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, . , . , .,.�� t' �n`:� 6. �c_ . . r;r ' <br /> W. D. Form• S00 J-I-17 G.P. <br /> CITY OF EVERETT-=Water Department <br /> Application for Water <br /> • All blanks must be fillcd in nr croc�ed nut <br /> 2q � <br /> E�•crett..__.'._._"'. .__.'_6"___. /-____.__'l�<'-'- ' <br /> TO THE SU}'GRINTENDF:N7'OF THE WA7'ER DEPARTMENT, <br /> CITY OF E':�ERETT: <br /> I hereby appiy fnr the uve n(warer in xccordance with the rules and r• uln• <br /> tinn,nf"Phe \Vxter Uepartm�nt. Grt purpnses ;md fixtures slnted below. <br /> During the time that any of thc water maine m�y be taken up by reasnn uf <br /> � anp improvements authorized by the City nt&vcret[,in or o( nn>' 9trcet nr alley in <br /> which they may have bcen laid, the Citp will not be required to fumish watcr dunng <br /> ihe progress n(euch improvrments to any consumer whose ,�����y may thus be cut <br /> oH,or bc liable tor any damages tor ils(ailure so to dn. <br /> Applicetinn No."_'_7 S�.�- �--- <br /> Hkxk ____ ___ _�1____Lot__._'__.____._.__._.Add___ .-_7._ ('� ._ r <br /> No.____._�..�..Ki.B?r.'e:�.4-.0��_..�'_"'..St reet�� 7- . �CJ.-rl—..�L. <br /> __..'..__'-___'_ . .______.._.. ..._.___'.'_____'____'_._'_"'____ <br /> 'fhe work to im executed by-------'------- '------�--'---------- Plumber �. <br /> r. <br /> si�i s�:�•��r�A�. <br /> _ r�'�" <br /> Tnp to be insrr[ed in the main. 7 •` e,p-+��� � <br /> _'______'Natercloset J� � % <br /> �� I"'_Ualh � <br /> ___..__' .Urinal <br /> ____.__.__Plain taucetinsidc <br /> . _______,Side waik washer ` <br /> _._.__.._Huse bib outside <br /> _'_'.__.}lose bib forbuilding Vurpnses <br /> ___"_pnse bib insidc <br /> ._"_'_"_Rib for stablc containing_-..-...._.stall_,.��i_. .. <br /> ____.--._Numbcruf Versons in tnmily ' .. <br /> ���� �':��."; ___"'.__Number ot roams in Luilding . <br /> .......... �� Thepremisesarembcusedasa____--__--.- <br /> ' ____.."'___"""_" .__.. <br /> �. Theownerafthepremiresis ._.'.'..___._...-_. .____.'___.__'__._._. <br /> . ' Theagentis ___'..__ . ____..______ .---._ ___.__'___...--_...._. <br /> TAis apPlica[ion.althuuKh signed.shall ml br hinding upon tlu CitY, until ao <br /> � � eepted by The Superin�cndent��(thc Wnter Uepartn er.1. <br /> , �J�" ���:. <br /> .�.Skkp.v<Y SiBned .__.'_`__ //J-.__ ._ . . ApPlicant <br /> - l__""_'__ <br /> Accep�rd_.�.a� .__I9L 13)'_/�-,�"Y'J /__ ' '."____-__' <br /> —/ / � . �sncerimen�r.� <br />