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_ �. _ <br /> ��JrD t:- ;�1-2< � nl � y 5-'2'j- LL�j . <br /> W. D. Farm 4 1500 J-I-17 C.P. <br /> CITY OF EVERETT==Water Department ' <br /> Application for Water <br /> All blanks mus[be filled in nr crossed qQt � <br /> '��,'/�� % ��y � <br /> Everett�.-- - - -'- -- $I'/---- �'----'---_19y_�- . <br />� 'I'O THE SUPERIN'I'ENDEN7'OF THG NA' ER DEPARTN.EN7', ' <br />� CI"fY pP G`/ERETT: <br /> I hereby apply tor the use n(water in :+cmrdance wi[h [he rules and regu�a- , <br /> tiuv ot The W�[er Uzpartm-nt, (ur purpnses and fistw'es sta[ed belon•. <br />' During[he tir�e tha[anp ni the water mains may be taken up by reason ot <br /> :my impruvemen[s authnrized by thc Ciry nf Everett,in or o( any strce[ or alley in <br /> which they m�y have been laid, the Ci[y will no[be rcquircd to furnish water during <br /> r tlie pro{�ress of such improvements In any cnnsumer whnse supply rt�ny Ihus be cut � <br />� uf(. or be liable for an}�dama+�es,fur jt;tailure so to do. <br /> -�//- / i <br />�� APPlirntion No..__-!.V. /C�___ <br /> / <br /> ui���: _—6 f°--- --�.���---�-- x<ia ---- — <br /> -- — <br /> / --- -------- <br /> No.__�.�Q-P _— -��--�--------..Shect <br /> ._.._'_.__._..______ . _____"'_____._.________"_______'______"'__"_.. <br /> The work to be exewted hy..____'_______"___._____"_'____"____ Plumber <br /> Sta[�si e u(tap. � <br /> --�L--Tap to be inserted in the mzin. � � <br /> � ._ i <br /> -__._�..._Natercloset � <br /> ._.1__.f3a[h k <br /> ___ __._ .Urinal <br /> Plain faucet insidc <br /> .________Sidc walA washer <br /> _.______._Huse bi6 outside � <br /> ..____.__'Hos�_bib tor building purposes <br /> ._-_--..Hosc bib inside �`` <br /> .__"'.'__ilib tor staLle wntaining.______..___sL•�II..._..____ <br /> _ Number n:persuns in family <br /> . __�_Numher n(rnnms in building <br /> Thepr •misesaretobcusedasa.-_____'____'____'_____' ' ___". <br /> "Cher.�w�ernfthepremisesis _____._________._.__-_____'_"'_________'..___. <br /> `. Thea6erdis..___'_____ .__.__. ._______ .__.._ ___.__'_"_ ___'______ <br /> � �� � Tl�is :�pplica[ion, al[hough siqn^d, shall nol 6c 'Iiding upnn the C' �. unlil ao <br /> � cep[ed by 1'he Superintendent of the �Vnter D - <br /> i <br /> Signed_'_____._'� '.._ __:.�� _ ' "_ .� __._'_____Applican[ <br /> 9ccep[ed._��-��.�__�4�j -Ity_c/_�z���1r/-_ _.._________"___ <br /> , /� � �/ SuPerlmimd:m � <br /> . <br /> �._ ... ....... _ � � <br /> -___ ...."" . .. <br />