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�,��i �.. � ..-_.. ✓ t l=i.rv-O tI -% 1'ZY � . <br /> �' <br /> W. D. Fonn a 1 L00 J-L 17 C.P. <br /> CITY OF EVERETT�=Water Department , <br /> Application for Water <br /> All blanks must bc filled in or crossed out / <br /> �� Y7" <br /> d <br /> Everett..--------- ---'-"'-_ib '- --- <br /> TO 9'HI?SU: 6RINTRNDENT OF TtI ATF.R DEPARTMEN7', <br /> CI1'Y OF E`IERETT: <br /> 1 herc6y apply tor the use ot water in acrnrdanee with the mles�nd regula� <br /> tiun:ot"Che \Vater U<partment, G�r purpos•es anJ fixmres s[ated below. <br /> Uuring the time chat an}•nf the wa[cr mains may be taken up by reason of <br /> nny impravements authnrzcd by the Cile nt Everett,in�>r of any strcel or nlley in <br /> ��•hich they nr�v hace becn laid, the City will not bc required to furnish water durinq <br /> the prngrecs n(svch imp:ovemrnts to an)• consumer w•hose supply may thus be cut <br /> n(L or 6e liable fnr any/d1amaqes G�its (�ilure so to do. <br /> � .4pplicetion No."_=l.`3�---"--- �. <br /> Hl�k ---�/'�---�' �.Lo�t--��- �-5---"--"Add----'--'------- . <br /> Nn../�O�— �GCL7�Cio"__"""_..Street <br /> _ __ _..______". <br /> __.._.._. _" <br /> . __ '_____..-___' _'__""'_ __'. <br /> -'__,fhe work to Ue execumd b�'.__'�--"'-- -"'--" Plumber <br /> Stat'e/sue of��p. -�( /'' o � <br /> ...�!�_�_Tap to be inserted in the main. /r �V �" � <br /> / � <br /> _____ __�Yatcrcloset <br /> "_._�__.Ha�h , <br /> ---'-' :liri�T" <br /> .__"�_Plnin (aucet insidc <br /> � <br /> ._"_"'�ide�e�tk-a'1511cr ,., <br /> i <br /> ___'�.._Hoscbiboutside � i <br /> . <br /> � ti . �.. . <br /> ._."_. 11e 1 h . ._ ...y � . . <br /> .___-_.'__ i ms�de <br /> ..""_"_Rib(or stable containing._.'.._'.'._s[all_'___""' <br /> Numbcro(persnns in family <br /> �--�"Nwnbcr nf mams in building <br /> The premises am to be used as a..__..__'__"""""'.__""'_'_"'_' <br /> 'Phe nwner o![he premises is __"_._______"._.__'______"__"___'__...___ <br /> ThcaKentis .'__'.__'..__.__"___'_'__"_ '_...._."._.."'_...._._'__-"__ <br /> This apPlir.a[inn.although signrJ,�h:Jl not bc binding upnn lnc City, until ao <br /> ccpted by The Superin�ende � the Nnter Dep�ar7lm.�en[. , <br /> .� SiHnc�1=�lfGG�i�-�'/-�-./C/ . ._ .'__'___'_'Applican[ � <br /> Accepted.�:y!'-'_"-J�J H _ .""'_' . <br /> / � / ` s�,c�rimrn:��_'_. <br />