /> This npplication,althuugh siKned,shall not be bindin�;upon the City, imtil ac. <br /> crpted by The Superiniendcnt of the 1Vnter Uepartment. <br /> 1 . <br /> � �+-'�i. �/ � <br /> �" SiKned�__"________ .7_✓...___1!1�L-""'__Applicant <br /> AtccPled. _'__'__'_ '____191� Ily__"_____._'._'__-__'_'__" <br /> . �"c.��ni��a«� <br /> �- - _ � <br /> - . C � i' "— 'h - . <br /> ;-r. <br />