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;_•, �^ iI <br />�f' �=,,r� � � , <br />. . �i:: ���; _ , ���: �; <br />. ; <br />W. J. Form �:500 J-I-17 C. P. • . <br />CIT1' OF EVERETT==Water Department <br />Apglication for Water <br />All blanks mus[ Uc filled in or anssed nut <br />_ i T `. <br />� / � <br />Everett.---_-"---'-'-----_!1 ���-.:�� 9t•%--- <br />TO Tt1E SUPI:RIN7"c:4U{iN7' OF 7'IIL NATCR DEPARTp1ENT, <br />CI1'Y OF L'Y6RE'P1': <br />I here6y appl>' for the use u( ��'ate: in accordance wi[h the rules and regUla� <br />tinn� u( "Phe Nater Uzpartm��nt. for puq�oses and fixtm�es sta[ed beloa'. <br />Duri�p; [he time that any of the water mains m:ry he ta�:en up by rcaso� �� <br />;my imorovcments authorizcd by the City o( 6vcret[, in �r of :my strcel ��r alley in <br />�chich they mav have been IaiJ, the Citp will not be renuireJ to furnish watcr during <br />the Pragres� of such imProvements [o any cmisumer x�hose =_uPPly tnay thus be cut <br />o((. ur be liable for any d:unages Gx ils (aiWre so to do. <br />APPlitn[ion Nu.._��-�'�'—� ; " . <br />r <br />co ' "'� __'Add'___'_-'--'-""'_"" <br />������: `l.7�=-3 ---L���_"---- <br />No.---- �-�D.D_._�__— ���_."_'`_`.f__._..sveet <br />------ <br />-'--- -' ----'-- ----- ------"— <br />��� �'I'hc work tn he executed bY _____ -- -- Flumher <br />________....-___.____'_____ . . <br />Jtale siz� o( tap. - _ _ . ,, . <br />/ V.` <br />_""� TaP [o be inserte�l in the main. ",�t� CJr ..1'� L:� ' <br />, l,:`K.7/ j- � �i. <br />_.__._'__Watcruo�et /,U : '� � f I \` <br />.._____.13ath / � ?//Q j�i �` <br />__.___ .Urinal �� ���� � ��. <br />____.__Plaint.um�insidc �, �� ��I' ...��y � <br />� � r' <br />Side ��•alk washcr ,�� ' r. <br />_....__"_ �'` `�. tl!_" /; <br />.._Ilosebiboutside ��\ ��,i` a.,,`� <br />__.______HosebibfnrbuildingPurpuses �.t f � i���`� ��o��}� <br />�__%/'�'Su j-'1 <br />___.._.._.Hosc6ib:nside .--�� � �.. <br />_ __"_ _"_Bib (or slable containing._. _ --- �- <br />_.slall.__'_._ \c'F^' <br />_____ ___Numbcro(persansinL'nnily <br />__ _ <br />� <br />_.�.�.' ___Number u( rnums in Uuildin <br />'Phe P[rmises am to be u>ed ��r11 _. .��,/-���+�'��-/��//� <br />__' _ j� <br />The owner n( the Premises's�fn°-�= Ji'---:..--ez'�"� ".11..._.__'_____ <br />�,___.. <br />'fheaHentis_"_'_-_ '....___"_'_'__' '__"." """_""_'_""'" <br />'fhis application, al[hough signed. shall uot b� bin�i�g upon the CitY. ntil ao <br />cepteJ bY The SuP�'riNendent n( d 1Vnt� D��part ,i L . ,. <br />. � .. ./�.. ' <br />Si{;n�-'_____ 'nCf .r�'. . '"� 3�=��/ _ .ApPlicant <br />" --- ---� ---- <br />Ac:r.. .� � ��1 � /I� 13y��------§n;<nvrrn3eut� . <br />/ <br />