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,_ - � � . <br />'� <br />` <br /> Y <br />� ✓_/l•- � i��� : ,. <br /> 1 <br /> j • W. D. Form a ISOU J-1-�7C.P. <br />� CITY OF EVERETT==Water Department <br /> Application for Water <br /> All blanks mus[he filled in or crossed nut <br /> s,.«�«- ---- --------------- -`L-��----i9�..�-- <br /> 'CO THE SUPIiRIN7'ENUIdN'P OF THE NA1'IiR DEPART\fi>N7', <br /> CI'1'Y OF ti7BRL"PT: . � <br /> I herehy apply for the use of u�ater in accnrd�mce wi[h thc rules and reFula� � <br /> tinns n(Thc lVater DeparUn�nt. (or purposes and fi�tures statr.l below. <br /> Durin�; the time that:my ni lhc �vater mains may be u�ken up bY reason nf , <br /> any imDrovements authoriaed by the City uf livcrett,in nr o( any strcet ur allcy in <br /> which they maY huve becn Inid. the City a•ill not be required to lurnieh water during <br /> �tLe Pro�ress u!such improvements tu:my consumer w'hose supply ma)' Ihus 6e cut � <br /> ��If. or be liable(ur anv damages fm'its (ailurt so lo do. <br /> Applicxtion Nu...7�_� �.'—""' <br /> Binck _.__'______ _____LnL___"'_._._._"___AdJ__._ .__-._____._. <br /> .�,.---- -- � '� o_y_��'l.a�JZ.�__..�«�<< <br /> U ' <br /> — — -- -- --- --------- -- ----- - - - -------- ----- -----. <br /> '1'he o�ork In be rseculed L)'....._"_.'________________'_._'_'__'__ Plumber <br /> St�.atc/sixr uf l�p. o d <br /> . �/.�____7'ap[o be inserteJ in thc main. � ,� ` � �� ' <br /> / i <br /> __1Vatcr closc: �, <br /> ._..'___.Hath <br /> ______ .Vrinal � <br /> .__"'____Plain (nure[ '.nsidc .� <br /> ..__"'_'_Sidc walk a•ashcr � <br /> .___"__._Hase biL outsidc <br /> � `.' i <br /> .__.______Ilosc bib foi buildin�; purposcs r .� � � � <br /> .____"'_.Hosc bib insidc , . <br /> ___"""_Hib for stable containing._._.___.__.sL�ll._'.._._._ n� <br /> '___._'__'Numhcr o(persons in (amily � <br /> __�'__"Number of rnoms in buildinF . <br /> '1'hepremisesaretobeuseJasa___ . . _ .__._._'_' ___". <br /> The o�vncr o(Ihe pretuises is _.___..___"__._____________________'__'.__"' <br /> ThcnKen: is ._"'____'___. ._..'_"_'_.'__ '.__.... '__..__"_.. .________'__' <br /> 7'his appiication. althouqh signeJ.sha�l nol bc Uinding upon thc City, until ac- ' � <br /> . .� . .� � �� ��. <br /> cepteJ by Thc Superinicndent n(thc Nnler Dc arlmenl. . .�� � .. :�•.�.�� • ��.•'�"� <br /> Sil;ned ____1.�"'i" ��i--P�l'/.!^/1'f./__'ApPlicant� �� . <br /> __.'_' <br /> Acxpled.__/�'/�"_J}p1/� I3 .. __ . <br /> /l!J /� L • $Il'r'RIN[(IjPO� <br /> �,r._ -.._ . _ .. _ . _l <br />