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�„�'Sctl (- / '. � 7 i �� _. . - � ,_ . , • <br /> .,- . . .. .- . - <br /> W. 0. Fam ♦ ISOD .l-i-V C.P. <br /> GITY OF EVERETT==Water Department <br /> . <br /> „�, Application for Water <br /> . � , � • • ' All blanks mus[be filled in or crossed m � <br /> � <br /> \ /_ <br /> � uti�.t/ /.�- �� <br /> . F_vcrett. '. "" ' " . __'_____'1 -' <br /> � ' F <br /> � . J`;,����� ��',;- . . TO 'CHESUPIiRINTENUEN"i'OF HENATBRUGPARI'T1F,NT, <br /> �� '���' l'I OP ti`itiNETT: <br /> V .�Mf7' � . . . <br /> � �, • � 1 here6y npplr tnr the use of water m accorclance with the rules and regola� <br /> �� - � [ions u(The\Vatcr Uzpartnrmt, (or purposes and fixtums stated below. <br /> Uuring Uie time�hat any of �he watcr mains may be taken up by rcason of <br /> any imPrnvemenls authorized br lhe City u(liverell.in n�o( nny street or allcl' in <br /> which the>' m:q' have becn Iaid, thc City��'ill not be required to lurnish waler during <br /> the pmFress nf such improvements tn any consnmer e•hase supply n:aY���us be cut <br /> nlf,or be liablc fnr anp Jam:�ges tnr its faihire su tn do. <br /> Applirnlion N��..,:�� �-' "-'-' <br /> etuck ._�aF.7---- - I.nt 5---------"--.. \dd— —' '-------- <br /> . Vo._.1�0 � �'��GI/-fi��----'-----..street <br /> ' _"_'.___"______" ' "____"'.'_____..__'_"'___"_____"._"'__"___."."' <br /> � 'fhe work to be czecuted bY___"_----' -------'---------' Plumber <br /> $lnlC SiZC n(lap. —J, jy �/-O a__ .,Y l � �J <br /> '» � <br /> _...�"'-Tap to l�c inserted in thc maiu. � i <br /> ______15'a�er closet )�.• <br /> i. / <br /> __"___.Bath � lr iu�'/�- (L.'�aw , <br /> Urinnl " <br /> � �_�" _'_Plnin faumt inside �%'��L,f...�� <br /> ___'_' ��.:P L1:°., <br /> __Sidc�valk washcr /�/ �� ,, k�` <br /> i <br /> ^\. <br /> "_""'.'Hose bib autsidc ��� 1�/� �.��I ' t���'� <br /> L�i / �� �� <br /> _"_"'___Ilusc bib forbuilding puipases { � / '�'�!' � _:� p� <br /> _________ Hoscbibinsidc �� ' ���L � "�' '� <br /> - . .: ,; I <br /> �� __"""__13ibtarslahlccontaininF-'-'-"'-- tnl����. _ . �i' <br /> __..____Numhcro(persnnsintamily �� <br /> _ � ��'� ' "-. <br /> ' '___"___'Number o(ronms in buildin8 �.(��„ . �'_ � �';'. <br /> �he premises are ln be used as a"'...__'---"" � ' ��'Q. <br /> . '___..�""„"" _" ___'.. <br /> , ���i <br /> � ^7,eowncro(theprcmisesis '____'__.._____.______'_________'_""'___" <br /> lueagentis. _"'----_'. -___'_'._____ .___"_..__""__'.___"'_____' <br /> 7'his mplication,nithuugh signed,shall nat 6c binding upm� thc CitX until ao <br /> cepted by Thc Supr.rimero,�{�t of the�n4c;UepartmenL � /�_ . <br /> ` Signed �����_' !/. �_'.i �' ;=-�. ,✓?�=.-ApPlica � <br /> % l� � �� 0 <br /> AccepceJ-. - `'1"'___191 - � 13Y._._'__�'���"_ __.__"'__.___ � <br /> �� superimen,cm <br /> ---f� — �/ <br /> �pli�i�$,�+��z5u,,"�r �t;,. <br /> � � <br />