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'\ <br />��i-.%-f'-��i 'C.a� <br />L=nra x-so—n� "19,( <br />N'. D. Fcem a 1500 3-I-17 C. P, <br />CITY OF EVERETT-=Water Department <br />Application for Water <br />All blanks musl be filled in nr crossed uut � <br />5vercll.___'.".__'..____'_" ��_ __..191!%__ <br />TO 'PHE SUPERINTENDF.N7' OF'fHE H'pTF.R U RTAfEN1', <br />C17'Y OF E!'ERETT: <br />1 here65' aPPIY f��r the use ot watcr in accnrAancc with [he rules and regula� <br />tiuns af The Nater U:parhn_•nt. for purpnses :uul fixtures stnred 6elo�v. <br />Durin� [he tiinc that ;m>• ot the �vnter mains may bc cakcn up by reawm of <br />nny imprnvcmcntti auUinrized by the Cirv nf Fvcrett, in or nf any strcet ur nllel' in <br />which thev maf' have bcen laid. lhc City N�ill un[ 6c required to furnish watcr Juring <br />�he prn�;ress of euch improvemen[s tn . uy cnnsumer ahnse s����ty may thus he cut <br />ul(. or bc liablc for anY ��mages (or its (nilurn so ln do. <br />„%`/-3 ✓ <br />ApPlicntian N '"'__ <br />� "". '__"'__'_' <br />NhKk - ----�-7--�- Add----�- <br />-.-.. ___'_.____ <br />._.___'_ ___'-.._- <br />Nn._.__ _--�`'�-._..___"".""__. .Strcrt <br />___..._._.._.'_' .'_'_______.___.'.'_..._..____'_.________"_'."___ <br />"Phrwurklnbeezecutedby.__._'_""' _.___..___.____'___'Plumber <br />stn�c siZc ut �ap. <br />� �� <br />� Tap to be inserted in the main. <br />--=- -w:�����i��� <br />----- � .n,m <br />.__...-. .Urinal <br />. .r <br />-__. -._.Plainfau.etinsidc '�F� , �; ,�, ��y <br />_ _.. __..Side walk a�asher . � 1 <br />. - _._._Hnsebiboutside <br />.____.__.HosebibforLuildingpuq�nscs `� <br />----"."'Hnsc bib insidc +�, .-.l � <br />.__"."_Diblorstablecuntaining__..___._stall__' "//� <br />.-_- _Ncmberaf persuns in fnmily `-" � <br />_. _ _. �,Number n( ronms in building <br />'Phe premisea are to be used as a____ _ <br />_._ _._.. __ _ <br />_ __' ' '_"' __" <br />'I'he owncr of U�e premises is __.__.. ' � <br />_.___ -. <br />'_ "__"""__'_ <br />"___' <br />Theagrn�is _'____.-. <br />._...________'__ .__._ _..__"____.__"__'__ <br />'1'his applicalinn, altho���;h signed, shall not bc binding upnn ihe City, u'I ao <br />ccpled by Thc SuperimenJent of thc 1V • Dep;irtment. - <br />Signcd . _, <br />�. _' ..- s�c� , <br />---_. -_..`y.'_""'_'_Applicant <br />Aeccpted �(_._3Qj""'� / !iy/�.�% �' <br />!/ � _ . .._.__ ..'___.'__'._ <br />�i <br />a.y�rintencen� <br />