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�;=..�`. !-. �S , . _ .- , „� <br /> w. o. eo���, � isoo a.i-v c.a. � � � <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> All binnks must bc(Iled in or crossed nut <br /> EeerclL ----------- -"-�/LZ"-"'---1�'�-- <br /> TO TIIE SUPIiRINTENDEN'1'OI'TIIE NATER DEPART�1ENT, <br /> t Pl'1'OP Ii�JGRGTT: <br /> I here6y apply (ur tl� n,•oi �vater in acmrdnacc with lhe rule4 and regula� <br /> tinns of'Phc R'atcr Ucpnrtm•nt.'�. I,,.rpascs and fistums stntecl bcimv. . <br /> Durin�!hc time Ih�r .�v J,� wa�er mnins may be [aken up Uy rcason o( <br /> any intufnvenunl.+' euthorib ; �., •, r� qe o( Gv�nit.in or nf any strcet ar nllry in <br /> which they mal' hav� been i,�..l. � ic Cuv�cill nnt 6e required to furnish a•ater during <br /> �he prngress n(such imprne.�in�-ts to any conscmer �cho�c suppip ma>' ihus 6c cut <br /> ��(4 on c�liahlc for any d�m-iges Cfur i[s iaiiure so to do. <br /> Applirnlinn No..___[_�7.v <br /> _"______ <br /> 131ock ._'/'�ti$" _'_"LnL_""'_'_"'"""_Add_'_'_"-_""_"_" <br /> Vu..____.�._��_"_"'..____..Strect <br /> .."_' ' __""'_"____""/"_""""_""" """"'. <br /> The n•odc tn 6e executed by_____"____'�c4L...�:_"_""' Plumber <br /> State cizc o(tap. <br /> � <br /> _ Z_._.Tap to be inscrted in ihr maia � . � <br /> "_"__'lVatcrelnset • �� . <br /> ._.______tiath � '- �� <br /> __...._ .Urinal �_^c'_s��. <br /> ;'.;�5 �Y,:: <br /> . _.._ Pl:�in L•mcet insidc '� ' � <br /> b jf . <br /> .__ Side walk�vasher �;r� I 1. �l��y. <br /> .._ .._Ilusc6iboutside %���. �/�r���� '1. I �v <br /> ;'. r . � i:S!i `.. _. � � <br /> ..—"""Ilose bib!or building pwposes kl `{ � s . � <br /> i, .��,� I�� -;!i,. <br /> -__"_"_}iasc bib iusid< �i !�\ . <br /> . . __.stall_i<-�.���—" "�}}}---.��� <br /> -_'-"--'I3ib(orstabiccontaimng_----_ � 1 __ �`"'fJ : <br /> �'` • . <br /> __"--__'Numberof persnns in family � <br /> .., .....:..:•.�_. <br /> __"_"_\um6cr of rooms in building . .� � .-".Y �".. <br /> ..._.1... . <br /> .'�il�c prcmises arr ln be used ns a_____ ________ <br /> __'__ _'__ <br /> i ' "" '_"_"' '_.... <br /> The o�rner o(the premises is .__. . _ �-�.u-�� _ <br /> . .. __"."_. <br /> �� l'hc a8ent is ."_"..._..'_._._'__'___'_-' <br /> '___.___"_.__"__..____'_____' <br /> � ,.. .1'hi, npplicntinn.allhough signcd.shall nol 6r binding upon the CitY. �mtil ao <br /> a�P��'�� ��5'Thc Superimcndent o(thc Nnter Dep:.rt:nent. \ <br /> SiHncd______'__"___..____'_.._____'. '_'____'AppliCaft� <br /> :lacpted.'/^_"J_:'"'__1911� �SY'-l�-�--�-� -�--.-'"'_"'_"__"___' <br /> �/ /G Su;erlmaaaen� <br /> •^`-`. a�F?�,."� v'�,'y`C#r•.`. . <br /> >itl ri�o� . .. <br /> v a y� <br /> � � 4�.� .. x� � . . <br /> 4x " �, <br /> 1�Ti rt .f4 o X�4 G u � i <br /> T <br /> 'f'-`�.� ,'i.,". . . r.� �rd:_ <br /> r <br />