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. <br /> ri. . ._ _ . . E,l'yjJ -3- >�.. a,KC <br /> , - -� • ' <br /> w. o!Fo�m l..tsoo a-�-�7 c.P. <br /> CITY OF EVERETT--Water Deparfinent <br /> Application for Water <br /> All blanke muet be filled in or crneee nul <br /> F.ventt.�-----'----'-----'� '�'-z-'--'---'191�-_�:.� <br /> Tt) THE SUPERINTENDGNT OF THE WATF.R DEPARTMENT, <br /> CI7'1'OF EVERETT: <br /> I herehy npply far �he uee nt wnter in xaordence with the rulea end rrgula- <br /> tiuna nf The Water I)eparhnent,(nr purpnee� and fixtures stnled belnw. <br /> DurinQ the tiine thnt nny of Ihe wnter maina mny be lnken up by reaeon nt <br /> nny imprnvementn euthodted Ay the City nt F.verelt,in or n( eny etreet or elley in <br /> which they may have been Inid,the City will nnt 6e required�n lurniah weter during <br /> the progrene of eu:h impmvemenla ln nny mnnumer whnxe eupply mny Ihue be cut <br /> o(f,or be liable for nny dnmagce fur its fnllure eo�o do. <br /> Applicdinn Na.__'�-�.�l.�' , <br /> _____.. <br /> Blnck .2'�o-Q-- ..---Lut..Z.U_..-----'.Add .. _...Q—,'-.- <br /> r,�._./Rf<2G__ eR.-s.,Pb!u-�-E---:--. s««< <br /> ._._. _. - ---- -------- - -- -----�--- -------- ---------- <br /> 'fhe wnrk ta Ix executed bY�-----'-----""------"'-"---------' Plumber <br /> State eiu a([ap. <br /> _�e1.t_.._Tep tn be ineerled in lhe main. ,� <br /> 6 _ <br /> ----J Weter danet / " I C; - � I <br /> ""'___.Balh ) <br /> .__..___ .Urinel <br /> .__._..._Plaln feucet ineide <br /> ...__..__.Side walk weeher . � ,1 <br /> .._Hone bi6 outeide �� 7 <br /> ._.___._.Hoee bib tor buildhig purry�aee � r .I � <br /> "'_"'...Noeebibinelde �� � <br /> ._____.._.Dibforelebleconuininq....__-...etell.___.._ ' <br /> ..._-r,.Number of penume in fnmily <br /> __�__..Num6er o(rnoms in buildfng , <br /> The premlaea are ro be ueed e - +-- - <br /> _.. _ .. . .'__ ' ""' <br /> ""_' "' <br /> Thenwnero(thepremixeeie ___..._.__--I.-..-- - R/._- � - <br /> ' "___ <br /> TheaBentie _"'._."___..""..'_"'_ '._'.__ _ ._""'_"'__ <br /> 'fhin npplicaUan,elthough eigncd,eheil not be ' dinq upnn the Ciry, until eo- <br /> , repled by The Superime �(uf t W�lcr D menL <br /> II S{Nnc�' ' . _ . _ ___._..'._... _.t ' .__�PPlicnnl <br /> � 'Pltd __2�.""� 8Y""t������%R/Y��� n•enAvnl `{ <br /> . .. (� � .Y�y <br />