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i <br /> � <br /> ] <br /> , <br /> 1 <br /> ._ � <br /> N' D. Fonn 4'9500 �-I�I7G.P, . ._ ' <br /> CITV OF EVERETT==Water Departmient <br /> Appiacation for Wat�er <br /> AII 61an4;must 6c filled i� nr crossed aut � <br /> Everett,..___________ ____�.��. .3___.____191 .y__ <br /> "1'n 7'HE SUI'BRIN7'ENUBN'C OP Tllii �VATF.It DEPARTMENT, � <br /> CI'PY OF B`/GRG7 T: � <br /> 1 here6y apply fnr Ihe use u(water in nccordance wilh thc rules and regula- <br /> ti�.ro;of The Water Ucparhn:ent, (nr purpuscs aud fixlures stated below. ' <br /> Durinq [he lime diat :iny��( Ihe water mains rnay 6e taken up by reason of I <br /> uny improvemcnts aulhorized by Ihe Ci[p nt Ecen•it,in or o( anp sU�ce[ or allep in � <br /> which tliey ma5' hxvc bcen I�iid, the City �vill no[ 6e requ�red to (urnieh water during <br /> the pmKress n(such improvements to any cnnsumer whn:e supply m:�y ihus Le cut <br /> nf, or bc liablc !or;my dum;ig�s (or its failure so to do. <br /> AppliCntion Nu."'__'.!_Q�_� /� <br /> �'1__'_'_ " " �""�-!__'•_' <br /> ei<��k .o",l--9�?_- -----��c_�l_-_3 �_ n�ia--- ). <br /> Vn._____. ___�_�J�_�'�: _�._�cr-.�__'..___...Strl•ct �y�ry. <br /> _'__"""__'""_ ' "_""""'". ____"_'2_"""""�'_"_"�_'�_'__'."'"""'__ T <br /> ����,fhe work In 6e executed by.____..____(��wp.n�/__-��_._ Plumber �. <br /> Sta(c size of tap. ., <br /> /�"�.'___'Cap[0 6e inserted in IF,e main. ,� <br /> "' t "_R'ater cluset _ '� �� <br /> __ � '__Bath ���� ..\� ': . <br /> 1 <br /> ___. .___ _Urinal � �� ,..��,�/������,. �� �� .���': . '., <br /> .__. . .Pl:�in faumt insidc � I :� . " �� . 1,r <br /> .-_ .Side walk washer �� v ,-� - �� . �. <br /> �� F�F'� � <br /> ....____,Hnsebibuutsidc , ,.. f i� I . <br /> ,,, Par.. _ :;�, <br /> __.__.._.Ilose bib far 6uilding purpu=es �r f.f., i� <br /> .', ' ,...`. � <br /> -.____.__.I Insc bib insiJ^ "��..:'�`��'�^-' �•%/ <br /> -��r;; , .� ,-,. <br /> --._._.:r;��- <br /> __"__.___Aib tar staLlc con[aining.__________.stall.__.______ <br /> ___'__.___Number o(persons in lamily <br /> .,�'._____NumUer o(roums iu building <br /> 'C6cpremisesaretnbcusedasa____ __.__.____.,___..___. _ <br /> . __.____ _.___. <br /> "fhe uwner nf the premises is _..__..'_'_____._.__.________ <br /> ._______.___'_ <br /> TheaKentit _"__'_"_"'__ "______"""' __ _'_""_'"' <br /> 1'his apPlicatinn.allhough signed,shall uot Ue 6indinq upon the City, until •r.c- . . <br /> ceptcd hy The Superinlendent o(the Nn[er UepartmenL <br /> Si{�ned_____Le'cf<`!-�����'_�e- +� Applicant <br /> �_.__ <br /> Acc. .,re��--7�--19'% I3 . - -�--�- <br /> ______�___-____ <br /> � � Su:'!rinten�ent <br /> i <br /> .�_..�..._ , .`_ ' - _ - _ . _____ __ .� <br />