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Y_o�r-.� : - � - - i:_r:�-T n- �--�_/L;�l - <br /> \4. D. Farm a ISGO J-.I-1]C.P. <br /> C13'Y OF EVERETT==Wat�r �epartment <br /> Application �for•• Wa'ter <br /> dll 6lanks must be filled in ur crossed nut <br /> IIq �j <br /> F:vcrc!t.____' /�f. l"_.._______14T-__I <br /> TO 'PHH SUPL•'NINTENDIiLi'1'O�THE \VdTER DEPARTh1ENT, <br /> CI'I'Y OF L'`/BR6TT: <br /> 1 herebp apply lor the use o(�rat^r in accordance a�ith the mles and reeula- <br /> tiuns uf The 1Yater Departm�nt,for purposes and Gs[uress[ated belmv. <br /> During the time that any o( thc watcr mains ma�be taLen up by reasnn of <br /> any improvements authorized bc th��Ci[y nf iiecrett, in or o( �my street nr alley in <br /> which Hiey m:p� havc been laid, the City aill not he nquired to (urnish water durin�; <br /> the prngiess o(such improvrmen[s to any consumer e�hnse supply may thus be cut <br /> nff,or be liable for any damaqes for its Gilure su to do. <br /> � APPI irntion No.____�'�s'x-'_ <br /> ' isi��k .2-� f — t.�c./�-14 - .a�i�i -- <br /> — --- .. <br /> I Nn..___._��_Q�_._�__'___'.__ _ __`_.___'_..Street <br /> _..._____'__ <br /> - ' "_'____'_."_ ' '__'__ <br /> _'_"__"__'____""__ <br /> "I'he work to he executed hy._________ _ .�����_______, p�umber <br /> S�atc size nf tap. --- - . <br /> � .�-�-__7'ap to be inserted in the main. <br /> I __._. _ _1Va[ercloset . ,� pS {� <br /> I '_� ___.�ath ; /Z' f <br /> Urinal <br /> ______.__.Plain tauce[inside <br /> I ___"_____Side e�alk«m^,her <br /> i _..____'...fiose bib outsidc <br /> ____'____Hosc bib(arbuildinG purpnses <br /> ________..Hosc bib inside <br /> ______'__6i6 for sta6le contair.ing________..stalL....__.__ <br /> __'^____Num6ero(Persnnsinfamily . <br /> __y.�__.Nuntbcrofronr.isinbuildinq � ' <br /> Theprr,misesarctoLce:s�.dasa_._____._..___._._.._'_'___ L"'_' __� <br /> ' i <br /> 'Phe owucr of[he premises is ____'._ '.. . <br /> ___�______________'_"'__-___^"'___. <br /> Thc agent is..""__'_' <br /> .._..__.'__________ '___..___._.__'__'_.___'____.'_ <br /> T6is :ipplica�iun,although signed, shall not bc binding uP���� Ihe CiN, ��ntil ue <br /> cepieJ by The Superintendent o/(��he lVnter Dep� tmenL _ <br /> Sitiiied ____(/_(_.�'��;..�.__Y_ . .��_Ai lic.�nt <br /> ,,«<:,i�a//.--.! <br /> �/ -- ,P <br /> � ----�/ tt�•-� _ _-------------- <br /> �"'-_ Sn�deilm^nrem <br /> � Y <br />