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i .P ' • <br />� <br /> . ' 1 � c_ ^ <br /> � � <br /> W. D. Furm 4 ISOO.J-I-17 L.P. , <br /> CITY 0� ENERETT==Water Department <br /> Application for Water <br /> All blanks mus[bc til{eJ iD or aossed out <br /> _- i <br /> v <br /> Everetl.______'_'.. ___ _"".____ _'__"'_'19� <br /> TO 7'HE SUPIiRINTCNDENT OR'PHIi 1VA1'ER DGPAR7'nILNT, � �„ � <br /> CI7'S' OF ELGRE7'T: <br /> I hereb1'�4P�Y ��i�.he use of�vater in acco�dance�vith the tvles and regula- <br /> . tion,ot'1'he Watcr D�p�rnn-n[, for purposes and fixtures staleJ below, <br /> DurinC thc[ime �hat any uf thc.w:�ter mains map be [aken up by reasnn of <br /> a�n� imprnvemen(s authorized bc �}�i Cin�nt lvcrctt,in or o( ,ny sircel ur alle)' in <br /> which Utey nuY have been Iaid.�the L'iry'will nnt 6e requircd [o furnish a�ater durin� <br /> thc prngress uf such improvemcnls ro any consumer N'IlOSC supply map�hus 6c cu[ <br /> oi(,or 6c liabic for any dam�;lG"eps (�or i � (aiiure so lo do. <br /> Applicntion Nu.-_�(J_ (,_,-_--'- <br /> �y i -/ <br /> [ilnck . --!__L - .-= Lot-----`�—S._---Add_--- <br /> , _'----'----' <br /> Vn.'__•�O O � _._Y�'�=cc.,u.� _'..'____Strcet <br /> "'_. __.._..'_____ . '___'___ ? . <br /> '__' _'_ """'_ <br /> _'___'___'___'_______ <br /> 'Phe work lo be esecutcd by._ _-____�✓?�j�__"______'_'_"' PlumUer <br /> State/.��rz,c ot tap. <br /> ' � /� �'� - <br /> --,/i."_'Pap tn be inserted in the main. <br /> __"_'�_'Natcr doset -.` <br /> """�_Ratli <br /> -"'-'-- .ifr�"al__ <br /> __"t•_'_Plain faumt inside . . <br /> .-_"_._'_Sido-wqlincashcr `{p� � ' <br /> --'_��._Hosebiboulside. ' :� 'I • ��. <br /> _'.Heke-bilrfarbtlii�uig purposes � /. .. . E •� <br /> "'_" �'^ <br /> "_"____'HoEo-I�ib�irts idc �� . ..�'1 , . <br /> •.: <br /> '-'-'-"'_23�It1or sla�6���,�r,�ntno . <br /> "'_ _'slalL'___'_" , . <br /> ______._..Numbcr u(persons in (amily <br /> --.� _Numbcr o(raoms in building/ <br /> Thc premises are�o bc used as a__� ------ -- ����'��q!/L./ <br /> "' _'___' - _ <br /> The o�ancr o(Ihe premises is _____..__'_'_._...._ <br /> C <br /> � -------'-'---"--'----- <br /> Thc agent is .'_'_-_ - . •�' <br /> Thia application.allhough signed,sh511 not be binding upon lhe CitY. until ac- <br /> .epted hy The Superin�endent of�he Nutcr Departtncnl. <br /> SiFncd��r_..�,u.1�-wlti �� <br /> ._'__'__..._'_ _ "_��r ¢�PPlitant <br /> Acecpted�.-�r �_�.� Fly_ �f 1 ;%� <br /> „� <br /> - - - ,. .=�rvlmenCeni--- <br /> �.,�— <br /> -�,�.r-'_' - <br />