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, <br />�to .�-�_�.3 c_.. C ,., , ,� y _., . , <br />.� , _ <br />w. o, ro.�*� a iseu a-o-n e. e. <br />`' CITY OF EVERETT==Water Uepartment <br />Application for Water <br />All blanks mus[ be filled in or cras�ed nut � <br />i <br />i � <br />' ��-- _'-19t " -- <br />Evcrelt,-----'-'- ..-"_-- `.--'--- -'---' <br />"f0 1'HE SUPIiRINTENUc�7' Of THF� ATER DF.?AR'fMENT, <br />CI7'Y OF F.S'GRETT: <br />1 hereb)' npply tnr the use o( wate: in accnrdance aith Ihe niles and reguln� <br />tinna �d The Nater UaP�rtment. fnr purposes and fi�tures staced below. <br />DurinR the time thal an}• ui G:e w:ner mains map be taken up by renson ot <br />any improvements authorv.ed be the Ci�y ��f F.verett, in or ot miy strcet ur allcy in <br />�chich they maY have been laid, tlie C�ty ��•ill not bc required to furnish waler durinp <br />the prqGress ot such improvrinenis [u any coneumrr x•hose supply may ihus bz cut <br />o((, un c� liable (or any d nr�g � fnr its f.�ilure so to do. <br />N <br />•ipPlirntinn1 No.� _ �.' ' _______' <br />Blnck ._ d 3_� - --Lot__�— � AdJ..--- ----- --�-�---- <br />Nn..f l�J /tl_ __�-�'`_'`'���r__'_".""'.SVeet <br />.'_'_._.____' . __.._'__._____"'_____""'_" <br />'-��fhe �eork l0 6e rxecuted b>'_____'_""___' '_______-"___....._____'_ Ylumber <br />S1nlc yCe n( tap. � /� Q G <br />� � — <br />_._, -�_Tap [�� bc inscrted in lhc main. <br />__..._.___\Vatci d�•�set <br />.__._. _-.Balh <br />--_ _. _ .Urinal <br />. _ _ _ _ _ _. - Plain taucet insidc <br />. __"""Sidc a�:�lk �cashcr <br />'_"'""'._Hosc bib aulside <br />_'_"_'__Hose bib [orbuildinF Purpuses � <br />.____"'_'Ilosc bib inside � �� <br />� <br />_'_"""_liib(orslablecontaining..__'---- stall.'---.'- -. <br />_ -7� __'Numbcr nf persuns in (amily <br />-_ /.._--'Numbcr o( moms in bcilding <br />ThcPremisesaretubeuscdasa.__..________'__._"'.__.'_.._._ ___ ___._ <br />Thcuwncro(thePremi.rsia _.__'._-._'_..._..._.______'_____" <br />7'hcagentis- __'.___'..._.___'__'______' _______ ______""_'____'______ <br />'�his applicatiun, although signcd, shall nut bc hirJing upun thc Ci:Y. until ac- <br />ceptcd bi The Superintenc �ly��(; he�R}�'nter UeP��'unent. <br />% C-�Y!_�'ir..�i.L�.-L '-------�PPlicant <br />SiKned._ '_",' . __'_'� __..._ '_ _ <br />ActtPted �� . �}�� Iiv,¢. �--' ______ .'._""'____ <br />-� ' �"�!v' � � Su;.<rlmendem <br />