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En'�U / �..�-, r s-- _ 3 �s. `:.wt'� F�n:- , -� . _ � . <br /> . . _ :��-a <br /> W. D. Farm 1 I500 J-I-17 0.P. ?' <br /> CITV OF EVERETT==Water Department <br /> Application for W ter <br /> All blanks�nust bc fill d in or crossed�� <br /> �/� ��i �3 <br /> Pverett.__' ____"_____"""_'—�.:____"____15 '____' <br /> TO 1'Illi SUPI3RIN79'NDGN7'OP THB NATER DIiPARTAtENT. <br /> CI'1'Y OF E`/HKETT: <br /> 1 herebY applr for ihe use n(water in acmrdance �cilh the n�les and requla� <br /> tiuns n(The �Vater Dep:vlm��nt, (m purposes and fixtures stated belo�r. <br /> During [he timc �hat any of t'nr u'��er mains may he taAen up �y reason cf <br /> anY improven��ents authorizecl 6>� tY.c Citp o( Lrerett.in nr o( any strcet or alley in <br /> �rhich they may have been !aid, the CitS' «'ill not 6e required to fOrnish a•atec durinF <br /> �he progress oC such improvye�men[s to any consumer whose supply may Ihus Le cul <br /> nff.or bc Iia6ic for anp d:m � c�(ur its faihire so to do. <br /> �(T/ � <br /> Applicntion No." _'-I/-.. ______"" 7 , <br /> \ore�.^�'��_ '.....Lot_^�"'"'. Slrec[�,��.�o.�:i"G'�, <br /> �7� <br /> "___. .._"""_"'_' ' ____""_'____""'"'_'""'_""___""'__'_""'_"""'_.. <br /> � 'fhc wnrk to be executed by___.'__"____' .'____.__"'___"_____' Plumber <br /> � Stalc izc u(tap. <br /> � <br /> __ �'.__Tap tn be inscrtcd in thc main. . <br /> _'___�___Naterclosct J , � � <br /> •— V <br /> """�"_I3alh . <br /> -'_.._._ . n�naT^ <br /> .""'�'.Plain (aucet inside <br /> ._"'_'/.._�ide-wxik�ShCr <br /> _.__../.._Hosc bib outsidc <br /> _____'___ldw�Ui4r�aar�usuc. /�] <br /> ._______Ll�r�e-bitriTrsiQc � �/ <br /> ----"---. ' . •uontatmng.------'.---stall'----!-;-'. <br /> _. Nutnbcro(persuns in tamily / <br /> y <br /> .__'�_Numbcr a(rooms in 6uilding <br /> Thc prentlsCe efe ln be used as a_!7 _L�'� - � l <br /> __"_._ ... <br /> .'.. . __"__ <br /> _'."' <br /> 1'he o�cner a([he premises is __�___ '___._. . <br /> O � __ <br /> --------- <br /> ."PhcaHcntis ---`---�--- ---------"" ------"- <br /> .."'__..__"_'__'__ <br /> 7'his :ipplication,although siKned,shall not 6c binding upon thc City, imtil ac• <br /> rep[cd by The Superintendenl uf lhe Nnter Department. <br /> � <br /> � . Signed _—�li� �'-�-- i'-•----'A��licant <br /> / � �. <br /> Acttpted->--1:� �--=--•�---�'BL -� Ry.-.'- "t=- <br /> J . ' ._ <br /> . . -. ' . �-. . _ � �. ."_"_"Suttnmen:em <br /> , � " <br /> —C. .. <br />