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� <br /> - �' y _-. . <br />� <br /> : ,-� <br /> W.D.Form 4 <br /> CI7Y OF EVERETT-_ WATER DEPARTN'�E�`+ <br /> TIQI� FOR ��A��� <br /> ApPLICA crossed out <br /> pll blanks musl be filled in or <br /> / tP.`� <br /> L2 ,c:Gl.�/..`:......_._.... . <br /> Everett............................Uf`� DEPARTMEi:'I��. <br /> TO TIiE SUPERINTENDENT CF THE WATER <br /> CITY OF EVERETT: ii� ,_ :���d re,tii- <br /> f for Pv�Poses and fixt bc taken_uP 1'Y�rp°���'� � <br /> I hereby aPP�Y for thc use of water in accordanee wilh thc : <br />/ ot thc �vatcr mams may n or ol any strect or <br /> ],�.tions of thi'�ti�timeUtha� �°Yen �h�_ City ot Everett, ulred to Surnie�h <br />� Uun°� thc CitY �vill not be req <br /> ��[ �ny imP�;ovemen�1y have becn 1��a'rovements to any consumer whesc suP- <br />� �i��y �n wh�cht�`��r��ress of such imP aamages for ils failure so to do. <br /> �eatcr during or be hablc for any <br /> piy m�y thus be cu[ off, <br /> 1�...../._......_. ,, .,, ,:. . <br /> Applicatior:No...._�:7 ....� . ...._.__.._.... Add�i�''?:e'.r<r�f>� .. <br />' ..................Lot........�, ...........Strcet <br />� Block...................... � .... <br /> . . ......... <br />� __. <br /> ..... . ............ <br /> .................._ <br /> ol �. ./`. -.-........ ...... <br /> .....: ....................... <br /> No............... ................................. <br /> . _............................. . ..._. Pl�.:r.�.`,�.��. <br /> ...._.................._......... ... .. <br /> i ........The work :o Ue executed bY...................... <br /> ... ..................... <br />� State sir.c oE tap. �„� i � <br />� . �/� .T�I� �o lie inserted in the main. 'f , <br /> h �..... <br /> I ._.............Watcrcloset �,(�' 1. ,�6��;` <br />� __....�......Bath �� (7 w �.. <br />�' _. .Urinal i'ry, � . ,� <br /> ..........Plain taucet insidc pPlf �6 �6���e,�� � , � <br /> ..._... : : , ,� , <br /> 7 i1 '� <br /> ......._....._Side walk waslicr Clty ef Cvet�:�:. ' � <br /> ...............Hose bib oulside ,., <br />� ................Hose biU sm• Uuilding P�rp�ses W/{"�'[(i �+p�..�._ . <br /> ................Hose bib insidc .�.,.IL... .. ._ _.. <br />' ................Bib fonr of 1 cr�ts 1in family......... <br /> Nu��b.. <br /> ............... , <br /> I�, �...�......Nwubcr of rooms m bw m .._ . . ._._ __.. . . . ._. <br /> i�mises are to bc used as a.............._. _...__..__ .._ _. ... <br /> ThcP'` . . ...._..........._......__........ <br /> rem�ses is......._.......... ._...._... <br /> The owner of t ie p . ......... <br /> ....._....... <br /> � <br /> ' . ... .........._......................._........-� u on thc CitY, unti] <br /> Tye a5ent �s....................... . <br /> allhnugh slgned, `hall not Ue bind�nG <br /> ormtenden� of the W�tcr Depart icnt <br />� This �PPlicalion. / f ..APPlicant <br /> I nccePted bY the SiF � t ' 4f "� a_ � . �.:�. <br /> . .� _. <br /> 1 y�• . .r ...... .._. <br /> i Srficd. . ` . ._ ._._. <br /> , <br /> �n BY ...... SuP��'int r.d����l. <br /> � _ <br /> :1^r.en:ec,.._.._. <br />