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. .:'-1_'.'.��. <br /> 1� � l .� , <br /> W. p. Fcrr,� I500 YI-17 C.P. <br /> CITY OF EVERETT==Vl�ater Department <br /> Application for Water <br /> Ail blanks must 6c fillcd in oc crncsed�mt <br /> Eeere�4--__.__.__"_ ._""'-�-f/l'�-__'_._791�_'_ <br /> TO THE SUPHRINTENDCN7'OF TH14\V.\TER llEi'.4H1'\1GN7', <br /> CiTY Ol�EVERE7"f: � <br /> 1 hereby appty for the use of�eater in accnrdance v:ilh tl�e rul�s nnd regulm <br /> iion.ut 7'hc\Vatcr D:purimmt,for P��rposes and fixtures stated brlow. <br /> Durinu the timc that any af lhc ���ater mains mny bc taten up by nasmi af <br /> �nY improvrments authorize,l by the City nf livercu,in or o� a,o etrcel nr allcy in <br /> �,vhich they mn>' I��W� .`.ecn laid.the Ciry will no[bc nquired i- ''��ni:h a•nter durinF <br /> die om�ress of sucb imurove�nents to any consumer x'hosr :upp�>' may thus be cut <br /> ol'(, nn c� 1ia61c for any dyn'eqcs fo�ls failure su to do. <br /> � <br /> AppliCnlion Nn._.__G.� " -"""-' _�+ <br /> �s�ak _ � b-�- --- i�,,. -`-�A-A- --- -naa.LWn n.a.�._C�dcP, <br /> \o..--�-- ---.._2.$-0-�"-(��}�{� -'-..Strcet <br /> — " ! _ <br /> __'_"_" � � / <br /> "' ' _'_'"__'.___"_'_'_'_"_""_'"'_""_"_""'___" <br /> ��-',Phc work to bc excculed b)'------.IM-. -. - 1['�-------- Plumbcr <br /> titate size nf tap. /� <br /> / � V <br /> 2-.--._T,n[o he ins�r�ed in the main. � , , <br /> i �,,fi'_'_�Vatcr dosct 11 � <br /> _'.____.-T3ath T��� <br /> '_"'"' .Urinal � �Ih` (��/� <br /> ______Plainfaucetinsidc ,; r'- <br /> _.Side walk u�ashcr --+-�- <br /> _ .'_'""' �'' tJ�� �u � . <br /> . ____"_.'I losc bib oulsidc ��p�!���1,^ <br /> I � \\�� <br /> ___"___Ilosc 6ib (or building pur�wecy q) �%� .� . <br /> .... � b . <br /> __ Hosc Uib insidc :"�. . .` '��' n\1 <br /> "I3i6(or sWblc containinq .__ ct�l �.� � � - • 11 <br /> "" `� ` ��� i , .�,. � 7 <br /> _ . Num6cr ot persons in tamily �I� , <br /> -- ..► �� , �� _ 1. ����� <br /> "Number of romns m 6uildinl; �.\, � I '. <br /> The premi�es arc lo Ue used as a �-,� �` �- �_- �r1K=� � <br /> � <br /> 1'hc owncr o(thc V� �isc= is ' ' __ ' --- ��_� -- J�P--.. - <br /> '��w.� r <br /> Thcagentis ._ .� ��RL1L„_ .� "- '__'._ '�� ..�_ . �' � . <br /> .� � <br /> This :�PPlication, allhough signcd. sic.11 not bc bindinq upuu lhc Cily. unlil ar .�• <br /> �,/� .i ;`. <br /> cepled by Thc Supcnmcndent o(Uic Wr���ar li nrimc� -� / ,�i t :`� <br /> k � !' ��l a �•� � l ' <br /> i , Ci // �-. /l ��" A licant . � � < <�U� . <br /> Si ned i . 1.jr PP - � , �o <br /> ///jjj � '"�. 1`S"�nl <br /> AcceptcdJ�I�:/�'^'__79� I3Y� _ _...""""""" .. . . - . . . . <br /> � SyeriMandenl , ' • . -. <br /> \ <br />