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. . �lr-f.�i�r.c.s/ �n,s��/�� . <br /> �v. n. F���„ e isco a-:-��c.P. <br /> C[TY OF EVERETT==Water Department <br /> Application for WaYer <br /> All blanks must hc filled in or crossc��ut <br /> Qt �. <br /> Iiecrr_t�t. / . --- /u ..__.191 �%_. <br /> T07'HESUP[iRINTGNDP:N'Yt)�("PHGIVAI'ERUEPARTn9EN1',��� �� <br /> '�,ffF OI+ L•'7PRfiTT: <br /> f hereby apply fur the use of water irt ;iccordance with the mle:�:md regula- <br /> tinns u('Che Mater Depurtnrnt, fcr purposes and fis[ures stated below. <br /> During the[ime tha[any oi the water mains may be taken u� by ccason o( <br /> auv �mnrovement,authorized by the Ciry of Gvemt[,in or o( any street ur allcy in <br /> wumh ihey mol' havn heen laid,the City�vill nut 6e required to iurnisU �cater during <br /> the prnqress of sucL iinprovemtnls tn any consumer e�hose a::yply m:n� thus be cu[ <br /> ��ii, nr 6e liable(or any dam�ges inr_its Giilure so to du. <br /> rlpplicntion No.'S"__''�'<��'__�"""_'_ � <br /> Block .�Z�_ � _ oL- �_'_"__"____Add..___.__..__......__ <br /> ,�+/- _" <br /> \u._�_�;�:_V�-._._ __"" ._ __ _"___..5[rec[ <br /> __. _.'-.__.___._____ . _._._____._______'______________________________'____ <br /> 'fhe work ta 6ecxecuted bq_____""'______._______'_____________ Plumber <br /> SUite siir ot tap. <br /> ..��2�__Tap to be inserted in the main. <br /> �_ _Nater closet � � � <br /> _"�' __I3atlt /F � ' _ _ �� <br /> .__ ____ .Urinal ,/V� (v� �~'C� �•. <br /> % �-.., r,�\ <br /> .'. ..'_..Plain (aucetinsidc { ��\\ ,f\11 �`,� <br /> ___Side walk washer <br /> ' ,� Il. <br /> _._Hose biboutside � �� � � ���� �� <br /> _ _ ��F � <br /> .. ._. _. .li�se bih for building p�r�+�s� .'Uf` �`5��1• ,u �A <br /> � <br /> ___Hoschihinside ` " � S <br /> -.___._ i Q0�_%'- � <br /> ______..__13ibtorsr.iblecontaining__��,tV LJL f <br /> '_'___'_.Num6er of persons in famiiy �'�� <br /> ._G__.__Number of romns in Uuilding <br /> 1'he prcmises are to be used as a_.._. .______'_________________.____ <br /> 9'he a�c:ier af thc Prem i,es i•; ____.._.__'-'-.-. <br /> -____-__-_____�______________ <br /> Theagtntis_"'__.__..._________________ _________._.___'___ <br /> This applicatian. althuugh signed,shall ��n[be binding upun the CiIY� until ar <br /> cePted hy The Sup::inlen) the Wnter D�1 aru •n - . <br /> I, Signed_"'__ ____ __' _' '1���^�j��PPlican[ <br /> � �" <br /> � J � I,,1 a«�P«a''- � �- - �s� � �s5.�— — ., — --- <br /> ��� �����-� <br /> _e. <br /> w <br />