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- i� n�- ��: ! - _-, <br /> =ii, r ,;� . — _ _ � . <br /> 0.'. D. Fmm � I500 3-I-I:C. P. <br /> CITY OF EVERETT==1Vater Department <br /> f��plicatioaz far Wa#e�r <br /> All blanl:s mus[be filled�.'m- r crnsscd out <br /> Gverelt...-.__.-__ _ tI./�__.r-��-__�--1!iI_r�.. <br /> 'I'O "(HF SUPIiRINTGNUEN'P OF 7'HG 1 A1'EI2 UHNANTMEN7'. <br /> �17'Y OP E`lERE7'T: <br /> I h^re7:y apply for the use o(wa[er in accordance with the rules :md regalor <br /> tiuns n("Piie \Vater DeP:��'tment. (or purpnses and fistures stated belmc. <br /> Du:ing the tiine ihat anP ot the water mains may 6e tal.en up by rcason ni <br /> ;mv imurovements autliorized bp liie Ciq� of Gvcrett,in nr of :: : sVicet ur alley in <br /> a�hich they ma5' h;rve been laid. the CiIY «'iil not bc �equired to iurnish �ca[er during <br /> the pro�ress o(such imProvemenLc [o ,ny cunsumer whoae suppk m:n� thus he cut <br /> afC. nr he liable(or any damages (or its (ailure so lu du. <br /> �J� <br /> Applicntinn No.__ _' __. "_________ <br /> Rlack _� _;y( . _.___.`�nL��_ _____ Add.____________ ___ .-__ <br /> ��>._�.���`,— �/-- - -------- - sv���i <br /> — ----- ---- ----------- -- ----- -------- <br /> . .1'he wurk to be esecuted by______________________-______-______^' Plumber <br /> State.ize of tap. �li �, � <br /> � /� :. �, <br /> _ .y_'fap tu be inserted in the main. , . <br /> ___..�___Wa[crcloset <br /> " _'/'_13a!h J�ti <br /> — — -t�*R,�t—_' �-�—v. o`` <br /> ,., � <br /> ._ ,___Plain taucet insidc "+'}�?j�' , Q�_ <br /> =�� <br /> ___S t �,�U ..,�ryc� � � <br /> ""'.__._I-h+se-bilrmn�nfe- C. ,��, „ ,J <br /> _"_'_'_'_I�kascl>i�a-IwN�tMldit»• •�� �•s <br /> rl V.' .I <br /> " ___"_""IIilrt<�r�stalilcrl�,----���*�+--- _" <br /> ____�umbcr uf persnns in (amily <br /> _.�_'__Nwnber uf rooms in building �f / �� <br /> 'Che premises are to Ue used as a___ % / <br /> �.___. <br /> "' "_'_ <br /> '� _ <br /> _" <br /> Che ��wner o(the Premises is ____ ��7 � u�f. <br /> .____.______ __..__.______.__- ___. .___'.. <br /> 1,.• agr,n[ is .'__'__________ ______"____'_. _______ <br /> ""_"""'_ '____"_"_" <br /> � --is application, although signed, shall not bc binding upm� thc City, until ao <br /> iy 1'he Su�erintende of the � �ter lle��tmen[. � <br /> � Sign��.-�-�/LZl y:.��'____Applican[ <br /> .;� .epted._____-.__.______191 l37'.._._.__�___ - <br /> . , ' " ""�'"Sutaimcndem '" <br /> � � <br />