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W. D. Fcun 4 I SCO d-1-17 C. P. <br />Ci'{'Y OF EVERETT==ti��ater Dep�rtment - <br />-- �—_ /- <br />Ap�apli�cation for �iater <br />All blanks must be Glled in or crossed uul <br />'/ __ S ,� <br />liverett______________________ "__'.._________.191 . . __ <br />7'O �"IIE SUPERI\'I'GNDIiNT OG TEIG 1VATEF. UF.i'AR7'h11iN'C. <br />C17'S OP EVBRCTT: <br />1 hereby ;�pply fnr tlie use u( water in accordnnce widi [he rulas mid regul;r <br />ti�.�ne uf The �Vater Uepartm-:t. iur purpnses and fixtures stated bclo�.e. <br />Dnrin�; Uie timc Ihat :�n7' ��( thr �va[er mains mac be taken up by rcason of <br />aup imncuvements :mthorized br Ihr City o( Everett. in nr of anr strcet or alley in <br />�cLich [hey mn5' have becn Iaid. Uu• Ci[y will nnt be required lu (urnish water durin{; <br />the prc„ress u( such intprnvements [o any ronswner whnve supply m;q• ihus be cul <br />n(1, nr 6c liahle fnr any dama�;es (u� its failure su to do. <br />!� . /_ <br />ApplirntiognNn..__J__UU ��_'_' � <br />Bluck _7._..�---.---LoL--�--"�-'------Add.--_--.- <br />8 _'_. ' <br />�U.__."_r-� l /,� __ - � % LF� _ _. <br />_� c _ ___"' _'."_._.Street <br />'i�he�rnrl:tobrexecutedby .___._______. ...._...___________ ___ Plumbrr <br />Stat � size uf la�,. <br />i <br />._%J___Tap to be ��nsrrteJ in the main. <br />. ___�.. _.Nnter cluset <br />. _. _�_ _.:sath <br />_...__ .Urinal �� �O <br />_ ._..__._Plain (aucc[ insidc -� <br />- --_ .___Side �ealk �.vasher <br />_.....__...Ilosc bi6 outside ..�..�_.._. <br />i_ 1 <br />_ ._. Hosc bi6 fnr building purpnses , yt'- . <br />_. <br />Hosc bi6 inside �% � � � `.. <br />,r/ i� � � <br />_ _ __'_' Ifib (ur sta6le cuntaining . _.... t�ll '_-. <br />r � <br />__ __Num6cr of persuns in familp ,l �� 9G.. l �1; �, <br />i •. . r <br />Number nf rooms in bwldinR r'i P �� "�. <br />__�__ "`' T�. <br />'Lhe premises are tu be used :�s a _ .._____ �\��- '- � . <br />.. ,��` �..., ' ' <br />'fhc uwncrof Ihc Premisrs is ___________._._ �� E" ; _"____^"e. . . <br />' _ -., <br />•.,�� �____r,�. <br />'!'heei;eNis.____ �'". ��'"' -`� <br />"l�his .ipplicatien, nithuugh sipned, shall not 6c binding upnn thc`Citq, unlil ac <br />cented by Th^� Superintendrnt/ n}�the �1'nler Ucpar}jnrnt. / <br />Si4ned�:.__`-�Q4A'-tie'- ""'"Ln( �Ap�licant <br />__�_ .___�__-._ <br />7._'_' ' `�._ <br />Accepled ' . �`'_ __191�j BY_ �.• - <br />_ --_ <br />_ _ <br />__._. <br />I - ..-,,�:-iim.,�;.-_� __ <br />