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� <br /> '_ /`I'�-J� ��3/�w n-r <br /> � � . <br /> W. D. Fotm a I500 �-1-17 G.P. ' ' � <br /> CITY OF EVERETT==Water Department <br /> Applicaticsr�. for Water <br /> All blanks must bc til::d in ar cmcsed out <br /> .. <br /> Everell._'_"__'.�-':�__"'._.tu�-_'_"__"._19l '"'__ <br /> TO THE SUPIiRIN'CENDIiN'f OF 1'II,. N':1TFR DGYAR7'AfENT, <br /> ' CITY OF EYEI'E'I'T: <br /> I herchy apply tar the use o(�vater in nccordance with thc rtdes nnd requla- <br /> iivas uf The 1Vater Uepartm�nt, Lr purposes and fixtures stated bclo�v. <br /> DurinK the limc ihat:+ny o( d�c water mains m:�y bc taken up hy reason o( <br /> any imprnvemenis authorized 1>y the Cily uf liveret[,in or of :mq sVcM or ailcp in <br /> �chich thcy ma)' havc 6cen laid. thc CitY ��'ill not bc requircd to lurnish watcr durinF <br /> the pro�rcss o(such improvements lo any consumer whnsr suppl}' mny lhus 6e cul <br /> uff. ur h�liablc for any///dam;�ges/(nr its failure so lo dn. <br /> � Apylicnlion No.�:��v---'—' <br /> � <br /> �ai�,�k '� 6 — �.��c.__ 3� _ naa-- -- — -- — <br /> — — - --- <br /> --- -- -- <br /> � . � �. tio.� 3o-z Suect <br /> ----- ' -----"--'------- -- <br /> ���-1'he work to bc exccutcd bY�---"---""' ---�------""'---- Plumber <br /> Stntc cizr a( tap. � <br /> , <br /> � a �� <br /> __ __7_/__Tap to be inscrted in the main. . P�— <br /> ----�--�,�-,«��i�s�� �f.Q Z� <br /> 0 <br /> , <br /> -----�--- i;,u, ���i�=.v� <br /> "'. "_' .Urinal \ U '� C..^`, ,�.. <br /> __'_ <br /> ""__Plain laucet inside . �� I � �\� <br /> _____'_Sidc waik washer (( �j ��l��)���� �S <br /> �I '� . '-7...1 �1 1�A <br /> r <br /> .._11o�c bib nulside I! <br /> _"""_ i � T[I^.�I <br /> ._'_"___Hosc bib (orbuilding purpuscs S�, ., � . . � • �. . �f <br /> � • � . <br /> __""_Ilosc bib insiJc \,� , �dl'_�a." <br /> i;ti, , <br /> _""'. '_13ibforstablcconlaining.__'____.__.s l�f., <br /> . , �4 <br /> ___�_ humbcr of persuns in (amily �Cr <br /> � ___'_..___'Numberafrnomsinbuildin6 '—�._ <br /> I <br /> � Thepremisesaretobcusedasa_______"____"___'_..______________ _'_'. <br /> � 9�heowneroltUepremisesis ___"...__"___.___________________.._______ <br /> Thcagcnlis .__"__._...__._'_'________ '- -__.____'-____'-.-________' <br /> '1'his applicnlion. :�Ithough signcd, shall uot bc binding upon the Ciry•. until ac <br /> mpted bY The Superimendent n(�'.,, Nntcr DepartmenL q <br /> `� ' �',1��',��, <br /> Jia,'�a! - (�:L��1�tGCL� �f�"ApPlicanl <br /> � . / <br /> A.cepted_._ _____- .__. .J^� liy. - � _c�::.'____._____._______'__ <br /> ' siq erin�endent <br /> �_-t: ._ y _ -._. � __ �._ <br /> I_ . <br />