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��' N �'�� 7-2.8''�-� <br /> u'. ]. Form a i500 �-I-17G.P. � • • � <br /> CI"I'Y OF EVERETT�=Water Departrr� �zt <br /> ApNlication for Water <br /> ,, <br /> All blanks must bc Iled in or crossed nut .( � <br /> Hrerett.-_ '� __"_" '._� _'_. ___'___.19T_Y-__ <br /> TO Tlift SUPIiRINTG21DIdN'f O IIL'NATI?R DEPARTM1tGNT, <br /> ' Y OF E7IiRfT"P: <br /> 1 hereby apply (ar the��e nf water in accnrd:mce x•ith the rules and regula- <br /> ti�.,:i;uf'Che 1Vatec Deparement. G�i pw�pnscs :md fiz[w�cs stated bcluw. <br /> During Ihc tiiac ih�t :my of thc����tcr maint mar bc tnken up bp rcasnn of <br /> :my imnrnvemcnts authorized be tLr Citp of liverett,in ur of any sireet ur alle>' in <br /> n9dch thcy mny have bcen I:iid, lhe Cit}'�oill not be requimd to furnish aaler during <br /> the prn�re;s o(such in,pmvemenls w auy cnnsumer �rhose supple ma}• ihus Uc cul <br /> off, ur be liablc(or any d�aJm:�Fcs for its failurr so to do. <br /> Applicnti�in No.__'1-�' y�-•- ` <br /> ui����: . 2 3° --�. .--�f--- n��a—,�f�(/—� <br /> Nu... _/_:�_U_�_..--`--- ------- strecc <br /> '_"" ___._'.' <br /> - -- - <br /> ----- W-�-�- ���`-��------ -------- -------------- <br /> 'I'he �rnrk lo bc c�ccu lcd b)'.____'_'__"'.' '_.'__-_._'_...____.___ Plum6cr <br /> 5tatc s'q.c�u[[ap. <br /> . � J_:Tap �n hr ia•�rtrd in Ihr main. <br /> /' /, � ' <br /> _'_'__'\Va�crclosct j� �O-�1 <br /> _'____.Bxth <br /> _...-_. .Urival <br /> _______.__Fl:iin faucct insidc ����;—:�. . <br /> •���� <br /> __.____Sidc wnik washer +,/` �� .•� ' _ ',.,h\` <br /> ___. "'Hose6ihnut�idr f .��r� � ���.. <br /> ____.__. <br /> Hose bib for 6uildinl: Pw�puses ��, . /�`�1����'� �d . <br /> "__'___. <br /> _Husc biL insidc � l . <br /> ' '_""____Ilibfarstablccuntaiuin �' " " ' : . „ <br /> g.'_..___._._ 11 __..._"'. r .. <br /> i � <br /> I ""__'_'Numberof Persons in (amily � ���_ /� <br /> -•• ..�.� ': <br /> 1 ____.__"'\umbcrofrubmsinbuildinK � . ; ��.! <br /> ' � ThepremisesaretoLcusedas:�___'. ._____"'____" �� -_ >;v�"_.... <br /> � Thcotvncro(theprcmiacsis ___'.-_.'___._..._.___�-_._�_'���.__".____.. . <br /> I <br /> � The aFcntis .'-----'--'------'-----'------ --�-'--'- --'-----'----'-`-'--" <br /> 7'his apPlication.altliough signed,shall nol�be Uinding upue Uie City, un[il aa <br /> aepted fiY 1'he SuP��'imunden[o(the \Vnter�:�rt5ycnt. f <br /> ��f � �V!/� <br /> � Signed_____..Y:_�'�. --'.-.-.--'-�.' _-_ _______ApPlicant � <br /> •-- <br /> . Aavpted"_'L12_.�,�.�,___191�"` Ry�!�7_���-__-_- ' _" <br /> � .. - ""Surerintrnaeni � . <br /> -.�.�1r�.�.J! b - /7 J ' lN <br />