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fnT:n_ � _ ,,:, . <br /> ' _ _ !"� r -� r.�3.,- �... - <br /> W. D. Fc�m 1 IL00 0-I-17 C.P. <br /> CITY OF EVERET�'==Water Department <br /> , <br /> Application for Water <br /> All blanks must be fillcd in or cmcud uut I <br /> I <br /> fivcrett. .._'__.' G 1 <br /> --------- --.3a�z-�- -.�ei -- -- i <br /> 'CO 'fI1E SUPIiRINTENDER'f OP 7'fIG NATIiR UF.PnRTDf@NT, <br /> ll'll'O�GVERti7"C: ' <br /> 1 here6)'apUiy (nr the use u(wa[cr in aaordancc x'i[h the rule,nnd requla• I <br /> tiuns of"Phe Nater Uepnr[m�nt, (or purpuses nnd fixlw'es stnted 6elm�•. <br /> Uuring lhe timc that an}�of the waler mains ma��bc taken up by rensun of � <br /> any improvemen[�autliorixed by lhe Cil�'uf EverMt,in o�nf any street or nlley in � <br /> - which the>' m;q' have been laid. the City will nat bc rcquircd to Nrnish waler during <br /> the prngress uf such improvcinents tn any consumer ahnse supply ma7 dius be cut <br /> uf(,ur be IiaUle(ur an�y7 d�nmja}ges p(nr its (ailum sn�o do. <br /> ApplirntionNo.._(__1.__/ O.__"'_" <br /> ni��c�; �-�-�-- -- �.�c--�-y=--3�"--..,ea.._� — - — - -- <br /> . / / 3 o Ce-G� <br /> n�.--- -- -- --� --- '---------��----..s«<��� <br /> ..._. - - - --- ---._�-- <br /> - - -- ----- --------------- ----�------ <br /> --- - <br /> The �corktobersecutedby.'___"___'_"__.'__';'__"�'_'_____' Plumber <br /> St�c izr of t�p. � <br /> '/ r <br /> ___j'C._Tnp to be inserled in the main. , <br /> ___"'..__l1':ncr dnset <br /> _'_'_�__.liath <br /> "_.__k .Urinal �� <br /> "'--'Y_.Plnin faucet insidc ' <br /> ..._"�'_.Side walk washcr � <br /> ""' �""liosr 6ib nutside �7 <br /> """c__Hosc bib (or buildin8 Purpuscc /��• �6 9� <br /> .____?._Husc 6iU insidc '�"J-�`�� ��m� <br /> __"'�.___IIibfnrstriblecontaining.__.y.__._..stalla:_____. / <br /> _'__._k__Numbrr nt persuns in family. <br /> .___. Numberofrnomsin6uiiding� <br /> __'_ <br /> 'Phe premises arc to be used as a_._ ..�.! -__.... <br /> �_.� _.'________' "."' <br /> 'Phe owner of the premisrs is .._7.�Y` �f�EG.�,�+d,{Z_ <br /> L . _____. <br /> T�ll`8�;1`I1I15 . ..___.._. ______`___.___ <br /> Thix applicminn.althuugh signeJ,shnll not hc binJing upnn [hc CilY7 until ao <br /> -�•J by The Superintendent 'n Urp:�uncnt. <br /> Sig e -'-"""""----�-------��- .._ ` Applicant <br /> _ _'_" <br /> '.,�ci�:J._ ..-�_�� Ry.' �/ ' 'f' <br /> f._ . <br /> iendem <br /> "---'- <br />