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r _ , FN : �., 3 y�� .J.. ,�., , <br /> k'. D. Form � ISCO �-- � <br /> I I 7 C.P. <br /> CITY �� EVERETT==1'Vater Department <br /> Applicatior� for Water <br /> All blanks must be filled in or crossed ou . <br /> Everet[�_..'_'__'___�.___""'y��-'____I�" <br /> / � <br /> "I'O TNE SGPERINTENUIiNC OP THE WATER DEPARTMENT, <br /> CI1'1'OF fiVGRETT: <br /> 1 hereby aPply (nr the use ot wa[er in acrnrdance u•itL lhe rules and regul:r <br /> tiuns of The 1Vater DeparUnent, tor purp,.�.•� ,�,a r,.c������si,��a n�io..•. <br /> During the time that am•o(thr���ale-mains may be t:iken up by rcason of <br /> ❑ny imprnvement authorized by the Citv of �.ivrrctl,in or o! any strcet nr alley in <br /> �vhich they may have bcen laid, the City wiil not bc requircd «� furnish water durinR <br /> the pmgress of such improvements ro any consumer x�hnse supply may thus be cut <br /> nf(, or bc liable for any damages f4r ils failurc sn ro do. <br /> r./J . / �/. <br /> ApplirntionNu."�.Lw�t�'�'_J�_' �� ., a �� <br /> Rlock -�-�-� --_Lot_"=-g- =�-�9-'—Add_ �.: .`;._ f/ (�"��. `l_. <br /> _ y�_ <br /> — --�-- --- <br /> _' J <br /> � ���..___z_I.Za-�� - - ---- --- .s�«��� � <br /> ---�-�----�----- � ------5--- �-------------------------------------- t: <br /> 'I'he wnrk to be execWed b'_'___-.____'___' '._____'___"__.___ Plumber <br /> S[alc izr nf tap. .. <br /> _..��'_"Pap to be inserted in the main. � <br /> � <br /> _..-_f___1V:ucrclosct �l � „ �.p , <br /> �__.I3ath ��_�� 0 <br /> ----- - . ��l,o <br /> � <br /> __ "" .Urinal )�y;�k:r*-'--� J'\ <br /> Y' !' <br /> Plain (aucet insidc �r �.. <br /> . _.. �� <br /> ._.______Sidc�vaik washer . 'I' V. ' ��� .' <br /> _""""}losc bib ou[side � 1 .'�} <br /> � �.: � ��� �? . �. �. <br /> ""_'____Nose bib forbuilJing purpuses , . . <br /> , i �.` ' . � � ,ti� i , 1 <br /> """'-' I�lose biL insidc „�,1', r•' .,� �� <br /> 13iL forstable containing.__�___'__.A'G��I _ �_'.'�_'' �. �v� . <br /> �;.�1 "4�_.:r_.� :; <br /> __"______I�umbcro(persnnsinfamily � . <br /> �^Numbcr of rooms in building ~�""��� I <br /> "I'hc premiscs are l0 6c used ns a_.__.._"____'____".._".__"'.____ <br /> '___'. <br /> Thc owncr uf[hc premiscs is .__"'.._ <br /> "'____.-__.____'__"._________'___'_ <br /> The agentis .""__.'..__._'_'___'_____' "_'__"____""". <br /> 1'his applic�tion, althouFh signed, shall uot be binJing upon lhe Cily, un[il ac- <br /> cepted by'fhc Superimendent of the 1Vnter Ucp:y ent. <br /> SiRned .�„'�'�V"_`_'_._��LVyt�-��lican t <br /> ,/� i� <br /> 'Actepted,�-3 A=�;.."'�17R�' Ry��_7��. �} <br /> .. V "'_ ______.__'___"__'_ <br /> .� r superlmenden� <br /> ��[.� . ���/, ��Q <br />