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'`1 <br /> � <br /> � <br /> I <br /> � �.0 �— .. - , , . .,1 � <br /> N. D. Pcrm� I500 d-I-17 Q P. � <br /> ClTY OF EVERETT==VVater Department � <br /> Application for Water � <br /> All blanks mu:t bc fiilcd in or crossed nut <br /> � �/� I <br /> lireretl„""' "'_"..__""'"'_� '�"'-"'Iql/�-Y-i I <br /> 'f0 THC SUPIiRINTENUiiN'1' Oi�'1'lili�VATER DEPARTh16N7', � <br /> CPI'Y Or Ii7lifiEl'T: <br /> I hereby apply (or the use o(��•ater in accordance x�itli Ihe rules and regula- <br /> tian,of 1'he\Vatcr Dep�rluunq (nr purpoces and fixtures slatcd belowt � <br /> During lhc timc �hat any n:th��. �ains mar bc taken up bY rcasnn of <br /> :my imprnvements authurized br [he C:. � I ztt,in or o( anp s�rect or allep in <br /> which they mas have been I:iid. Uic Ciq' �. .. ..ot be requircd to furnish��•atcr during <br /> the pmtiress nf such impraveinents tn any cansumer whnse supplv may �hus Ue cut <br /> off, nr bc liablc for any7dapm;iCes (nr its failure so to do. <br /> Applirntion N�i"�_7__!��'_'_'..."' <br /> 131nck ._..--��,� -- ��y----- '�_� - \dd---'-�--------- <br /> ,�(� --' .. -__'` --- <br /> No.--'7.'-�-U��___l��.�--'...Strect <br /> _.'._' ..."'..._____' . '__'____. _.__"____�"y"/�-- '."___ . . <br /> '1'hc�vnrktobeesecutcdby_._.__._�!�_.__�_'__. __'____ Plumbcr <br /> State izi u(tap. �l /� <br /> _�_��Tap ta bc inscrled in�hc main. I'� � � S <br /> _.1___\Vatcr doae[ <br /> '__.1___13a1h " <br /> ___.._Y .Urinal <br /> _-_"�___Pl�in (�ucet in�idc <br /> ._.�_'_Side o�alk w�ashcr � <br /> _"'�._Hnsc bib umside 1\ � <br /> � <br /> ___"''�__.Hosc bib (orbuildinR Purpascs <br /> i_. <br /> ._"./._.Hosc bib insidc <br /> __"__Y_.f3ib(m�stablc cnntnining.____.,___�tall._.._—.___ <br /> ___'.�.__.Number of Pcrsuns in G:mil�• <br /> __._�_"NumLcr of ronms in huildiu/p� , <br /> '1'he Premises are to bc uscJ as a_._1J.��._ _______ <br /> .__._.____ '__". 1 <br /> 'll�c owner u([he premiscs is _. !.� <br /> � _ _'__rG}.__._._.___ <br /> ._'_""_'_,_._""_ <br /> � T�10 :If:Cpl15 _________' ._". _ _'_.___�_— <br /> _______ ______'.___...'_-____'.___ <br /> ...,plication.alliwugh signed.sLall not bc binding upon Nie City. un[il ac <br /> . .�c Superintendenl o(thc Nntcr UcparUnenl. <br /> SiFned��._______�–•--1.('/l/L(LVI.C�---- APPlicant <br /> /1� "'_"'___' <br /> �\cccp . /�. _/n.__-�J1�1�! RS'__'f--.��• W��� _ <br /> �/ �/q' �rN ' "_"'_' '_'_' "' <br /> / / ✓�j Snprtlniendeni <br /> � VJ <br /> --v— <br />