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� ' ' + r ' - GU .-� . — . c � 7 . <br />iy �.'. G Form � i500 3-I-17 C. P. . . <br />CITY OF E�'ERETT�=Water Department <br />Applicatio� for Water <br />All blanks must be filled in or crossed nut <br />F.verett,. ���(���/ �� <br />"CO THE SUPERINTENDENT OF THE WATER DEPARTMENT, <br />CI7'Y OF E`lERETT: <br />I herehc apply for the use of water in �ccordance with the rules and regula• <br />tion� of The 4l'ater Department, for purposes and fixtures stated beioa. <br />During the time lFal anv uf the water mains may be aken up by reason of <br />any improvemeat; authorized by the City of Everett, in or of any street or alley in <br />which they may have been laid, th� tiiiy wi11 not be required to (urnish wa[er during <br />the progress o'such improvements to eny consumer x�hose supply may thus be cut <br />off, or be liablx for any damages or�,�iiure so to do. <br />Applicetion No.__��. _ <br />' �'-'_ <br />--' lock .__ � ----- ---Lot---" - -----'-----Add---' <br />� -------- � -- <br />- --' -- -- ee • <br />-.- - -����-:_--.-_ --.�-,-.� --w. <br />---_-----_ --- <br />-_- <br />'Che work to be executed by.,___.________.________.___________ p�umber <br />S[ate siz M�ap. <br />/ <br />Tap tn be inserted in the main. � 1—OO <br />----______Wa[cf Close[ /'�•`j, -�� <br />'--"---_. Bath <br />'--"" .Ur.nal ��� ��. <br />1 � <br />-_._____.Ph>in taucec inside � �" � �. ` p <br />..._'_"'_So�., walk wasner ���V/� .)/l�� - i , � �t., . � \ <br />� �. <br />----_Hasebibou[side i� ' � ��� ���',i <br />---- Hose bib for buildin �� � y� �i <br />'__ HPyCp�� � /1 <br />r <br />'-'"""'_'Ho�e bib inside �'Hf / <br />--_______8ibforstablecontaining_ ��� �� , �'� � � �� <br />�-'- '-'--- ' <br />________...Number uf persons in famil �C\ 1'" <br />� _ _ `;��; r,. <br />-_________Numbcr of rooms in buildin .,i-s-,,;,::.=�-� <br />The premises are to be used as a_� <br />"_. ._ __._'_'_' <br />__' '___.. <br />The owner of [he premises is ____. _____. _ <br />. _'.____'____"_'_______'____"_ <br />The agent is..'-" _-_"_. -_- <br />---'_"-- .------'----'-'�---'---' <br />This applica[ion, althaugh signed, shall not 6e 6indinq upon [hc City, until ao <br />cepted by The Superin�enden[ otGthe CW�e-te-r D-e-nartment. <br />SJ�ed `.Y..�C..- �'�2/til,Q --__'APPlicant <br />lccepted..._. q . '__ <br />/ ' ___.� By .._ <br />- ' ___'_Sc"rintenCent " <br />���/ ��/i �, o /£' • ' <br />