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,_„ , ,._ , , � <br /> - - � - F .-r-r-" �-"<— <br /> tt'. :;. Fcrm � IFdO d-1-I)C.P. ' <br /> CITY OF EVERETT==1Vater Department <br /> Application for Water <br /> .411 blanks must fillcd in or crussed out <br /> Eserr�t4�- __"y • � �'_"_"19Y�7_.. <br /> 1 �., <br /> TO THF SVPERIN7'ENUI'\'�i/UF�fHE 1VATER UEPARTAfI 1:7', <br /> �Q ']'OF @7GRF.TT: <br /> 1 hc�eby app�y(����he usc o(watcr in acc�:dancc w�ilh thc rules anJ rrgul,�� <br /> ti.m;of The lV�tcr Departm�znt,fnr purposcs and fixeures stalcd bclow�. <br /> Uurinq thc time tha[any o(the watrr mains mar be laken up 6y rcavm of <br /> :my impruvements authorired bp thc City ol E��ercU,in ar o( an�• sirmt or allr� in <br /> which[hry may have bcen Iaid, thc l'iq� wi11 not bc mquirrd in lurni�h waler dwinp <br /> r,he pro�ress ot such improvements in any consumer e�h��se supply may Ihus be cut <br /> nif,or bu Iiabie for any Jamagcx(nr its(ailure su to do, <br /> r <br /> A.pplirntinn No."_ __ � �'�___" <br /> Piock _____.___ _ . I.ol.___'-,� .____'____AJd___.__ <br /> — ----_.. .___._. <br /> i s <br /> \u._..t�_C��_�r_ �._"'___'_" .Slreet <br /> _ ._._.____" . ____"_._-.�. , <br /> • ____. <br /> 'fheHrorktubeexecutedby.______"fuc-�i._��p__ ________' Plumber <br /> S�ate si c uf up. - . <br /> .—�2tTap to bc inv�rtcA in the main. '% � '' � " <br /> , .. : <br /> _____�_.N'aterclnset �> �'--l',:' . ``�. <br /> '—'-'---.Uath <br /> -----'_ Urinal <br /> --___v_Pl�in faucet inside <br /> _----__Side walk u�ash�- <br /> --"_�.Hose bib outsiJe <br /> '-____'__Husebiblorbuili':r, . .i.� .._.) <br /> ---.--___.Huse Lib insidr , <br /> .--"._'.l3ib for stable coutaining._.__.__..stall___��\ �� <br /> - _I�umbcrof persons in (artiily <br /> -- �._'Numhrr of rowns in Luilding n <br /> The premiaes nre tu be used ac�._ .�e n. .�_., , <br /> _^lu_-Q-�".__'____':... . <br /> � � The nwner of lhe premisrs is __/. ,�,�{i'_-t;.'4 ,d_� . �--'�'� <br /> Thc aRent is .---- . .�_:�1-i- -------- <br /> -_ _ ... _L'_________ .. <br /> 7 Lie applicatiun.although nig�ed. ehall nnt be hindinq upnit t� CiIY� un[il ac� <br /> reptrd by The Superinicndmt n1 ihe Nn[rr Uel���'Imeni. <br /> Signcd_. -_ . "_____ ri Y'Z _ �! <br /> � .�y_�' /�-� / .� ._- p canl <br /> cd..�-,�• 1 A}•Z<-�.�-,f�J_��Lt/��._ � <br /> �✓ /�. <br /> I.nEen1 " <br /> /� <br />