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' � N/rrO�a - i_. z� � � . F' rn.�9-�r2 � -t}j <br /> w. �. r-o.�: a isoo a.i-n c.P. <br /> CITV Of= EVERETT==Water Department <br /> Application for Water <br /> All 6lanks must Ue f in or crussed nut <br /> ficcrrlL-- '-___'/ __ _'_^_''/'-' _.'_""___'191�.3___ <br /> �CO THE SUI'IiRIN1'6NUENT OF TIIG 1V LR DEPARTn1ENT, <br /> (;ITY OF E:'CRGTT: <br /> . , - ' I hereby npn'�' for tl�e use of water in accordance with the rules and requla- <br /> � tiuhs ui The \Vater Urpartment,tor pnrposes and fistures eta[ed bdow. <br /> . � � � DurinQ[hc time �hat any o(thc water mains may be taken up by reason ot <br /> , � any improvements aulhorized bc thc City of Bverct[,in or of any sirce[ nr allcy in <br /> �� � which Ihey m�y have been laid,the Ciq�will not be requited lo furnish wa[er during <br /> - � the pragress nf such improrements to any consumer ��•hose supply may thu5 be cut <br /> . . . . nf(,or bc liable for any Jampagcs for ' s(ailure so to do. <br /> Applirntinn Nn."�11_'�_'_'___'_ <br /> lilnck _.u��__�.._'I.nL.�9_ '�Q_'_'_Add______""""""_" <br /> Na---�.G�G - -�- ---------..Strcet <br /> "_'.. __._...__"" . ________"_____..__.____'__""_'___'_'_"__"".. <br /> �____—----� <br /> Thc u•urk ta Ix executed hy___"__"'_._'________'___________ Plumber <br /> Statc//�u c nf tap. J �� <br /> _._J_-�_'.Tap la be inscrted in lhe main. //a � O ��X '{, <br /> � !�{' i �}� <br /> ._1Va�cr clnut / <br /> V <br /> -----�--.n,�n , �� y <br /> -- -- .�=ri,,,�— ,� � <br /> .___"�__Plain faucetineidc ' <br /> '_"'__Side�xualk-�war•hav--� t� <br /> � <br /> "_"__.�"Ilose bib nutsidc <br /> %% � <br /> '"'__"" ilonC-I�III��br fnrif,liil�*"�IIITjRt^. g� <br /> ._.__._..�SCyl�i IB�j��-'—' . <br /> ____.___.a�i1d-�6fEff1�!{fTOR:]TIiRt�.�_."_.__..Sld��.__.'._'__ <br /> '_"-.�.L_f Numb:.^af pereuns in famil�. <br /> .__"7_..Numbcrnfrnum! inhuildinq� � <br /> 7'he premisea are to�used,s a ._..a__'___"���:C <br /> __ ___"' <br /> ' Thena�nero(theprcmisrsis ____.'___""'.__________'_._.______"'_____ <br /> Thcagentis __._'-'__.___'_____'__"___"._."__"'_'-" '_____'_' <br /> T6is application,altliouqh signed,shall not be binding upon Utr. City, until ao <br /> �.rpted by The Superio�endcnl n(the R'nl )cpartmcnt. <br /> SiHncd.'-C!_�'✓�-."'�------"'--- -- �'_----jAPPlicant <br /> Accepted...-'-----"-'-----'191 13y_ . – . �y� ' � � <br /> Gn/�- ulnteneent ' � <br /> � <br />