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A <br /> ' � �-! T� .�J- Ei --2n . � <br /> !••. �. rorm 1 I500 J-I-17 C.P. ` � <br /> CiTY OF EVERETT�=Water Department <br /> Application for Water <br /> A11 bl:mks mus[be filled in ar crnssed ou[ <br /> Everctt� .-T��Clc:s.<cYll__�f"_'19�c-Q <br /> TO THE SUPERINT'c\PEN7'qF THE Wq7'Ei, DEpARTMGNT. <br /> CI'1'Y OF GVERE7'T: <br /> I herehy p�ply fo�th:• u�c o(water in ;iccordance with the rules apd reguln� <br /> ti�im o!'fhe Water Depnrtme rt, for pury�nses and fiztures staled bclow. <br /> During thc cime that anp ni thr water mains may b�� taken up by reasun of � ', <br /> anv imornvements au[horizeci iy lhe Cit��nf Fverett,in or u! any strcet nr alley in '�' <br /> which Ihcy m�y have bcrn la.d, th�• Citv will not I : requireJ to(urnish water durir.G 'r+¢� <br /> the pm�re�s nf such irtip�ovements to any consumer whoce supplv mny (hus be cut {, <br /> �d(. nr be hable(or any dam�ges fnr its failure so tn do. .'�'w' � <br /> � ,� . � , _r..l� � .,. <br /> APPIirn[inn Nn -� � ^ _". Add_�" r �, .� <br /> �/o . I + <br /> R����k _ ___ _�oc.__.1 C-= '/ �� <br /> — �-- <br /> _ `", ' <br /> \0..�0._Z.,�._. .�_ �;R�a.t-c.u-�i_...svicet "� '� �':, � � <br /> "Phe work In be esecuted by . ...' ' - " ' ' ' " ' ""' "' <br /> ---�---'-'-'- --' Plumber <br /> , -_'__._"_-.J___'__ <br /> /Stnte siu of tap, . <br /> / ,j,(��i. <br /> �1-='^`)5_T�p to be insericd in the main. �� O '� <br /> ---___Natcrclosct / �-�'��" <br /> _'.,__..Bath . . <br /> ---� �--. .Urinal �:��'•� ,� �\\'`\.,; . <br /> : . � � �`�., . <br /> --'_'__Plain (nucet insidc . !� �' ���.\��''�J , 1 �• <br /> i, ' �H(� <br /> . .----_'__Side aalk wnsher � . � <br /> . "y�� <br /> ��� 1 <br /> �---'-'.Aose bib outsfde � � V � - . �! <br /> , �•,; . <br /> Hosebibforbuildin � \� �pf''n �/.�'.� <br /> .___"_"' gpurposes ��� ��' � <br /> ---""'_'Huse bib inside ..:`\ —���� <br /> ._""""l3ib!or stablc con;aininR._"__'.'___stall._._..__'wa.�..�Q- <br /> ___'.__'_'Numher o(penuns in famil>. <br /> ---�""Number n(rnoms in buililing , <br /> The premises arc to be used as a-_f/�l,:,.y,�Fz.�--`___"""' <br /> '_'.-- <br /> he nwner of�he premizes is _.___, _ <br /> . ___'__"'.'.'_____..__.__'_"_"_'_' <br /> 'fhe agent is ._________ <br /> _'_. '.."'__"__.-- <br /> 7'his :ipplication.although signed, shall rot be binding cpun lhe City, unfil ao <br /> crplyd by The Superimendent (the {Ynter Depart ient. <br /> p i`) - . . <br /> ��Jignetl --- -,y�Lt�[.._..�. �_. lQilil LGvf-� <br /> Accrpt�t}=� - '-- �--"" {Ilicant <br /> �� <br /> �---:_..IRL'� Ry, .. � <br /> .� . . '"_7-__'___'_"_"'_'_'_'_'_ <br /> � " ' �� . S•vperlmenCev <br /> . . ' _l - , _O - � �I <br /> � <br />