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�. __ <br /> , <br /> �-n i u v . ,. _, � . <br /> _ . F ..rr -s, 5-�i-z3 H.-( . <br /> W. 0. Fo�ro 4 I500 J-I-17 L.P. <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> AII 6lnnks must be 611ed in or crotiscd aul <br /> Eacrett.----'---------'-'--�7___�'�---'--..191�_� • <br /> TO 7'HE SUP6RINT8NUIiNT Of'PHE NATER UEPARTA7tiN7', <br /> CITl'OR G71iRETT: <br /> 1 hereby apply fnr the use oi w'ater in accordance aith thc rules and regula- , <br /> tiona u(The \Va!er U:partm•nt, (or purpose, and fiztures stated belo�v. <br /> During tlte timc Ihat:uip ot �he wat��r mains mnc be Iaken up hy reason of <br /> any imProvements nulhorized b�� tiic City o(Iiecrclt. in or of am• strec, nr alley in <br /> �ehich they maY have Ueen I:iid,the City w�ill nm bc required to lurnish W'ater during <br /> thu pmgress of such improvements tu anp eansumer u'hose supply may Ihus be cut <br /> n;f. or bc liable (or any damages rLir its (ailure so tn do. <br /> Applicntiovn�No."�_�/--�___.__ - / <br /> Blnck _.1___�� - LoL_:'�`J�"-_'_.Add.__.. .-_..-._.._.._ <br /> .,..._�.3_l_�_ ��-u-��--- -----.5«�<< <br /> - . - - ------ --- ------ -. _ _---- --- - <br /> � 'fhe wark to bc cscartcd by.______..._____ '_.------�-----�---'- Plumbcr <br /> Stalc si�r nf tap. <br /> / <br /> _`JJTap[o be inscrted in the main. � /�'oo <br /> _ -/ ! <br /> ._1Vater doset <br /> .__.'_.-_-13a1h <br /> ___._._ .Urinal <br /> ____.__.__Plain (auret insidc <br /> . ________SidcH'alkw•asher <br /> ______._._l lusc bil�outside � <br /> _____.___1{osebihforbuildingpurpnses . ; <br /> __________Hosc bi6 inside <br /> ..""__'_BibforstaUlecuntaining-__...--.--.stall __. .__.v <br /> _.__.._"'Numbrr ot persons in (amily, <br /> "'"'�"Numbcr nf rnnms in buiWing - ` <br /> Thepremisesaretobeuseda5n___.________'..._._._..______._.__ .__.'. <br /> 7'he o�vncr of the prcmiers is ._____-____._.__--__-.._.___.__.___._._. <br /> ThcaKentis . .._.'_'_______ '_.-___._.-_..____.-___.___.___' <br /> 7'his apPlication, aithough vigned,shall not be binding upon the City. until ao <br /> � .. ;cd 6y'Che Superimendent af tbvl�V�ntjr UeparlmenL � <br /> SiHned ___'_..�V.l_c_��K ��,C� '________ApPlicant <br /> Accep�ed� , ���'� <br /> ���.�j____'19�� RS•..'�'-__'__1__. ._ <br /> � . .�.._--Su��r�menaer� <br />