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� ! <br />{ <br />� <br />� <br /> �r „ � �� � -o s �y-- . <br /> �� . � ` � <br /> N', D. Fatm ♦ I500 J-i-17 C.P. <br /> CITY OF EVERETT=-�'�'ater Uepartment <br /> Application for Watex� <br /> All blanAs mus[be filled in or crosse �ut <br /> _����'�'"7 �" _.___.19Y�!-_- <br /> liveret[. -. _ __ ____ .'__.'____. --_ <br /> TO '1'IIE SUPIiRINTfiKDIiN'I'OF'PHii W.\THR UI?P:1kT;UL•'�T. <br /> CI'1'Y OF G'JL'RE7'T: <br /> 1 hereny apply (or the use of�ramr in accordance u�ith thc rules and regula� <br /> tiuns uf'1'he 1Vater Deparhnenl. (nr purposcs and fixtnres sta[cd belo�e. <br /> Uuring the time lh;�l a�iy u( the�vater mains may 6e laken up by reason o( <br /> any improvements authorized .�v the Cilp of tivcrett,in nr o( any sircrt nr allcp in 1 <br /> a•hich they may havc been laid, [he Ciry•�cill not be rcquired tu furnish w�ater dunng � <br /> die progress nf such imprnvements lu nny consumer a�hose supply may thus be cut <br /> o(t. or be iiable for any dam�r;e, (or ils Liilure so to do. <br /> A ilicntinn�na_��—�1/.<QiS,.�.�' —,�' "_�✓.�"=Add""'___"__"_._"_ <br /> Rln'c6 .-__"__' /- '=-'-�"'Y."'_""'_"""__Slrect �� <br /> \ir..���� , <br /> ...' "_ . <br /> // <br /> __1'hcworklobecxecutedL}•_-_'__"___""'______________ _____.__ Plumb^r 1 <br /> Stalc/s�{z o(tap. <br /> --_�!__��'Cap to bc inscrted in thc main. a / �� U �/ <br /> .___ �.__Watcrelocet -_x � .— <br /> __f_.13ath . � <br /> _'_ .f �. f i�,.. <br /> .Urinal .., i .�c"�'"'�.:L�,., , <br /> � �� , <br /> �� Plain f:mcet insidc !�' � -��'�' !/� : ' <br /> _. "'.Sidc walk a�asher // � .. . . � <br /> � �� '�'��, � <br /> _____._"H':se6iboutside �' � '•.� � <br /> '_____.._.Hosebib (arbuilJingpmpnscs S.1 ���i' !'��. , <br /> ,;��, � <br /> -----,t�s���� �„s�a� . <br /> ._'___."'6ibfnrstablecmllainint'-_-__-_.___stal �5". :, � . <br /> __'._____Numbero(persons in tamily �� _l3':`: :.'�� .. <br /> �. +.��...... <br /> ____'�' Numbcr n(rmm�s iu building <br /> The premises arc ln be used aa a____' _________"_"'_.._"___"""'_ '__". <br /> '1'heownerofthcpremisrsis _____'__._____._..______.____."_"__'_______ <br /> '1'he aFcnt is. .__...___.'-_. ____.________' .__. .' '._._"'_'.____'____" � <br /> 'Phis application, althnugh siCneJ, shall not 6c binding upo�i the CitY, until sc <br /> ccpled by The Superinlendcq of thc/\7Vn[er UcP:��� ������t. <br /> •.� Signcd _'__-!� � ��`�l� P <br /> ' _._.____-__ __. .. __ _'____.__A icant <br /> Acceptcd._�'�y_.�_.Hl�/ IS���"___'_'___"'__'_"_ <br /> ., superlmendem <br /> , I <br /> � <br />