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� w�. a �o�m a iseo a.i-! i c. P. ' r _. <br />CITY OF EVERETT==Water Department <br />Application for Water <br />All blanks nms[ bc filled in or crossed aut <br />IiverMt. __'.____"____'_'_7'_ __! ____'__.19?:�__ <br />'CO '1'HE SUPERINTENDIiN7' OF'fHti NATER DEPARTMEN7'. <br />CPI'Y OF 1'.YERETT: <br />I hercU)' aNply fnr the use nf �vater in :�aordance �ci[h the rule+ and reK��l:�� <br />eians u[ Thc 1Vater Ueparun:nt. (or P��rP��•�• �nd Gstures stated bcluw. <br />DurinR the time tha[ any of the waeer mains map be taken up by reasun of <br />:my improvements authorized by thc Ciq� n( Everctl. in or o( mip strcet or alleS' in <br />which they may have been laid, the City will nnt bc rcquired to furnish waler during <br />the prugress uf such improvements to any cnnsumer whuse supply m�)' �hus 6c cut <br />.nt, or bc liahlc fnr any dama�;ca <(orCits failure so tn do. <br />APPlirntion Nn.'_'7_.� �1- d_'.__. <br />�j p • r <br />Rlock �i----/---(j � D...---.Lnt_ � /1 7T,/i_3o.---Add�i-r�--��----. . <br />__ <br />\n._=�-�L10_ ?7l2+LG/�«---'---�'----..Strect <br />_._"__.__.__"__ . _._____..._._.....____.___..______________________'_'. <br />'fhe�rorktnbecsecutedby_____.___'_____---.___-_. ._.__-._ Plumbcr <br />Slalc , ee u[ inp. <br />I � <br />.. _��_'fap U� be insrrted in the main. � <br />� _1\'atcr cluset / , <br />___._.___.Oath ` �-Z = /�`—y <br />......-- .Uriunl <br />.. _ ._.Plain Lmcet inside <br />__ '___Side walk �sashcr <br />____ ___._Hosc bib uulsidr � <br />r <br />____ '.-_-Ilose Uib tor building purpuses <br />__ ______.Ilasc biL insidc � <br />_.RibfurslablccontaininK--- --'---+tall__--._.__ <br />__ 2_'. Number nt persnns in family <br />2_.__Numbcr o( roam• in buildin <br />_._. <br />'1'he Uremises arr [o be used as a _. _ . // ' " -----,¢-/---------- -- ----'. <br />'1'heomnernfthepremiscsis _'_:_ '�V:•_ ��+.��(,t._ -.--.____._.. <br />'1'hcaFentis.___'___'..._______"' __"-..___..-'____-.-___'____'.._ <br />This apPlication. al�hou8h signrd. shall nut bc 6inding upon lhc CitY. unlil ao <br />cepled by'Phe Superimendent u( 1�DeV:J�r} m}� nL � <br />SiRned � .-- / J� `„�vG ���ApPl�ant, <br />_ .___ . __._�.._ "_ <br />/�j' " � ,� <br />� � -. / <br />Acccpled" " -_ _' .�J� B>''_ _. - _ <br />_ sni en•!bn� _ / <br />I V <br />