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��,v_ <F _ �, _ Z, - � � <br /> . F�, � �-z �_z� ��;r <br /> k'. D. Form 4 i5C7 J.�.�]C.F. � <br /> CIT'1 �!� EVERETT==Water Department <br /> Ap�lication for Water <br /> :\II bl:mks muet e filled in or -ru��e�u L , <br /> F:verett._- .___.___'__�_._. ."_".'_.19�1�_�. <br /> Tu TIiF.SUPERINTENDliN7'OF TfI6 lV.\7'ER UF.PARTTll.N7', <br /> CI"I'1'OF IiV1iRE7`P: <br /> I hereby apply (nr the use uf water in accnrdunce�vith the rules and regula- <br /> tinn;nf The W�lcr Drpartnvne, fnr purposcs and fixtures slalcd bclnw. <br /> Durinq the lime �hat any ut thr�emcr mains may be taken up I�y ren�on n( <br /> u�hich�th�y nn3'nhavetbiiiizlaid"Ihr�lCv wi I not bc nnuired�tu�furnirh�w•atcr�durinp <br /> the prnG��•ss nf such imp�nvvmm�ls to anv consumer H�hecr supply mny lhus 6c cul <br /> nt(. ur bc liablc fnr any d��Jma�es( its Liilure so tn dn. <br /> Applirntion I�o..�/_ �� <br /> '_. '___..'.___ <br /> Rl�xk ./a--'-� .-._ I.nq t.----_�---------�'-__AdJ. .-'- .- <br /> Ku.----' --'� a14_P <br /> / �-'-------- <br /> ._ _' '._ —�L��'.."'_..Stree[ <br /> "_ . __.-'._. <br /> - <br /> _'___.'._-__.___'___'___ <br /> _____ <br /> 'Phe x•urk to be execute<I L�'..__"'_ <br /> . __"_' ______. .._____'_ Plumber <br /> Statr/aijr (tap, <br /> -.-�J---�Pap to be insrrtrd in thc main. � /� �—� <br /> ._. ..�___Water daset . <br /> ._.�._ .l3ath <br /> . -. .._. .Urinal ' <br /> ', - - •y r. ,. <br /> _-.._.Plain faucct insiJc ,�� � � y <br /> -- .___Sidc u•alk �rashcr "� � i i 1I� I . `, <br /> . .. .__._Ilosebiboutside �. •��.' '`� �� <br /> �' �� ��'ti- —: <br /> . ._. ..Ilosc bib(or building puqx�ws 5 :.'.. y <br /> ` 4i <br /> - _.__.___Ifuscbibinsidc •.,, . ICf � <br /> .."" .'.Bib(ursla6iecmuainin�; __.____ _ .sull'�`.�:�_�-. �}�'� <br /> . Numbcr of persnns in family . >!� • �S�� <br /> .._�.ilumbcr nf rooms in building -. '."�' <br /> I'hr premises are to be used as a._.. <br /> . _._ "". .'._ . <br /> _._�___.."' ""'. <br /> Yhe nx�ner of thc premi�rn is ..__. <br /> . _'__. _.__. <br /> -_"_ """"""" <br /> Thc apent is �" <br /> This application, altlrough signcJ, shall nul bc bindinq umm Ihe Cily. until ac- <br /> crptcd by'I'he Suprrimendent nf the \Virter Departnten[. <br /> Signcd .. . ..._ <br /> _ . _ ._ . _. J_'__Applic:mt / <br /> Ac<eptrd�3- �!�_ 1��/ R}� 1 <br /> _. <br /> _--____... I <br /> _... �..u�•nm.n:e.� <br />