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r <br /> � <br /> � <br /> � <br /> _, � - ,- �- �_� <br /> . -. , G- �v ,-� H-s�- i- '- <br /> W. D. Fcrm 1 I500 d-I-17 C.P. <br /> CITV OF EVERETT==Water Department <br /> Application for Water <br /> � <br /> All blanks must b tilled in or crnvc �ul <br /> Fverctt.._._'� .h.'____�' _.'___________19Y_7� . <br /> TO THE SUPI:RINTENUIiN7'O� III3 NATGR U6PARTMI:NT, <br /> C 71'OF fi`IBRE7'T: <br /> 1 hereby apply Gm the use al w�aler in :iccordance aith the rules and regula� ' <br /> tin�s nf The Nater llepartm�:nt, (or purpoe.r.; and fizhu�es statecl belme. <br /> DurinK lhe timc Ihat aoy o( lhe anler mains may be L^ken up by rcason n( � <br /> any imprnvcmcnts aullwrizcd by tLc Ci1y o( Hecr�•It.in or nf a�p si�ccl or allry in <br /> which thcY �»�S' havc bcen I��id. Ihc('itS'M'ill not bc rcquired to iurnish walcr durin�; <br /> the prngress n(such improvemen[s tn any consumer ahosr supply may �hus be cut ' <br /> nff,or bc liablc for an�y Jdamages for its (ailure su tn do. <br /> Applicntiun No..�'S� � <br /> _'___""'_ u <br /> 131ocA _�o'�J" '_Lot__' �;':"Q_ Add_"'_"_"_""".'- <br /> � " <br /> No..__��•.�. �.���'.__'_..Slrcrt <br /> _.__............." ' ____"___ .____"_"_____'____'_____"" ' <br /> � 'Phc w�ork ro br esecuted 6y_____.__"____'.._____.__'.__-________' Plumber � <br /> ' Statc s' c nf tap. <br /> � <br /> .. _�_Tap lu be insertcd in tl�e main. <br /> -- 1Vatcr doset .�Gy�( !��'�:� '� <br /> " ""__I3a�h /~.' z <br /> ___. ._._ .Urinal � �`�7 <br /> .._.___'_Plain faureLinsidc / <br /> ______"'_Sidc walk �rasher .� <br /> ..___.""Hnsc bib outside . . <br /> _________Ilosc bib tarbuil<Iiug purpnses <br /> ___"_____ilosc bib insidc ���� � <br /> 1 ._"".'__I3ibforsfabiccon[aining.___.___.___s�all�.�_"' . . <br /> . -.___Nmnbcro(persons in family <br /> _ -._"'Number o(ronms in buildinq � I <br /> 'I'hrpremiscsarctobeusedasa'_...._____'_____'. ..__ . "".. <br /> "1'hrrnvnero(thepromisesis .__________'_' _' . __._ _ <br /> ""_____ <br /> "fiic a8enl is . ""'_"_ <br /> .___.___._'_________ .___'_._____."'_. .._______'___ <br /> This :�pplicatinn, although sipned,shall not bc binJinq upon lhc CitY� until ac <br /> cepted by Thc Superimendent o(the K�''n+rer Depa�rf�,{�icn <br /> Signcd._�Y'(��-Gfi`_'__(,!��*.C,<---.Applicant <br /> . Acceptcd. �� _ .�,'11, f3y_. _ . ._/_ _______________ <br /> � ��'6� � �,n�ii�n<<ia.m <br />