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� �-n�; v - � - . - � .. G' .��'�D 9-3�' "�'".I <br /> . . . . <br /> W.L�Fcrm 4 I500 J-1-17 G P. <br /> GTV OF EVERETT==Water �epartment <br /> Application for Water <br /> pll blanks must be filled in or crovscd nut <br /> ' ' -- <br /> hecrett.______'___ � _�"_"--"-19k�y <br /> "___'___...__ <br /> i <br /> TO 7'HE SUPi:NIN7'ENUIiNT OF THE NATCR DEPARThlliNT, <br /> CI"I'Y OF G7ERETT: <br /> 1 hereby applY ��r the use uf water in accordance with the rules and regula- <br /> tions u(Thc Nater Utpartm�nt,fur purposcs and liztw�es slated below. <br /> UurinK the lime lhat:my n( Uic water mnins may be taken up by reasan o( <br /> any impruvements authorizcd by lhc City ��f Ecereit,in or of any sircet or alley in <br /> _ which tliey may havc becn laid, the CiIY�'��� nnt 6c requircd to fumish u�ater dunng <br /> the pmgress o(such imp:ovemenis tn any consumer w•hnse �uppl�� may thus br cut <br /> oif,nr be liablc for any danvi+Fs <<�r its failure so tn do, <br /> ''J i( <br /> AppliCn�ion No.___l-. �. ,s "" ' <br /> Ulock ..__'_1'� 1_�-_��Lo/L__�:'..1.�__� �_Add_'__'__'._-_..__'._ <br /> � �.Q_-z._(�1f�^�".'___' ' .5[reet <br /> ---Ku.--- - <br /> _"_'_"'_.___ /'' <br /> "'__"'._.." "' '_""'_"'___"__""'"_"_""_"' <br /> INl2 '---_--_"-' Plumbcr <br /> The work lu 6c caccutrd by---------�� ---�- <br /> Stalc zc nf lap. , <br /> � � 'fap lo be inscrlcd in thc maiu. �/�t <br /> �'_ 1Vatcrdnsel / � — � /J` W <br /> --- /-- �;,m / a� .,2 J--- <br /> ___,."_/_, .Urinal <br /> __"7 '.Plain (aucct insidc � , rl O / <br /> __._�____Sidc walk washcr <br /> � • � N O � <br /> _"f'__.'Husc bib outsidc <br /> _'_ __..'liose 6ib(or building pwp��.:es <br /> ___._�___Hosc bib inside <br /> __"' _13i6(orsta6lecnnlnininq...' _'--sL�ll.__'. " � <br /> __'_y/ _Numbcrof Pcrsans in (amily <br /> __�!-'__Numbcr o(moms in buildin��,{7 <br /> '1'hc prcinises arc to bc usrd as a_ ""'�'/�=�- - <br /> The oancr a(Ihc premises is ��/%R�- <br /> ..._.�___"_ "'_ <br /> 'flienKentis. "_'_..._'_�___.'.""'___' .____._ ___"'..___.___'___ <br /> '1'his appGcaliun, a�though signed, shall nut be binding upon the Cily, until ac- <br /> ,.�,�;-•I by The Superintendenl o(the\Ynter Ucpaymcnt. <br /> // D % <br /> SiCned_�l1.G{��G_'�JG�_ ..�''��._ .___�' JJ_' pPliyan[ <br /> �—�.?i — '�� -�� 13 � : ..� _ . / <br /> '� ':-'r:''— _. � Y _- <br /> .____' _ _ __ <br /> , CE�� Cu m�ntem <br />