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, ,, . 1 � ._ _ . <br /> .2.=t..r+: � . _ , .. , , - _._. . . <br /> 'N. �. Form 1 I500 0-I-17 C.P• <br /> CITY OF EVERETT==Water Dep�rtm�nt <br /> _.--_ <br /> A�pplication for V4%ater <br /> :VI blanks mcst be fillcJ in or crosscd out <br /> �,/_v__._191�-�-_ <br /> Everett.._-- --/'--' <br /> •PO 'CIIE SUPERIKTENUIiN'1'Of TIIE NATER DEPARTT11iN'P. <br /> CITY OF B'1HRETT: <br /> I herebY apPIY t��r the iue n(��•ater in :�crnrdance��'ith the rules and regula� <br /> tions ut'Che Watcr Departnvnt. for PurPous and fi�lw'es statcJ bclrnr. <br /> Uurinl; the time tlmt :my��f thc wa[cr mains ma�•be taken up 6y rcasun o( <br /> an}� imprnvemenls airthnrized by the Ciq' nf livcrclt.in nr nf any s�rcet nr allcy in <br /> ' Oie PrnFress�nt uch�improvement�. t`itm>'eonsumerr�ch�e�'supplr�m�ay thus be cuF <br /> utf.nn c� liablr for:�nY ���nnKes ytur its 6�ilure so tn do. <br /> Applicntion Na._'-�'T- r---�'�---'- ' <br /> / <br /> - \Jd t�('�'---'_ <br /> Illock ___.�.._"-___Lut-_'�__'- -_'__._.. <br /> ______.__.. <br /> -� � '------.Strcct <br /> � .�o G._. J,�-�-�---- <br /> .,,. - --- <br /> ---- --- ---- <br /> ------ - - - <br /> - ------ - <br /> -'-----__.---- ' ,-- Ylumber <br /> - <br /> --' ----'--"-- - <br /> 'f I�e work to be esecured b)'-.-._.'.'__'_ � <br /> 3 �U � <br /> State�izc of tap. ;; . /� <br /> �i�__Tap to be inserteJ in thc main. � �J � <br /> . <br /> !,t'i � i ' . <br /> ---.------Na•er clnset j �1 �'�� ;; . '• <br /> . •. . <br /> '_'"'__.Rath .. V � � �► �` <br /> _. .Urinal '� !! <br /> ������ Plain fauce[insidc . <br /> __ � d <br /> ..__-_'__Si2�wnik washer . <br /> __'"""_IloseUiboutsidc . <br /> _""__._Hosc bib fnr 6uildinF Purpnecs , ' � <br /> '_"'_'_'_Ilnsc bib insidc <br /> . __""'_'_I3ibf��rs[ablccontnining.------'- <br /> _slall._'.._--- <br /> '_'_-.--'-Numberof Penuns in (nmily <br /> __.__'_'_'Numbcr ot roams in building <br /> "_'____'_ ._"-"_'_"' <br /> _'. <br /> fhe Premises are to be used as a----�--- <br /> The o�vncr nf the Premise+ is __'-'.-'-"--- <br /> ._.._. _'_.____.________________ <br /> "'hc aKent is .-'-'-----'----------'--'----- '--'-'-"--'--"- <br /> _'__..__'__'_"_ <br /> � . .I�his aPplication, althouFh signed,shall not he binJing upnn .be Cib� until ao <br /> �-�. !bp The Superimendent of the Nnt/er Uepym't.mrn[. <br /> SiKned ___'�/" ���--'_.'__""J._C�-..!�/�'.Applicant <br /> __. <br /> i <br /> _cePlecl�x,'/� "'-��-�-'�Ol U)�A��'"_"'-5�r,•NmenGeri L <br /> V <br />