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- -- ,,.,. ,.< <br />. . . .. f} ,, � .',. <br />W. D. Fonn a I500 J-I-17 C. P. p�' �.�\�� <br />GI�'V OF EVERETT==Wat�zr Departmenf � .� <br />. �� <br />� A.pplication fc�r �Vater <br />' � ' All blanks mus[ bc filled in or crossed nul <br />� Evcrett. -------"'-- -'y/1.�._---------191-F---- <br />7'O THE SUPERIN7'ENll1iN7' OP'P116 N:\7'GR UEPARTML•'NT, <br />CPPY OI� li`/GRETT: � <br />1 herchy apply (ar [he use o( w;ucr in accord;mce with Ihe rules and regula� <br />tion� uf'I'he �V:�ter Dep�rUn�nt. (or purpuszs and fis[ures staMd bclo�e. � <br />DurinK the time that :ciy oi thr watcr mains may be taken uP by rensnn ot <br />:mp impi'uvements au[hn�izcd br thr Citg of Grerclt, in or n( mry s�rcet or alley in <br />�chich [hcy mnS' havr, becn laid. the l'ity will not hc rMiui[ed ro furnish wnter during <br />the propress n( s�.�ch i�nprov¢mrnts to ;my ronsumer x�hose supply mar thus be cut . <br />ni(. or br liable (or any dan/r�l(e,sGtor i[s (ailuro so lo do. <br />Applirntiun No..____b' A _ ( �_"____ %� � <br />I31ock _".`IO'�." _'_'I.oL'_�-.�'__"-""Add�._�0.u-s/=Cu./.�-�. <br />Nu..___. ___'_' ��-O_�__�t�Q�._..."_..SlrcU -l�-eL� <br />---'-----"- � -----_._--------"---'--- <br />- - � --'-- -."'�-"'---'-"---� <br />'Phe work lo be e�ewted by. _-.__._ I�f.i�/J-Lr-�..___ Plumber � <br />Statc size a( tap. <br />_���.___Tnp to be in5erted in the main. <br />...-_.___�1'ater cluscl <br />-- --.a,�u, <br />- .u���„i <br />____._.___Plain (aucet insidc <br />.. _. _ _ _"_Side �ralk �cashcr <br />" _ "". _ l iose bib oulsidc <br />.__'_____.11osc bib (ur building purposcs <br />/ �� <br />��'+ ���3����`''����,, <br />. _.____"_lfosc bib inside - <br />..'___-_--l3ib (or stable conlaining..__-___.__still <br />_ Nwnber n( persons in tamily <br />_._�"__Numbcr of rooms in 6uilding/ �j � <br />'1'he Premises arc to be used as a_�.,H-sGI1_. <br />,I/ ,o , <br />'I'he nwner a( the premis-es is '__T..-:�-d.tt.S.c <br />Theagentis_'__'___".'__._"_"___'___" .__.'_ <br />_"_. _"'__..'___.____'__ <br />This application, alUiough signed. shnll not bc binding uPnn thc ity, until ac <br />ttp[ed by The Superinten�u the \Vnter �beparuncnt. <br />Signed. .L__�.!. T�."�t'..' "'1'_'_ plicant <br />__�_ � <br />.... �d ._ '_ .__'__-1'.11 By_' " <br />� i [ _.... �.�u:er:nimdem <br />. .� - .. . , , AS_.., , <br />