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h— R f v—ru- '-i — '- � �.., ! <br /> - ♦ I � . - - �NTD -y-.z i . �z 1� <br /> W. D. F�orm ��' I500 J-1-i 7 C.P. <br /> ��I�'Y OF EVERETT-=Water Department ' <br /> , <br /> r <br /> � Application for Water <br /> .411 blanks must Ix in or cro+sed ou <br /> Everctt.__-'.-- - -- �/ --'-------���/ . <br /> TO THE SUPFRIN7'F.NDEN7'OF THE ATER DEPARTMENT, <br /> CI7'\'OF F.VERETT: <br /> I hrre6y appW tur the usc o(N•ater in acenrdancc aith the rules and reguia- • <br /> Gnne n('Chc Na[er Departmnr.t, (or purposes and fix[ures s[ated below. <br /> Uurinq the time that any o( thc water mains may br tnken up by reaum of . <br /> a�ic improvements au[hurized b�� the Cih•ut Everelt,in or n! nny sireet nr allry in <br /> ���hich they may have been laid, �he Ciry•will not be required tn lurnish wafer during <br /> the prngress of auch improvemen[s in any consumer whn<e supply mny ihus be cut <br /> nf(,or be lixble for any dama`Kes(or its fnilure so to do. <br /> APPlica[iun Na.'�"._O � . .�. . . , �� . . <br /> "_.__""' <br /> i3kick .�J�,•�-_ _'_' ' / AJd"_L''""_"'___' <br /> Nn.--a-�-�C�-/2', tit'si7� Strect <br /> '1'he work [o be rxecoted bp ._'.._..___"" '.'_'._ __'......... ....�Plumbrr <br /> Sta'tc/sy'�e ut tap. <br /> _._l.�.Tap to be inserted in the tnain. —"�/� <br /> __/.�___Wnter clnse[ <br /> ----".--6ath <br /> ___'.__' _C�rinal <br /> .._"_____Plain faucet inside <br /> . .__=.__.Side w�alk washcr -ti ^) -: `�i <br /> ..__.._'..Hnse bib nutside � <br /> ( <br /> _'__""_Hosc hih forbuilJin{; purpnses /) � <br /> / i ` <br /> ______.___Hnse bi6 inside <br /> ._"'_"_Bibforstablecontnininti.__-____ _stall._. �,:_�_ . <br /> _-_ 7___.Numbcrntpersnnsint:nnily <br /> ...d"_'Number n(rnoms in building <br /> w 'fhepremisc�.�rclnLcusedasa____._._'_______..... _.. _____._._. <br /> __.. <br /> .� � Thenwnerof[heprcmisesis _______.______. _. _ .._._________._ <br /> . .__._.._.. <br /> The agenl is.._.__..._. <br /> .... ___.__'_'____" ._._'_.'.___"'_'. ____"__._'_ <br /> 1'his applicn[inn,although signed.shall nut be bindinK upon the Ciq�. until ac• <br /> � � . :�i by The Superiotendcu{/of tl e,J1�y,xt��)eparlm��nt. <br /> .: . Si�necl _���(! ���1�_uc�:G�l LL� ___"_Applicant <br /> _ ._' <br /> ..cceptcd_��`_rj_ '_'l� By" " " . _.._ <br /> Sur�tlmenc.n <br /> ...G ' _ _____ <br /> ,.� <br />