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�� � , . <br />� �%/ <br />' � . �J i � ��� _ . .. <br />N'.0.Fc�n,a IS[C � .�. :.R . . <br />CITY ��!� �` �:4ETT==Water Depar#ment <br />�—�-- <br />ApFlicat��n for W ter <br />All blanks must b filled in or crnc� �d � <br />� � � � <br />Everett...- - - _---" " _'___'__.191 _ __" <br />TO'I'HE SUPIiRINTE�DIiN7' OF'CI�F. WATER EPAR1'MENT, <br />CI"I'S � 1F EVERE7"C: <br />1 hcrchy apply inr the usc o( «'�tcr in accord:i.icc w�ith Uic rules and rcqula� <br />tinn; uf The Watcr Dapartmant. (nr Vurl>��« �nJ fia:ures sinted hebw. <br />Uurin�; the [ime �hat any of tlie �vatcr mains may be inken up by reason uf <br />am• imprnvemenU au[hnrizecl by the City o( Everelt, in m of any street or allcY in <br />whir.h they may have been laid, thc Cit7 wil� not bc rcquired ln furnish wa:er during <br />the progress of soch improvemenK lu anY consume. ahose saVply may thus be cut <br />uff. or bc liablc fur any dam:�S�'s (nr its tailure so lo Ju. <br />ppplirntionNn._.__ -- � � <br />��. '_'_____' <br />tii�,�k � g_ ,.,��— -19--- - - naa_------ - -- - <br />-r-��p--)) ��,�7 ��� <br />No.---�—�.�.J_p__-✓.L�C_-�i'i'-O`�=` �---Strect <br />"__..."_"__ __'_'_ ' _'_""_""_'_"_"""'_""_'_"_'_"_", _"" ' <br />'fhe work lo be executed bY--'--�- --'—'-------------- Plumber <br />Stalc ize o(tap. <br />._��' _Tap tri be inserled in the ma n.i.���jLt\ <br />� � ���� `•}l.' � . <br />__________Watercloset ri�',` ,.'�1 I .�\',.,,. <br />i, � <br />� <br />__..�_- _Balh � �� ���� � �� � � �� ci � <br />-. _.__ `'-'� /� <br />.Lirin:d '.i , 1 ' � � <br />. _I'lain (aucct iaai�e Y�s � n/ 7 � � �� <br />..___._ TN���il" 1 i�(I / / <br />.___.__..SiJcW�alke�:.:her � �.��, � . _� / . <br />"'_"_..Ilasebibout::id: ��'L` ""%` ��p. <br />'.. liou bib fur building P� .� h �'Y <br />_.Hoac bib inside <br />_[libf�is�ablecontainin8___'_'.--_s1:dL-_ '-_"' <br />__.'_'/� ...Numbcr nf persons in (amil>. <br />_ _._'S_�_'_Num6cr nf ruams in building <br />'1'hePremis«aretobeuseJasa..-___ _..__._'_....__'.__" <br />7'he owner nl [he Premisrs iti __..... . _.- _ _ __ _.. __ .. _ _"_'___.. <br />Thc aKent i� ---'--�---� --"--"--"--- <br />'.__-'_ ___'.___'_'.._.__'_'___._ <br />7'his applic�[inn, allhough signeJ. shall not be binding uP�n the CitR ��ntil ao <br />cep�^d by'Pb: Superimendent o( the Wnter Uepertment. <br />— � :e :_�._._�.'_4�'_._`L_�_�___ApP ant <br />Signed i ��].`.�. . - -"'- <br />� . <br />..�..��. • 1-� ^� �191'� HY�--"---"Su�erimendem <br />-- -�; , -1 <br />