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r <br /> �.:I�� ' � ,ii . � ,-i,• _ , � � � <br /> .. . . . . . , <br /> W. D. Fa�m� i5C0 .i-LI]C.P. <br /> CITY OF EVERETT-@Water Department <br /> Application for Water <br /> • All binnts must be fiIIeJ in nr crnssed uul <br /> ��/Z y,� <br /> F:vrrelt� _.. ........... -_-__.-19I ��"-_ <br /> TO 'fH8 SUPIiRINI'F:NUIiN7'(1P TIIG WAT�R DIiPARTMENT, <br /> CI�I'Y OF Ii9F.RETT: <br /> I hor�bY npplY' (��r Ihe usr u(wnter in +¢cardnnm with the rulrs nnd reNuls� <br /> tiane nf"fhc Water Drpnrtm�nl, fur purpuvrs :md(xWrce stnted belnw, <br /> Uurine Ihe tiine ih�t anv nf U�c wn�er mnins inxy 6r in6en up by renuro o( <br /> :up' imPrnvemrnis aulhnrieed 6q thr l'it>•uf livcrrlt.in or of �nY street ��r alley in <br /> whlch lhry may have becn Inid, thc Cily will not 6c rrquiced tu lumish water durinµ <br /> the prntiresv nf audi imprav��inrntx tu anY rnnsumer whnsr supply mny Ihus be i�u� <br /> nff��rc Le liable for nnY��m��ucs (or ib f:iilure sn tn do. <br /> 7 <br /> ApplirntionNo."'_- I J"__'-"' <br /> 7,G���'��/ <br /> Blrxk _---- -_--- .- ---LoL___ _.. .. Add ---_ '-�- .------.. <br /> Nu .z.� a.0.�� .�' �:�.. _."..Sirer� -. <br /> ... .. ...... ....... . .._____ ...__..__... . .._.'._...____'__._"'_..__._..___ <br /> 'I'hewurktnLee•xrcutedbp. ......_._____. . ... .. . ._-_.._ ._ Plumber <br /> Stnte ei¢r of tnp. ,� � <br /> 3, Tnp to Ix inscrled in lhe tnein. e/ � <br /> g ��- <br /> �- - <br /> ..___._.._Nnter cinul <br /> J4nlh ! . �� <br /> .__.__.. �,,,_...�w_ <br /> . Urinnl �-;J �, j � � `��' 1 <br /> r � <br /> .. ____. ..Plninfnm�rtiurid� -/� �9i''/ \\,� <br /> ..9iAe wnik wnnLrr � '• <br /> _._ � I <br /> ..._Ilnse bib autsidc 1 �� ^�'' / � <br /> _ _ 1 �/�` �:I"(1 1 <br /> ._.__.__Ilose bib fur builrling purpue�x �! ��,[\ _' / <br /> "_'Ila4c bi6 invidc �� V' � <br /> \4,' / .r.�s.:4. <br /> ____._.Ilib(orclnblrcoNaininN ----- - -. stall -� \r r '1'�'�) : <br /> .__ .._Numherof pernons in fnmil� • <br /> .. ._'_._Number uf rnams in building <br /> ThepremisesnrctoLrueednsn. . . . ..........._. .-_. ..-_ -__ .__..' <br /> "fhenwnefnflhcprrmivexix ."_. ___ _. . --_ . .__'____ <br /> ThenNentis __'___ ..... ..._.. .. ..... . ... '....__'_. _ ."_.._._ <br /> 'fhis npplicxlion, nithnuNh signrd,yhall nut be binding upnn the Ci �mlil nc� <br /> ceplyd bS'"Phe Suprrintendent of Ihr 1Vnter Uepnrlmrnt. <br /> $iNned_✓C�f?41_....,�1. ��•l1✓1'Ql. .______'_.Ap �rant <br /> Arrepled I ' ___.. 191 Ify _ L_ _"_ ---___'__" <br /> � /�„�� � � �j� sin.�imen.�em <br /> lJ <br /> ik <br /> r <br />