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L: <br />W. D. Farm 4 I500 J-1-17 G. P• <br />CITI'� OF EVERETT==Water Department <br />Ag�Plicatiora for Water �� <br />All blanks must bc tillyd in ��r crossed nut <br />_ � �, <br />7 �— - ..�y�� _ <br />���r�u, - — --- ---- -- - <br />TO 'PHE SUPBRIN'fENDBN'I' O 7,1''OP F.`�/�BRGTTf:PARTMENT. <br />I herebv npply for lhe use uf w:��er in accnrJance with the rules and regui:r <br />tiuns u( The \V:;t<r Departm^nt. (��r purpoxs and fi�Wres stated bclmv. <br />Durin� Ihr time that :mp of Lhe watcr mains may bc taken up by reasnn of <br />:riy imProvemer.ts authorizcd by the Citq ��f Everett, in ar nf am� strcet nr allv)' in <br />which chey maY i��ve 6ccn I;iid. the CitY �'ill no[ be required to lurnish e�atcr durin{; <br />the Prnqress u( su:6 imPmvements tu an>' consumer �ehnpe �upplc m:n� ihus bc rut <br />��i(. ��r be liable [ur any d'mm�pes for its failure so t�� dn. <br />� , � „� i� <br />:1Pplicntiun Nu.'___'!_ : .f'r'_"__ <br />_LuL___�'. +dd .. .. . <br />Bluck ___.� %_�__ .___. ._____. ____�. <br />s,,. - - - �� � D � --- % - - �•`-..., s«<� � <br />- -- ------ --- -- - <br />_. _... - � <br />-- --- - <br />_- - <br />�J--�—�� _ ' ' Pl�m�be.r <br />The work tn be cxecuted by_ ....-.�Fi. --"" <br />St�lc si-e uf L�p. <br />��_�__Tap [n be ineerted in lhe main. <br />� � _____Watcrcloset <br />__ �_._._.Bath <br />� . . _ .Urinal <br />. ______Plainfaucetinside � <br />. . _ _ _ _ _Sidc �calk washe r <br />_.._Husc 6ib uutsid.e <br />_ _ _ _ _ _ _ . Hose bib fnr building purpuves <br />' _ __Hose bib insidc <br />_______'.➢i6torsta6lecontaininK�----- � ��all-_.- --- <br />__ Number ot persnns in family <br />__ J� __.__ Nwnber o( ro��ms in building <br />I_ _'_"' <br />'I'he premises are to e i�se <br />d511-_" ._."._____.__"." <br />.__.__._._- _ <br />Phc aKent is P �s _____. "_ <br />._..____' .... ............__. <br />____.__' <br />' __ _._' '_""'_' <br />_ _ . "' _' <br />1 hc owncr o t� remis <br />. __;��._. . . - <br />_"_ 7 <br />� �_ �.. /.. �_ ti:_.u........,..(��h� � lv. until ao <br />'i'his ��pplicatiun, <br />.�rpto�l by The Supc: <br />Signed..�_i'�/,•'���J�UVI �l/'�`�VVf�'"__'""1-\\ <br />II J <br />------ --------�------'C <br />ArcrPlyd �; �1;.-�_ �.__191/q RVI A / /��- 5�,��erimm�u�r.t , � <br />\ <br />/ <br />