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. � ^' � 't JJ—/4 �i <br /> , i � <br /> \V. p. Fcrm 4 :SCO J-1-17 C.P. . . <br /> CtTY OF EVERETT==1��ater Departmenf <br /> �pplicafioa� �or Water <br /> . All blanks mus[bc filled in or crossed ou( <br /> 7iverett�_.___________ _ <br /> . ._'_'____ ______.___19I _.__. <br /> 'fG THE SUPERIN'PENllIiti7'OF TI{E W.l•PEN DEPART�tEN'1', <br /> CI'Cl'OF IiYGRE7'T: <br /> I hrrehy apPiy !nr the use o(�cater in :iccnrdance with ihe rules and regula� <br /> tinns uf The Natcr Ueparlm•nt. (ur purpnscs and lixturev slated below. <br /> During [hc time ihat any of thc water mains m:q•be taken up by reason of <br /> nny impruvemcnl,aulhorized bg the City a(EverMt,in or o( any strce[ ur alley in <br /> which they in;�y h;ive 6e�n ��{d �h���[y will nat be required to (urnish watcr durin�; <br /> [hr prngress of sud�intprovemenls tu anv consumer wha=e supply may tlms be cut <br /> n(f, or be liable(or an/p�damagr;;(or its (ailure so [o do, <br /> �� :lpplirn[ion Nn.___(.U��! <br /> __""__' <br /> lilock ._____-� <br /> LnL �— � <br /> __' ___ Add_.___. <br /> ____ <br /> __-_ ___ <br /> ��� __� . _._._..- <br /> Nn.'_"' __'___ <br /> -�--- - �"-' .Strect <br /> . —. i <br /> --- -- <br /> ---- <br /> The wark to Ae eseruted GS'____________�_ _-__________________________' <br /> ._.-____ _________ Plumbe� <br /> Strrtc size of Iap. '- <br /> i <br /> �-/vTap to be inserled in Ihe main. <br /> —�-'-'_'1Vater dusct <br /> --�------Bath � <br /> ---�-- .Urinal �� �0 <br /> ..------._Plain faucet inside --�' <br /> , .r <br /> . _.-____Side walk �vashcr `:-e,"�.-,•'...-. <br /> i L�N: .. _'�,`'.. <br /> '-'---_'flnse bib nulside � ����( ! � �'. ` � .- <br /> l `• <br /> -----_ Hose 6i6 !or building pm�puses ��``� r R l � <br /> � �� .��'1.3��'�1 �1 �.1 <br /> - '--_Hnse bi6 insidc �'�L%� � <br /> - " " _13ibfnrstablecont:�ining. ___._,.-.stall _ q I' <br /> - -J�Y ' � � ,� . <br /> — -_'Numbero(persunsin (mrilY . � �� , <br /> —' . PBS"_�-'f... .; .,'. <br /> �--`C�-'--'_Numbero(mnmsinbuilding ���., ��/ <br /> R.�!r -. ��� <br /> 7'hepremisesaretobeusrdasn_.__..___,____'__'_ ��C,L�, !; <br /> ".'--. . <br /> 'I'he owner nf lhe premixes is _"_'_ <br /> •'^"eY"'+'._. <br /> "'_'_.' <br /> _"_""" <br /> Thcagentis ____.___ _--___________ <br /> .__.. .__.___-_.__ <br /> "Phis npplica[ioq aldmuAh sigped, shall nut 6c 6inding upun the City, unlil ae <br /> ceplyd hy The Superimen �ij y���t/ly�\'. De{;ar[nten[. <br /> SiAned_��'_ •__/_1�_ `` <br /> . , . - //L� 1rPlic��7�( <br /> ' _.. = �_. inl ° �i. ��___-____' � <br /> 'y�—/'_r__...'_'_'_. <br /> G / . , S�i,erimec,+.eni-" <br />