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_u._ _ � <br /> , <br /> � _ � � ��� , . �, <br /> � - - > _ <br /> W. p. Fcnc � I500 3-I-1]C.P. <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> . :111 blanks must b led in or cro�sed oi / <br /> � ;�/ <br /> Lvcrcl[.. .__`�(iU'(/l/ � ``� .___--____-_19y'F"�_ <br /> 'PO T. IIE SUPIiRINTENU�N'C OF"�1Ii 1VATER DBPAIt7'b1EN7', . <br /> C17'Y O� G7ERE7'T: <br /> 1 hareby apply fur t6e use nf water in accardance with the rules and regula� <br /> tiun;uC The \Vater Ueparunent, fur purposes and (ix[ures sta[ed bclow. , <br /> Uuring the time that any o( the �catcr mains may be L�ken up �y reason of <br /> .my' i�.nprovemcnts au[horized by the City o( Gvcrett.in or of anY strcrt ��r nllep in <br /> �chich they nuY have been Liid, the Ciry will no[be rrquired tu lurnish a•a[er durinF <br /> ihe pru�;res�of such improvements:u any cunsumer K�hnse supply m:q• Ihus Ur cut <br /> off, ur be liable[or.ny�ydamra�ges for its fnilure su to do. <br /> :\pplitntiun Nu._./---�-C.O'---"—' <br /> Hlock _'_'__'_'_' '�ut"_______-' Add.__ . .- _'-'--_'_. .- <br /> �' �' _. Street <br /> '_"'_'_ <br /> Vo._'�'__3'�'._"_'._'!__'___'__ _ "_'___ <br /> — -- --- -- ----- - - - <br /> _..I'he �anrkmbeesecutedb>'__.___.____..__ _ . . . __ .__- .---_ Pli�mher <br /> j <br /> State/syc e nf tap. <br /> _ ._�/_�_'Pap ro be inserted in Ihe main. � <br /> i � UG <br /> '____'�'_11'a[erdoset " , �� � . <br /> "_'__"�_Bath <br /> ___ -Urinal <br /> ___ <br /> ...___vPlain faucetinsidc . <br /> . __'_'___Side walk washcr � <br /> .____..�._Hns'c bib ou[side <br /> .___"____Ilose bi6 !or building purp�.�=cs <br /> ._____.___Hosc bib insidc o,//� <br /> _"__._'_I3ibfnrstablecoutaining._______..__st:Jl___ __-__ // / <br /> _______'_'Number of persans in family � <br /> ____�___Numbern( roomsinUuil ing . <br /> i �—1 <br /> The Premises are[n bo used as a_ ._. .. ___ __:_• .�Li.-�,T � , -_ -_._-. <br /> t(//i <br /> The nwner of the Vremises is _ Gv��l* <br /> _!_'_'___'-___' <br /> _ _ ._'_______ _____.__. <br /> "IheaFen[ is ._'____'.__ _i'__'_____.' .__ ._ __.-_'__.. ._______.____ <br /> Tl�is :ippliratinn, althuuKh signed, shall nu[be binding upnn the City, until ao <br /> <<'Pt�d bp The Superimendent f th i'nter •>artmenl. <br /> S' ned ___ _ ____._ ��-_-__ ____ __�PPlicpn[ <br /> ' rccepted.��.. _ ""rLu � liY____ ' ' _ ��..L.,r"/___ <br /> _S K+ip(enaem �- <br />