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� <br /> � lV. D�Fcrm � ISVO d-1-I'C.P. � � . <br /> CITY OF EVERETT==Water Department��' <br /> Application for Wat� <br /> , <br /> All blanks must be in nr cros d nu; \ <br /> ` �Evcrett ____l __"__'_ � <br /> - ------�_.---------�91�------ <br /> TO THE SUPENIN7'EI`UBNT OF TNE WqTIiR DFPARTMF'NT, <br /> CI]'Y OP L!�ERET':�: <br /> 1 hereby app�y (or the use o(water in ;iccordance �vith the rules;fnd regula• <br /> tions n(The 1Vater Ueparlment, (or purposes and fiztures statrd belot¢. <br /> DurinK the tiine that:iny uf tFur water mains mar be taken up by rcason ot <br /> an5' imprnvements authoriud by the City u(�vcrett.in or o( an)' slrret ur alley in <br /> which[6rY mnS' have bcen laid. lhe City will nnt be requircd �o furnuh water during <br /> [he prngress o!such improvemen�s any cunsumer whnse supply may thus be cut <br /> nR.or Lc liablc tor any dam:�qcs f rts (ailure so lo do. <br /> r //� <br /> r\PVlirntion No.'__ '% <br /> . '. _ _�_._" <br /> Uluck .----E�'-Q — ----L - '�''----- <br /> '�j� Add'_'_ <br /> ."_""_"__"_ <br /> __"_" <br /> No._'_' . �.� . "iL _'.."'_..Streel <br /> __ "___-__'_ '__"__ <br /> ._..'_.._.__.___" <br /> . '_.._'_.________ _-_'_ . <br /> '� "_' <br /> - -.�.__'___'_'_' <br /> _." <br /> 7'he o�ork to be executed by..____'__"_" � <br /> '--------'-"------___ Plumber <br /> Slal�si� t�p. <br /> --�/��P «� be inserted in Ihe main. <br /> "_� �� <br /> __R'ntrr dnse[ <br /> � """�__Bath <br /> � L_.'_'_ I3rnfRl <br /> ---"�Plain (aucet insidc <br /> y.'__.Sid��rlic�r-�siii�} , � <br /> -��L_..Hnsc bib outside � <br /> \ ; <br /> ------_fi2�LiU-fnc-buildirrgyn�rposrs �., <br /> ..-_-_._'.Hose-bibinsklr- ,i� '�.` . <br /> __"'___13ibforstabl-corttnining"_._.'.__stall_��."_' <br /> �----/-'.Number a(persuns in famil}• <br /> ---�'-"NumLcr u(runms iu building .^ <br /> '1'hc premises are[o be used ns a___ J_ . � <br /> _' ' ' <br /> - _.'. _ �' "' <br /> "' ""-' <br /> 7'he owncr of the premises is ._-.�_.__'_ � ZG <br /> "'_ <br /> '_____'__' _ <br /> """" _""'_.. <br /> 'fhc agenl is ."_"_' <br /> ..'_. '__.'____. <br /> . _"'_"' "_ _"""'_ <br /> This applicalioq�Ithough signed, sh�ill not bc bin<ling upan thc G -����ntil ao <br /> , � i.•d b,� The Superimendent o ie {V�rter Dr arn icnt/.� <br /> SitineJ _ .. � .(%'. <br /> � __. '_'_ -A h t <br /> ,i��i%�'-- <br /> Y.._/_.�__'._._.191� B�. . .. .__ �, <br /> .'.___":__" PP <br /> � • .. . -__".._.__"_.'_ <br /> . . _ j_.� . . . SuC�rnio-nl.ni <br />