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/�/VCP -.'��- ' . _. , -. _ , �.N.�. V q_;';-:_- 4/ . <br /> W. 0. Foem 4 15G0 3-:-17 C.P. <br /> CfTY OF EVERETT==Water Department <br /> Application for Wa/t� er <br /> All blanks must 6e filled in or crossed mri /j <br /> Evrrett. __' _ - ��� __.___191�--7_� <br /> 'PU 'CHE SUPIiRIN7'F.NUIiti"P OF 'laP.W L'R UIiPARTMEK7'. <br /> l'I'll' OF EVGRCTT: <br /> 1 herebc apPly (nr tlie use nf water in accnrdancr�rith lho rules and regula- <br /> ti�ms uf l'hr 1Vnter Ueparun•nt. far purpuses and ��uves stated belnw. <br /> DurinK Ihe timc thal :my uf lhe u•ater mains inay hr taken up by reas�m��f <br /> anc imprnvemenls aull�nrixed by lhe Cilc�d Ecirett,in��r��f any strcel ni allr)' in <br /> �vhich Ihey mrry have been L�id, the City will nnl br required li�lumish water durin{� <br /> the praKress nf auch imprnvements tn any cunaumrr whnse supp�>' may �hus?±r rut <br /> A plirntinn N ��n�AKL�(��r its failurc`su tu do. <br /> ._. �� D ' ' . � <br /> BLKk .___...._ ' __' _ ' <br /> n(f. nPbcliaic u,anY' �1 .ot_"__' -' � __'Add'�_'_.�t.-.."__'��_' <br /> _'__"_ <br /> \u._.__��:.� 7i. .Qga�i��v�f. ..____..SUcel <br /> / <br /> _..-_ __.._ . _._____-- <br /> . .. .._.__-_.._-____________.___ <br /> �"',fhe a�nrk �o I>c rxe��uted by ___"_'_'__ <br /> -- -----'-----"---- P�umLer <br /> Sintc cizc��f lap. /, <br /> ��i-- 4z /�o 0 <br /> '��p (n be inserted in the main. �>> <br /> ____�___Nater clnset <br /> _"'L_ Batl� <br /> "-'_-' .Urinal <br /> __"_"__.Plain (anttt inside . <br /> -.."_"'_Sidc�r�lk«�asher ,'. <br /> ___"__'.'Hnse bi6 nutsidc i�l <br /> '__"_.___Hosebibforbuildingpurpn=es '� <br /> _____.__-Ilose bib insidc ,-.,. . <br /> � <br /> _ __I3ib(nrstaUlecontaining__.-----_�IaIL._ ___._ <br /> ��"/-' � Numbar of P�'rsuns in famiW <br /> ._/�.-�. '___Numbcr of ranm�in 6uildinq <br /> "Phe premises arc In be uscd�s(.y/�. � � ,( � <br /> 'Phe oaner n(thc premiscs is Xl_`_Q-'- �'--�"�^"T�-�'w� <br /> . . .... .. .... .. _ __ ._______._ <br /> Thc n6ent is .___. _ ._ C�'.--_ '�' ....._ _._'.-"-. <br /> 7'his applicatinn.nithough signrA.chall nnt br bindinq upan thc City. until ao <br /> neptrd 6y The Superin�endcnt ot�hc\^Yaler DcpSnt�»����1. <br /> ".. L.��.�:' � �Gi�_ . .._.`�_Appli ant <br /> AcccPted J/.'y7y'�C�J __.. 1� t3'- _.. <br /> ___'._'_ <br /> V � r�_�i,r. 1._. <br />